CPT 95928 pays $256.18 in a non-facility setting and $256.18 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $225.90 in Arkansas to $295.54 in District of Columbia, a 31% spread.
National non-facility rate
$256.18
Office and other outpatient settings
Hospital and ASC settings
District of Columbia
Arkansas · 31% 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 | $295.54 | $295.54 | |
| California | $294.02 | $294.02 | |
| Alaska | $292.50 | $292.50 | |
| Washington | $285.70 | $285.70 | |
| New Jersey | $284.70 | $284.70 | |
| New York | $283.21 | $283.21 | |
| Hawaii | $282.92 | $282.92 | |
| Massachusetts | $282.35 | $282.35 | |
| Connecticut | $273.53 | $273.53 | |
| Colorado | $269.19 | $269.19 | |
| Oregon | $266.68 | $266.68 | |
| Maryland | $265.74 | $265.74 | |
| New Hampshire | $264.19 | $264.19 | |
| Rhode Island | $263.53 | $263.53 | |
| Minnesota | $260.00 | $260.00 | |
| Florida | $259.71 | $259.71 | |
| Puerto Rico | $258.39 | $258.39 | |
| Virgin Islands | $258.39 | $258.39 | |
| Montana | $256.18 | $256.18 | |
| Nevada | $255.89 | $255.89 | |
| Wyoming | $255.40 | $255.40 | |
| North Dakota | $254.40 | $254.40 | |
| South Dakota | $254.19 | $254.19 | |
| Delaware | $253.67 | $253.67 | |
| Texas | $253.07 | $253.07 | |
| Vermont | $252.66 | $252.66 | |
| Pennsylvania | $252.64 | $252.64 | |
| Illinois | $252.20 | $252.20 | |
| Virginia | $251.83 | $251.83 | |
| Arizona | $249.42 | $249.42 | |
| Georgia | $247.45 | $247.45 | |
| Maine | $245.97 | $245.97 | |
| Wisconsin | $245.52 | $245.52 | |
| Michigan | $244.94 | $244.94 | |
| Utah | $243.61 | $243.61 | |
| North Carolina | $241.40 | $241.40 | |
| South Carolina | $240.20 | $240.20 | |
| New Mexico | $239.82 | $239.82 | |
| Indiana | $239.72 | $239.72 | |
| Missouri | $239.31 | $239.31 | |
| Nebraska | $238.58 | $238.58 | |
| Louisiana | $238.54 | $238.54 | |
| Ohio | $238.42 | $238.42 | |
| Idaho | $238.25 | $238.25 | |
| Iowa | $237.00 | $237.00 | |
| Tennessee | $236.19 | $236.19 | |
| Kansas | $235.07 | $235.07 | |
| Oklahoma | $233.64 | $233.64 | |
| Kentucky | $233.24 | $233.24 | |
| West Virginia | $230.70 | $230.70 | |
| Alabama | $229.33 | $229.33 | |
| Mississippi | $226.99 | $226.99 | |
| Arkansas | $225.90 | $225.90 |
Medicare is the floor, not the market. See what UHC, Aetna, Cigna and BCBS actually pay — down to the TIN.
See negotiated rates