CPT 95937 pays $106.55 in a non-facility setting and $106.55 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $94.03 in Arkansas to $122.82 in District of Columbia, a 31% spread.
National non-facility rate
$106.55
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 | $122.82 | $122.82 | |
| California | $122.12 | $122.12 | |
| Alaska | $121.94 | $121.94 | |
| Washington | $118.71 | $118.71 | |
| New Jersey | $118.35 | $118.35 | |
| New York | $117.76 | $117.76 | |
| Hawaii | $117.52 | $117.52 | |
| Massachusetts | $117.33 | $117.33 | |
| Connecticut | $113.73 | $113.73 | |
| Colorado | $111.90 | $111.90 | |
| Oregon | $110.85 | $110.85 | |
| Maryland | $110.50 | $110.50 | |
| New Hampshire | $109.83 | $109.83 | |
| Rhode Island | $109.58 | $109.58 | |
| Florida | $108.09 | $108.09 | |
| Minnesota | $108.05 | $108.05 | |
| Puerto Rico | $107.45 | $107.45 | |
| Virgin Islands | $107.45 | $107.45 | |
| Montana | $106.55 | $106.55 | |
| Nevada | $106.41 | $106.41 | |
| Wyoming | $106.20 | $106.20 | |
| North Dakota | $105.76 | $105.76 | |
| South Dakota | $105.66 | $105.66 | |
| Delaware | $105.51 | $105.51 | |
| Texas | $105.26 | $105.26 | |
| Pennsylvania | $105.10 | $105.10 | |
| Vermont | $105.05 | $105.05 | |
| Illinois | $105.00 | $105.00 | |
| Virginia | $104.73 | $104.73 | |
| Arizona | $103.75 | $103.75 | |
| Georgia | $102.97 | $102.97 | |
| Maine | $102.30 | $102.30 | |
| Wisconsin | $102.09 | $102.09 | |
| Michigan | $101.96 | $101.96 | |
| Utah | $101.36 | $101.36 | |
| North Carolina | $100.43 | $100.43 | |
| South Carolina | $99.95 | $99.95 | |
| New Mexico | $99.83 | $99.83 | |
| Indiana | $99.72 | $99.72 | |
| Missouri | $99.60 | $99.60 | |
| Louisiana | $99.29 | $99.29 | |
| Nebraska | $99.24 | $99.24 | |
| Ohio | $99.24 | $99.24 | |
| Idaho | $99.11 | $99.11 | |
| Iowa | $98.59 | $98.59 | |
| Tennessee | $98.27 | $98.27 | |
| Kansas | $97.81 | $97.81 | |
| Oklahoma | $97.24 | $97.24 | |
| Kentucky | $97.09 | $97.09 | |
| West Virginia | $96.10 | $96.10 | |
| Alabama | $95.45 | $95.45 | |
| Mississippi | $94.50 | $94.50 | |
| Arkansas | $94.03 | $94.03 |
Medicare is the floor, not the market. See what UHC, Aetna, Cigna and BCBS actually pay — down to the TIN.
See negotiated rates