CPT 95925 pays $151.64 in a non-facility setting and $151.64 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $132.07 in Arkansas to $176.31 in District of Columbia, a 33% spread.
National non-facility rate
$151.64
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 | $176.31 | $176.31 | |
| California | $175.54 | $175.54 | |
| Washington | $170.25 | $170.25 | |
| New Jersey | $169.34 | $169.34 | |
| Hawaii | $168.87 | $168.87 | |
| New York | $168.45 | $168.45 | |
| Alaska | $168.17 | $168.17 | |
| Massachusetts | $168.12 | $168.12 | |
| Connecticut | $162.57 | $162.57 | |
| Colorado | $159.86 | $159.86 | |
| Oregon | $158.29 | $158.29 | |
| Maryland | $157.63 | $157.63 | |
| New Hampshire | $156.80 | $156.80 | |
| Rhode Island | $156.11 | $156.11 | |
| Minnesota | $154.06 | $154.06 | |
| Florida | $153.98 | $153.98 | |
| Puerto Rico | $153.06 | $153.06 | |
| Virgin Islands | $153.06 | $153.06 | |
| Montana | $151.64 | $151.64 | |
| Nevada | $151.44 | $151.44 | |
| Wyoming | $151.12 | $151.12 | |
| North Dakota | $150.45 | $150.45 | |
| South Dakota | $150.31 | $150.31 | |
| Delaware | $149.94 | $149.94 | |
| Texas | $149.55 | $149.55 | |
| Vermont | $149.33 | $149.33 | |
| Pennsylvania | $149.23 | $149.23 | |
| Illinois | $149.07 | $149.07 | |
| Virginia | $148.81 | $148.81 | |
| Arizona | $147.26 | $147.26 | |
| Georgia | $145.99 | $145.99 | |
| Maine | $145.02 | $145.02 | |
| Wisconsin | $144.71 | $144.71 | |
| Michigan | $144.41 | $144.41 | |
| Utah | $143.52 | $143.52 | |
| North Carolina | $142.08 | $142.08 | |
| South Carolina | $141.31 | $141.31 | |
| New Mexico | $141.09 | $141.09 | |
| Indiana | $140.98 | $140.98 | |
| Missouri | $140.75 | $140.75 | |
| Louisiana | $140.26 | $140.26 | |
| Nebraska | $140.23 | $140.23 | |
| Ohio | $140.18 | $140.18 | |
| Idaho | $140.03 | $140.03 | |
| Iowa | $139.22 | $139.22 | |
| Tennessee | $138.71 | $138.71 | |
| Kansas | $137.98 | $137.98 | |
| Oklahoma | $137.08 | $137.08 | |
| Kentucky | $136.83 | $136.83 | |
| West Virginia | $135.22 | $135.22 | |
| Alabama | $134.28 | $134.28 | |
| Mississippi | $132.78 | $132.78 | |
| Arkansas | $132.07 | $132.07 |
Medicare is the floor, not the market. See what UHC, Aetna, Cigna and BCBS actually pay — down to the TIN.
See negotiated rates