CPT 95869 pays $95.19 in a non-facility setting and $95.19 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $83.12 in Arkansas to $110.58 in District of Columbia, a 33% spread.
National non-facility rate
$95.19
Office and other outpatient settings
Hospital and ASC settings
District of Columbia
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 |
|---|---|---|---|
| District of Columbia | $110.58 | $110.58 | |
| California | $110.22 | $110.22 | |
| Washington | $106.86 | $106.86 | |
| New Jersey | $106.25 | $106.25 | |
| Alaska | $106.10 | $106.10 | |
| Hawaii | $106.03 | $106.03 | |
| New York | $105.62 | $105.62 | |
| Massachusetts | $105.53 | $105.53 | |
| Connecticut | $101.97 | $101.97 | |
| Colorado | $100.38 | $100.38 | |
| Oregon | $99.41 | $99.41 | |
| Maryland | $98.92 | $98.92 | |
| New Hampshire | $98.44 | $98.44 | |
| Rhode Island | $98.02 | $98.02 | |
| Minnesota | $96.87 | $96.87 | |
| Florida | $96.42 | $96.42 | |
| Puerto Rico | $96.08 | $96.08 | |
| Virgin Islands | $96.08 | $96.08 | |
| Montana | $95.19 | $95.19 | |
| Nevada | $95.11 | $95.11 | |
| Wyoming | $94.93 | $94.93 | |
| North Dakota | $94.60 | $94.60 | |
| South Dakota | $94.53 | $94.53 | |
| Delaware | $94.17 | $94.17 | |
| Texas | $93.91 | $93.91 | |
| Vermont | $93.88 | $93.88 | |
| Pennsylvania | $93.69 | $93.69 | |
| Virginia | $93.50 | $93.50 | |
| Illinois | $93.37 | $93.37 | |
| Arizona | $92.50 | $92.50 | |
| Georgia | $91.63 | $91.63 | |
| Maine | $91.16 | $91.16 | |
| Wisconsin | $91.05 | $91.05 | |
| Michigan | $90.59 | $90.59 | |
| Utah | $90.16 | $90.16 | |
| North Carolina | $89.33 | $89.33 | |
| South Carolina | $88.80 | $88.80 | |
| Indiana | $88.68 | $88.68 | |
| New Mexico | $88.57 | $88.57 | |
| Missouri | $88.41 | $88.41 | |
| Nebraska | $88.24 | $88.24 | |
| Idaho | $88.09 | $88.09 | |
| Louisiana | $88.09 | $88.09 | |
| Ohio | $88.05 | $88.05 | |
| Iowa | $87.60 | $87.60 | |
| Tennessee | $87.25 | $87.25 | |
| Kansas | $86.81 | $86.81 | |
| Oklahoma | $86.18 | $86.18 | |
| Kentucky | $85.99 | $85.99 | |
| West Virginia | $84.86 | $84.86 | |
| Alabama | $84.49 | $84.49 | |
| Mississippi | $83.51 | $83.51 | |
| Arkansas | $83.12 | $83.12 |
Medicare is the floor, not the market. See what UHC, Aetna, Cigna and BCBS actually pay — down to the TIN.
See negotiated rates