CPT 95866 pays $136.28 in a non-facility setting and $136.28 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $122.23 in Arkansas to $162.00 in Alaska, a 33% spread.
National non-facility rate
$136.28
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 | $162.00 | $162.00 | |
| District of Columbia | $155.37 | $155.37 | |
| California | $154.17 | $154.17 | |
| Washington | $150.35 | $150.35 | |
| New Jersey | $150.34 | $150.34 | |
| New York | $149.66 | $149.66 | |
| Massachusetts | $148.77 | $148.77 | |
| Hawaii | $148.43 | $148.43 | |
| Connecticut | $144.67 | $144.67 | |
| Colorado | $142.41 | $142.41 | |
| Oregon | $141.16 | $141.16 | |
| Maryland | $140.92 | $140.92 | |
| Rhode Island | $139.97 | $139.97 | |
| New Hampshire | $139.92 | $139.92 | |
| Florida | $138.17 | $138.17 | |
| Minnesota | $137.82 | $137.82 | |
| Puerto Rico | $137.28 | $137.28 | |
| Virgin Islands | $137.28 | $137.28 | |
| Montana | $136.27 | $136.27 | |
| Nevada | $136.09 | $136.09 | |
| Wyoming | $135.84 | $135.84 | |
| North Dakota | $135.28 | $135.28 | |
| Delaware | $135.18 | $135.18 | |
| South Dakota | $135.17 | $135.17 | |
| Texas | $134.93 | $134.93 | |
| Pennsylvania | $134.83 | $134.83 | |
| Illinois | $134.77 | $134.77 | |
| Vermont | $134.51 | $134.51 | |
| Virginia | $134.19 | $134.19 | |
| Arizona | $133.13 | $133.13 | |
| Georgia | $132.35 | $132.35 | |
| Maine | $131.48 | $131.48 | |
| Michigan | $131.23 | $131.23 | |
| Wisconsin | $131.18 | $131.18 | |
| Utah | $130.47 | $130.47 | |
| North Carolina | $129.38 | $129.38 | |
| South Carolina | $128.89 | $128.89 | |
| New Mexico | $128.82 | $128.82 | |
| Indiana | $128.57 | $128.57 | |
| Missouri | $128.52 | $128.52 | |
| Louisiana | $128.19 | $128.19 | |
| Ohio | $128.12 | $128.12 | |
| Nebraska | $128.01 | $128.01 | |
| Idaho | $127.89 | $127.89 | |
| Iowa | $127.29 | $127.29 | |
| Tennessee | $126.96 | $126.96 | |
| Kansas | $126.44 | $126.44 | |
| Oklahoma | $125.86 | $125.86 | |
| Kentucky | $125.72 | $125.72 | |
| West Virginia | $124.70 | $124.70 | |
| Alabama | $123.82 | $123.82 | |
| Mississippi | $122.79 | $122.79 | |
| Arkansas | $122.23 | $122.23 |
Medicare is the floor, not the market. See what UHC, Aetna, Cigna and BCBS actually pay — down to the TIN.
See negotiated rates