CPT 96113 pays $56.11 in a non-facility setting and $45.09 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $53.32 in Arkansas to $76.10 in Alaska, a 43% spread.
National non-facility rate
$56.11
Office and other outpatient settings
Hospital and ASC settings
Alaska
Arkansas · 43% 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 | $76.10 | $64.36 | |
| District of Columbia | $61.23 | $48.25 | |
| New Jersey | $60.25 | $47.84 | |
| New York | $60.20 | $47.91 | |
| California | $60.04 | $47.00 | |
| Washington | $59.41 | $46.85 | |
| Massachusetts | $59.08 | $46.70 | |
| Connecticut | $58.36 | $46.49 | |
| Hawaii | $57.93 | $45.40 | |
| Colorado | $57.41 | $45.68 | |
| Maryland | $57.39 | $45.90 | |
| Rhode Island | $57.28 | $45.90 | |
| Florida | $57.12 | $46.06 | |
| Oregon | $57.02 | $45.41 | |
| New Hampshire | $56.66 | $45.19 | |
| Illinois | $56.61 | $45.96 | |
| Puerto Rico | $56.28 | $45.13 | |
| Virgin Islands | $56.28 | $45.13 | |
| Pennsylvania | $56.20 | $45.40 | |
| Montana | $56.11 | $45.09 | |
| Delaware | $56.01 | $45.12 | |
| Texas | $56.00 | $45.15 | |
| Nevada | $55.96 | $44.93 | |
| Minnesota | $55.88 | $44.54 | |
| Wyoming | $55.85 | $44.83 | |
| Georgia | $55.62 | $45.10 | |
| Virginia | $55.54 | $44.71 | |
| Michigan | $55.52 | $45.17 | |
| North Dakota | $55.52 | $44.50 | |
| Arizona | $55.46 | $44.78 | |
| South Dakota | $55.45 | $44.43 | |
| Vermont | $55.45 | $44.54 | |
| Utah | $55.03 | $44.67 | |
| Maine | $55.01 | $44.48 | |
| New Mexico | $54.96 | $44.85 | |
| Missouri | $54.75 | $44.64 | |
| Louisiana | $54.74 | $44.67 | |
| Wisconsin | $54.73 | $44.17 | |
| South Carolina | $54.72 | $44.53 | |
| Ohio | $54.70 | $44.63 | |
| North Carolina | $54.66 | $44.37 | |
| Indiana | $54.40 | $44.19 | |
| West Virginia | $54.40 | $44.82 | |
| Idaho | $54.28 | $44.14 | |
| Nebraska | $54.23 | $44.06 | |
| Kentucky | $54.21 | $44.41 | |
| Tennessee | $54.16 | $44.14 | |
| Oklahoma | $54.14 | $44.30 | |
| Iowa | $54.12 | $44.03 | |
| Kansas | $54.05 | $44.08 | |
| Alabama | $53.63 | $43.99 | |
| Mississippi | $53.58 | $44.09 | |
| Arkansas | $53.32 | $43.85 |
Medicare is the floor, not the market. See what UHC, Aetna, Cigna and BCBS actually pay — down to the TIN.
See negotiated rates