CPT 95867 pays $107.22 in a non-facility setting and $107.22 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $95.27 in Arkansas to $124.69 in Alaska, a 31% spread.
National non-facility rate
$107.22
Office and other outpatient settings
Hospital and ASC settings
Alaska
Arkansas · 31% 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 | $124.69 | $124.69 | |
| District of Columbia | $123.03 | $123.03 | |
| California | $122.22 | $122.22 | |
| Washington | $118.97 | $118.97 | |
| New Jersey | $118.75 | $118.75 | |
| New York | $118.18 | $118.18 | |
| Hawaii | $117.64 | $117.64 | |
| Massachusetts | $117.64 | $117.64 | |
| Connecticut | $114.18 | $114.18 | |
| Colorado | $112.36 | $112.36 | |
| Oregon | $111.34 | $111.34 | |
| Maryland | $111.06 | $111.06 | |
| New Hampshire | $110.34 | $110.34 | |
| Rhode Island | $110.21 | $110.21 | |
| Florida | $108.75 | $108.75 | |
| Minnesota | $108.60 | $108.60 | |
| Puerto Rico | $108.08 | $108.08 | |
| Virgin Islands | $108.08 | $108.08 | |
| Montana | $107.21 | $107.21 | |
| Nevada | $107.07 | $107.07 | |
| Wyoming | $106.87 | $106.87 | |
| North Dakota | $106.42 | $106.42 | |
| South Dakota | $106.33 | $106.33 | |
| Delaware | $106.25 | $106.25 | |
| Texas | $106.02 | $106.02 | |
| Pennsylvania | $105.90 | $105.90 | |
| Illinois | $105.82 | $105.82 | |
| Vermont | $105.76 | $105.76 | |
| Virginia | $105.46 | $105.46 | |
| Arizona | $104.54 | $104.54 | |
| Georgia | $103.83 | $103.83 | |
| Maine | $103.15 | $103.15 | |
| Wisconsin | $102.93 | $102.93 | |
| Michigan | $102.87 | $102.87 | |
| Utah | $102.27 | $102.27 | |
| North Carolina | $101.36 | $101.36 | |
| South Carolina | $100.92 | $100.92 | |
| New Mexico | $100.83 | $100.83 | |
| Indiana | $100.68 | $100.68 | |
| Missouri | $100.60 | $100.60 | |
| Louisiana | $100.31 | $100.31 | |
| Ohio | $100.25 | $100.25 | |
| Nebraska | $100.21 | $100.21 | |
| Idaho | $100.10 | $100.10 | |
| Iowa | $99.60 | $99.60 | |
| Tennessee | $99.30 | $99.30 | |
| Kansas | $98.86 | $98.86 | |
| Oklahoma | $98.34 | $98.34 | |
| Kentucky | $98.21 | $98.21 | |
| West Virginia | $97.29 | $97.29 | |
| Alabama | $96.62 | $96.62 | |
| Mississippi | $95.73 | $95.73 | |
| Arkansas | $95.27 | $95.27 |
Medicare is the floor, not the market. See what UHC, Aetna, Cigna and BCBS actually pay — down to the TIN.
See negotiated rates