CPT 95870 pays $86.51 in a non-facility setting and $86.51 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $75.66 in Arkansas to $100.35 in District of Columbia, a 33% spread.
National non-facility rate
$86.51
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 | $100.35 | $100.35 | |
| California | $99.95 | $99.95 | |
| Washington | $96.96 | $96.96 | |
| Alaska | $96.85 | $96.85 | |
| New Jersey | $96.47 | $96.47 | |
| Hawaii | $96.15 | $96.15 | |
| New York | $95.93 | $95.93 | |
| Massachusetts | $95.77 | $95.77 | |
| Connecticut | $92.62 | $92.62 | |
| Colorado | $91.14 | $91.14 | |
| Oregon | $90.26 | $90.26 | |
| Maryland | $89.87 | $89.87 | |
| New Hampshire | $89.40 | $89.40 | |
| Rhode Island | $89.05 | $89.05 | |
| Minnesota | $87.93 | $87.93 | |
| Florida | $87.70 | $87.70 | |
| Puerto Rico | $87.30 | $87.30 | |
| Virgin Islands | $87.30 | $87.30 | |
| Montana | $86.51 | $86.51 | |
| Nevada | $86.41 | $86.41 | |
| Wyoming | $86.25 | $86.25 | |
| North Dakota | $85.91 | $85.91 | |
| South Dakota | $85.84 | $85.84 | |
| Delaware | $85.59 | $85.59 | |
| Texas | $85.36 | $85.36 | |
| Vermont | $85.28 | $85.28 | |
| Pennsylvania | $85.18 | $85.18 | |
| Illinois | $84.98 | $84.98 | |
| Virginia | $84.96 | $84.96 | |
| Arizona | $84.09 | $84.09 | |
| Georgia | $83.34 | $83.34 | |
| Maine | $82.86 | $82.86 | |
| Wisconsin | $82.73 | $82.73 | |
| Michigan | $82.43 | $82.43 | |
| Utah | $82.00 | $82.00 | |
| North Carolina | $81.22 | $81.22 | |
| South Carolina | $80.77 | $80.77 | |
| Indiana | $80.63 | $80.63 | |
| New Mexico | $80.61 | $80.61 | |
| Missouri | $80.44 | $80.44 | |
| Nebraska | $80.23 | $80.23 | |
| Louisiana | $80.16 | $80.16 | |
| Ohio | $80.12 | $80.12 | |
| Idaho | $80.10 | $80.10 | |
| Iowa | $79.66 | $79.66 | |
| Tennessee | $79.36 | $79.36 | |
| Kansas | $78.96 | $78.96 | |
| Oklahoma | $78.42 | $78.42 | |
| Kentucky | $78.27 | $78.27 | |
| West Virginia | $77.31 | $77.31 | |
| Alabama | $76.89 | $76.89 | |
| Mississippi | $76.03 | $76.03 | |
| Arkansas | $75.66 | $75.66 |
Medicare is the floor, not the market. See what UHC, Aetna, Cigna and BCBS actually pay — down to the TIN.
See negotiated rates