CPT 95926 pays $135.94 in a non-facility setting and $135.94 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $118.70 in Arkansas to $157.84 in District of Columbia, a 33% spread.
National non-facility rate
$135.94
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 | $157.84 | $157.84 | |
| California | $157.18 | $157.18 | |
| Washington | $152.47 | $152.47 | |
| New Jersey | $151.68 | $151.68 | |
| Alaska | $151.62 | $151.62 | |
| Hawaii | $151.21 | $151.21 | |
| New York | $150.86 | $150.86 | |
| Massachusetts | $150.58 | $150.58 | |
| Connecticut | $145.62 | $145.62 | |
| Colorado | $143.25 | $143.25 | |
| Oregon | $141.86 | $141.86 | |
| Maryland | $141.26 | $141.26 | |
| New Hampshire | $140.51 | $140.51 | |
| Rhode Island | $139.94 | $139.94 | |
| Minnesota | $138.15 | $138.15 | |
| Florida | $137.91 | $137.91 | |
| Puerto Rico | $137.20 | $137.20 | |
| Virgin Islands | $137.20 | $137.20 | |
| Montana | $135.94 | $135.94 | |
| Nevada | $135.78 | $135.78 | |
| Wyoming | $135.51 | $135.51 | |
| North Dakota | $134.95 | $134.95 | |
| South Dakota | $134.83 | $134.83 | |
| Delaware | $134.46 | $134.46 | |
| Texas | $134.11 | $134.11 | |
| Vermont | $133.95 | $133.95 | |
| Pennsylvania | $133.83 | $133.83 | |
| Illinois | $133.59 | $133.59 | |
| Virginia | $133.47 | $133.47 | |
| Arizona | $132.09 | $132.09 | |
| Georgia | $130.93 | $130.93 | |
| Maine | $130.13 | $130.13 | |
| Wisconsin | $129.89 | $129.89 | |
| Michigan | $129.51 | $129.51 | |
| Utah | $128.78 | $128.78 | |
| North Carolina | $127.53 | $127.53 | |
| South Carolina | $126.83 | $126.83 | |
| New Mexico | $126.60 | $126.60 | |
| Indiana | $126.57 | $126.57 | |
| Missouri | $126.32 | $126.32 | |
| Nebraska | $125.93 | $125.93 | |
| Louisiana | $125.88 | $125.88 | |
| Ohio | $125.81 | $125.81 | |
| Idaho | $125.74 | $125.74 | |
| Iowa | $125.03 | $125.03 | |
| Tennessee | $124.56 | $124.56 | |
| Kansas | $123.92 | $123.92 | |
| Oklahoma | $123.10 | $123.10 | |
| Kentucky | $122.86 | $122.86 | |
| West Virginia | $121.39 | $121.39 | |
| Alabama | $120.65 | $120.65 | |
| Mississippi | $119.30 | $119.30 | |
| Arkansas | $118.70 | $118.70 |
Medicare is the floor, not the market. See what UHC, Aetna, Cigna and BCBS actually pay — down to the TIN.
See negotiated rates