CPT 95868 pays $129.26 in a non-facility setting and $129.26 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $115.76 in Arkansas to $153.34 in Alaska, a 32% spread.
National non-facility rate
$129.26
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 | $153.34 | $153.34 | |
| District of Columbia | $147.38 | $147.38 | |
| California | $146.00 | $146.00 | |
| New Jersey | $142.60 | $142.60 | |
| Washington | $142.49 | $142.49 | |
| New York | $142.07 | $142.07 | |
| Massachusetts | $141.02 | $141.02 | |
| Hawaii | $140.59 | $140.59 | |
| Connecticut | $137.29 | $137.29 | |
| Colorado | $134.97 | $134.97 | |
| Oregon | $133.77 | $133.77 | |
| Maryland | $133.69 | $133.69 | |
| Rhode Island | $132.71 | $132.71 | |
| New Hampshire | $132.65 | $132.65 | |
| Florida | $131.45 | $131.45 | |
| Minnesota | $130.43 | $130.43 | |
| Puerto Rico | $130.21 | $130.21 | |
| Virgin Islands | $130.21 | $130.21 | |
| Montana | $129.26 | $129.26 | |
| Nevada | $129.02 | $129.02 | |
| Wyoming | $128.74 | $128.74 | |
| Illinois | $128.22 | $128.22 | |
| Delaware | $128.18 | $128.18 | |
| North Dakota | $128.07 | $128.07 | |
| Texas | $127.95 | $127.95 | |
| South Dakota | $127.93 | $127.93 | |
| Pennsylvania | $127.92 | $127.92 | |
| Vermont | $127.38 | $127.38 | |
| Virginia | $127.16 | $127.16 | |
| Arizona | $126.22 | $126.22 | |
| Georgia | $125.63 | $125.63 | |
| Michigan | $124.66 | $124.66 | |
| Maine | $124.56 | $124.56 | |
| Wisconsin | $124.14 | $124.14 | |
| Utah | $123.73 | $123.73 | |
| North Carolina | $122.59 | $122.59 | |
| New Mexico | $122.29 | $122.29 | |
| South Carolina | $122.21 | $122.21 | |
| Missouri | $121.92 | $121.92 | |
| Indiana | $121.75 | $121.75 | |
| Louisiana | $121.63 | $121.63 | |
| Ohio | $121.55 | $121.55 | |
| Nebraska | $121.17 | $121.17 | |
| Idaho | $121.10 | $121.10 | |
| Iowa | $120.50 | $120.50 | |
| Tennessee | $120.25 | $120.25 | |
| Kansas | $119.74 | $119.74 | |
| Oklahoma | $119.31 | $119.31 | |
| Kentucky | $119.23 | $119.23 | |
| West Virginia | $118.49 | $118.49 | |
| Alabama | $117.29 | $117.29 | |
| Mississippi | $116.39 | $116.39 | |
| Arkansas | $115.76 | $115.76 |
Medicare is the floor, not the market. See what UHC, Aetna, Cigna and BCBS actually pay — down to the TIN.
See negotiated rates