CPT 95872 pays $215.44 in a non-facility setting and $215.44 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $196.45 in Arkansas to $267.52 in Alaska, a 36% spread.
National non-facility rate
$215.44
Office and other outpatient settings
Hospital and ASC settings
Alaska
Arkansas · 36% 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 | $267.52 | $267.52 | |
| District of Columbia | $241.80 | $241.80 | |
| California | $237.66 | $237.66 | |
| New Jersey | $235.36 | $235.36 | |
| New York | $235.24 | $235.24 | |
| Washington | $233.54 | $233.54 | |
| Massachusetts | $231.63 | $231.63 | |
| Hawaii | $229.11 | $229.11 | |
| Connecticut | $227.39 | $227.39 | |
| Colorado | $222.83 | $222.83 | |
| Maryland | $222.01 | $222.01 | |
| Oregon | $220.93 | $220.93 | |
| Florida | $220.88 | $220.88 | |
| Rhode Island | $220.48 | $220.48 | |
| New Hampshire | $219.53 | $219.53 | |
| Illinois | $216.71 | $216.71 | |
| Puerto Rico | $216.63 | $216.63 | |
| Virgin Islands | $216.63 | $216.63 | |
| Montana | $215.43 | $215.43 | |
| Minnesota | $215.04 | $215.04 | |
| Nevada | $214.66 | $214.66 | |
| Pennsylvania | $214.27 | $214.27 | |
| Wyoming | $214.05 | $214.05 | |
| Delaware | $213.97 | $213.97 | |
| Texas | $213.77 | $213.77 | |
| North Dakota | $212.26 | $212.26 | |
| South Dakota | $211.89 | $211.89 | |
| Virginia | $211.89 | $211.89 | |
| Vermont | $211.63 | $211.63 | |
| Georgia | $211.28 | $211.28 | |
| Arizona | $211.06 | $211.06 | |
| Michigan | $210.52 | $210.52 | |
| Maine | $208.27 | $208.27 | |
| Utah | $207.92 | $207.92 | |
| New Mexico | $206.86 | $206.86 | |
| Wisconsin | $206.86 | $206.86 | |
| South Carolina | $205.80 | $205.80 | |
| Missouri | $205.78 | $205.78 | |
| North Carolina | $205.72 | $205.72 | |
| Louisiana | $205.57 | $205.57 | |
| Ohio | $205.37 | $205.37 | |
| Indiana | $204.20 | $204.20 | |
| Idaho | $203.32 | $203.32 | |
| Nebraska | $203.16 | $203.16 | |
| West Virginia | $202.51 | $202.51 | |
| Tennessee | $202.38 | $202.38 | |
| Iowa | $202.33 | $202.33 | |
| Kentucky | $202.08 | $202.08 | |
| Oklahoma | $201.81 | $201.81 | |
| Kansas | $201.63 | $201.63 | |
| Alabama | $198.59 | $198.59 | |
| Mississippi | $197.88 | $197.88 | |
| Arkansas | $196.45 | $196.45 |
Medicare is the floor, not the market. See what UHC, Aetna, Cigna and BCBS actually pay — down to the TIN.
See negotiated rates