CPT 96112 pays $125.25 in a non-facility setting and $106.88 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $118.04 in Arkansas to $168.19 in Alaska, a 42% spread.
National non-facility rate
$125.25
Office and other outpatient settings
Hospital and ASC settings
Alaska
Arkansas · 42% 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 | $168.19 | $148.62 | |
| District of Columbia | $136.64 | $115.00 | |
| New York | $135.04 | $114.55 | |
| New Jersey | $134.46 | $113.78 | |
| California | $132.60 | $110.87 | |
| Washington | $131.87 | $110.93 | |
| Massachusetts | $131.29 | $110.65 | |
| Connecticut | $130.65 | $110.86 | |
| Florida | $129.80 | $111.37 | |
| Illinois | $128.63 | $110.88 | |
| Maryland | $128.22 | $109.07 | |
| Hawaii | $128.09 | $107.20 | |
| Rhode Island | $127.53 | $108.55 | |
| Colorado | $127.50 | $107.95 | |
| Oregon | $126.52 | $107.17 | |
| New Hampshire | $126.11 | $106.98 | |
| Pennsylvania | $125.63 | $107.63 | |
| Puerto Rico | $125.57 | $107.00 | |
| Virgin Islands | $125.57 | $107.00 | |
| Montana | $125.24 | $106.87 | |
| Michigan | $125.02 | $107.77 | |
| Texas | $124.85 | $106.76 | |
| Delaware | $124.79 | $106.64 | |
| Georgia | $124.69 | $107.16 | |
| Nevada | $124.51 | $106.12 | |
| Wyoming | $124.04 | $105.67 | |
| Arizona | $123.49 | $105.69 | |
| New Mexico | $123.28 | $106.44 | |
| Virginia | $123.28 | $105.22 | |
| Minnesota | $122.98 | $104.08 | |
| Utah | $122.67 | $105.40 | |
| West Virginia | $122.67 | $106.71 | |
| Vermont | $122.59 | $104.41 | |
| North Dakota | $122.48 | $104.11 | |
| Louisiana | $122.42 | $105.65 | |
| Missouri | $122.29 | $105.43 | |
| Ohio | $122.24 | $105.47 | |
| South Dakota | $122.15 | $103.78 | |
| Maine | $121.95 | $104.39 | |
| South Carolina | $121.89 | $104.91 | |
| North Carolina | $121.22 | $104.08 | |
| Kentucky | $120.96 | $104.63 | |
| Wisconsin | $120.54 | $102.95 | |
| Oklahoma | $120.46 | $104.05 | |
| Indiana | $120.29 | $103.26 | |
| Idaho | $119.98 | $103.08 | |
| Tennessee | $119.90 | $103.20 | |
| Nebraska | $119.64 | $102.69 | |
| Kansas | $119.57 | $102.96 | |
| Iowa | $119.45 | $102.64 | |
| Mississippi | $119.16 | $103.34 | |
| Alabama | $118.84 | $102.77 | |
| Arkansas | $118.04 | $102.26 |
Medicare is the floor, not the market. See what UHC, Aetna, Cigna and BCBS actually pay — down to the TIN.
See negotiated rates