CPT 95865 pays $153.64 in a non-facility setting and $153.64 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $138.27 in Arkansas to $184.49 in Alaska, a 33% spread.
National non-facility rate
$153.64
Office and other outpatient settings
Hospital and ASC settings
Alaska
Arkansas · 33% 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 | $184.49 | $184.49 | |
| District of Columbia | $174.48 | $174.48 | |
| California | $172.56 | $172.56 | |
| New Jersey | $169.08 | $169.08 | |
| Washington | $168.67 | $168.67 | |
| New York | $168.57 | $168.57 | |
| Massachusetts | $167.02 | $167.02 | |
| Hawaii | $166.20 | $166.20 | |
| Connecticut | $162.92 | $162.92 | |
| Colorado | $160.06 | $160.06 | |
| Maryland | $158.76 | $158.76 | |
| Oregon | $158.66 | $158.66 | |
| Rhode Island | $157.62 | $157.62 | |
| New Hampshire | $157.40 | $157.40 | |
| Florida | $156.51 | $156.51 | |
| Puerto Rico | $154.70 | $154.70 | |
| Virgin Islands | $154.70 | $154.70 | |
| Minnesota | $154.66 | $154.66 | |
| Montana | $153.64 | $153.64 | |
| Nevada | $153.30 | $153.30 | |
| Wyoming | $152.95 | $152.95 | |
| Illinois | $152.89 | $152.89 | |
| Delaware | $152.43 | $152.43 | |
| Pennsylvania | $152.24 | $152.24 | |
| Texas | $152.19 | $152.19 | |
| North Dakota | $152.06 | $152.06 | |
| South Dakota | $151.87 | $151.87 | |
| Vermont | $151.33 | $151.33 | |
| Virginia | $151.16 | $151.16 | |
| Arizona | $150.16 | $150.16 | |
| Georgia | $149.65 | $149.65 | |
| Michigan | $148.64 | $148.64 | |
| Maine | $148.20 | $148.20 | |
| Wisconsin | $147.60 | $147.60 | |
| Utah | $147.38 | $147.38 | |
| North Carolina | $145.99 | $145.99 | |
| New Mexico | $145.89 | $145.89 | |
| South Carolina | $145.65 | $145.65 | |
| Missouri | $145.38 | $145.38 | |
| Louisiana | $145.08 | $145.08 | |
| Indiana | $144.98 | $144.98 | |
| Ohio | $144.98 | $144.98 | |
| Nebraska | $144.29 | $144.29 | |
| Idaho | $144.25 | $144.25 | |
| Iowa | $143.54 | $143.54 | |
| Tennessee | $143.32 | $143.32 | |
| Kansas | $142.73 | $142.73 | |
| Oklahoma | $142.36 | $142.36 | |
| Kentucky | $142.33 | $142.33 | |
| West Virginia | $141.71 | $141.71 | |
| Alabama | $140.00 | $140.00 | |
| Mississippi | $139.06 | $139.06 | |
| Arkansas | $138.27 | $138.27 |
Medicare is the floor, not the market. See what UHC, Aetna, Cigna and BCBS actually pay — down to the TIN.
See negotiated rates