CPT 95864 pays $240.49 in a non-facility setting and $240.49 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $214.68 in Arkansas to $282.76 in Alaska, a 32% spread.
National non-facility rate
$240.49
Office and other outpatient settings
Hospital and ASC settings
Alaska
Arkansas · 32% spread
53 Medicare jurisdictions, highest to lowest. State values average every locality in the jurisdiction at a 33.4009 conversion factor.
| State | Rate compared visually | Non-facility | Facility |
|---|---|---|---|
| Alaska | $282.76 | $282.76 | |
| District of Columbia | $275.06 | $275.06 | |
| California | $273.08 | $273.08 | |
| Washington | $266.07 | $266.07 | |
| New Jersey | $265.83 | $265.83 | |
| New York | $264.60 | $264.60 | |
| Massachusetts | $263.19 | $263.19 | |
| Hawaii | $262.88 | $262.88 | |
| Connecticut | $255.71 | $255.71 | |
| Colorado | $251.66 | $251.66 | |
| Oregon | $249.41 | $249.41 | |
| Maryland | $248.90 | $248.90 | |
| New Hampshire | $247.19 | $247.19 | |
| Rhode Island | $247.09 | $247.09 | |
| Florida | $243.91 | $243.91 | |
| Minnesota | $243.38 | $243.38 | |
| Puerto Rico | $242.34 | $242.34 | |
| Virgin Islands | $242.34 | $242.34 | |
| Montana | $240.48 | $240.48 | |
| Nevada | $240.16 | $240.16 | |
| Wyoming | $239.70 | $239.70 | |
| North Dakota | $238.70 | $238.70 | |
| South Dakota | $238.49 | $238.49 | |
| Delaware | $238.43 | $238.43 | |
| Texas | $237.95 | $237.95 | |
| Pennsylvania | $237.74 | $237.74 | |
| Illinois | $237.62 | $237.62 | |
| Vermont | $237.27 | $237.27 | |
| Virginia | $236.67 | $236.67 | |
| Arizona | $234.70 | $234.70 | |
| Georgia | $233.23 | $233.23 | |
| Maine | $231.68 | $231.68 | |
| Michigan | $231.18 | $231.18 | |
| Wisconsin | $231.15 | $231.15 | |
| Utah | $229.82 | $229.82 | |
| North Carolina | $227.83 | $227.83 | |
| South Carolina | $226.91 | $226.91 | |
| New Mexico | $226.76 | $226.76 | |
| Indiana | $226.34 | $226.34 | |
| Missouri | $226.22 | $226.22 | |
| Louisiana | $225.60 | $225.60 | |
| Ohio | $225.49 | $225.49 | |
| Nebraska | $225.32 | $225.32 | |
| Idaho | $225.09 | $225.09 | |
| Iowa | $224.00 | $224.00 | |
| Tennessee | $223.38 | $223.38 | |
| Kansas | $222.42 | $222.42 | |
| Oklahoma | $221.34 | $221.34 | |
| Kentucky | $221.06 | $221.06 | |
| West Virginia | $219.16 | $219.16 | |
| Alabama | $217.60 | $217.60 | |
| Mississippi | $215.70 | $215.70 | |
| Arkansas | $214.68 | $214.68 |
Medicare is the floor, not the market. See what UHC, Aetna, Cigna and BCBS actually pay — down to the TIN.
See negotiated rates