CPT 95911 pays $220.11 in a non-facility setting and $220.11 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $199.42 in Arkansas to $268.15 in Alaska, a 34% spread.
National non-facility rate
$220.11
Office and other outpatient settings
Hospital and ASC settings
Alaska
Arkansas · 34% 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 | $268.15 | $268.15 | |
| District of Columbia | $248.97 | $248.97 | |
| California | $246.30 | $246.30 | |
| New Jersey | $241.63 | $241.63 | |
| Washington | $240.91 | $240.91 | |
| New York | $240.81 | $240.81 | |
| Massachusetts | $238.62 | $238.62 | |
| Hawaii | $237.24 | $237.24 | |
| Connecticut | $232.86 | $232.86 | |
| Colorado | $229.02 | $229.02 | |
| Maryland | $227.18 | $227.18 | |
| Oregon | $227.08 | $227.08 | |
| Rhode Island | $225.76 | $225.76 | |
| New Hampshire | $225.24 | $225.24 | |
| Florida | $223.72 | $223.72 | |
| Minnesota | $221.68 | $221.68 | |
| Puerto Rico | $221.55 | $221.55 | |
| Virgin Islands | $221.55 | $221.55 | |
| Montana | $220.11 | $220.11 | |
| Nevada | $219.69 | $219.69 | |
| Wyoming | $219.24 | $219.24 | |
| Illinois | $218.87 | $218.87 | |
| Delaware | $218.56 | $218.56 | |
| Pennsylvania | $218.30 | $218.30 | |
| Texas | $218.23 | $218.23 | |
| North Dakota | $218.13 | $218.13 | |
| South Dakota | $217.89 | $217.89 | |
| Vermont | $217.11 | $217.11 | |
| Virginia | $216.83 | $216.83 | |
| Arizona | $215.44 | $215.44 | |
| Georgia | $214.67 | $214.67 | |
| Michigan | $213.22 | $213.22 | |
| Maine | $212.84 | $212.84 | |
| Wisconsin | $212.12 | $212.12 | |
| Utah | $211.65 | $211.65 | |
| North Carolina | $209.84 | $209.84 | |
| New Mexico | $209.56 | $209.56 | |
| South Carolina | $209.33 | $209.33 | |
| Missouri | $208.92 | $208.92 | |
| Indiana | $208.52 | $208.52 | |
| Louisiana | $208.50 | $208.50 | |
| Ohio | $208.37 | $208.37 | |
| Nebraska | $207.62 | $207.62 | |
| Idaho | $207.53 | $207.53 | |
| Iowa | $206.60 | $206.60 | |
| Tennessee | $206.26 | $206.26 | |
| Kansas | $205.47 | $205.47 | |
| Oklahoma | $204.89 | $204.89 | |
| Kentucky | $204.81 | $204.81 | |
| West Virginia | $203.83 | $203.83 | |
| Alabama | $201.75 | $201.75 | |
| Mississippi | $200.44 | $200.44 | |
| Arkansas | $199.42 | $199.42 |
Medicare is the floor, not the market. See what UHC, Aetna, Cigna and BCBS actually pay — down to the TIN.
See negotiated rates