CPT 96121 pays $75.49 in a non-facility setting and $61.46 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $72.78 in Arkansas to $105.07 in Alaska, a 44% spread.
National non-facility rate
$75.49
Office and other outpatient settings
Hospital and ASC settings
Alaska
Arkansas · 44% 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 | $105.07 | $90.13 | |
| District of Columbia | $81.82 | $65.29 | |
| New Jersey | $80.73 | $64.93 | |
| California | $80.69 | $64.09 | |
| New York | $80.40 | $64.75 | |
| Washington | $79.74 | $63.75 | |
| Massachusetts | $79.29 | $63.53 | |
| Connecticut | $78.09 | $62.98 | |
| Hawaii | $77.82 | $61.87 | |
| Colorado | $77.25 | $62.33 | |
| Rhode Island | $77.13 | $62.64 | |
| Maryland | $77.02 | $62.40 | |
| Oregon | $76.82 | $62.04 | |
| New Hampshire | $76.18 | $61.58 | |
| Florida | $75.86 | $61.79 | |
| Minnesota | $75.77 | $61.34 | |
| Puerto Rico | $75.68 | $61.50 | |
| Virgin Islands | $75.68 | $61.50 | |
| Pennsylvania | $75.65 | $61.91 | |
| Delaware | $75.52 | $61.66 | |
| Texas | $75.50 | $61.69 | |
| Montana | $75.49 | $61.46 | |
| Nevada | $75.45 | $61.41 | |
| Wyoming | $75.40 | $61.37 | |
| Illinois | $75.38 | $61.83 | |
| North Dakota | $75.29 | $61.26 | |
| South Dakota | $75.26 | $61.24 | |
| Vermont | $75.14 | $61.25 | |
| Virginia | $75.08 | $61.29 | |
| Arizona | $74.88 | $61.29 | |
| Georgia | $74.81 | $61.42 | |
| Maine | $74.56 | $61.15 | |
| Michigan | $74.52 | $61.35 | |
| Wisconsin | $74.50 | $61.06 | |
| Utah | $74.37 | $61.18 | |
| North Carolina | $74.16 | $61.07 | |
| South Carolina | $74.07 | $61.10 | |
| New Mexico | $74.06 | $61.19 | |
| Indiana | $74.00 | $60.99 | |
| Missouri | $74.00 | $61.12 | |
| Louisiana | $73.93 | $61.12 | |
| Ohio | $73.92 | $61.11 | |
| Nebraska | $73.89 | $60.94 | |
| Idaho | $73.87 | $60.96 | |
| Iowa | $73.75 | $60.92 | |
| Tennessee | $73.69 | $60.94 | |
| Kansas | $73.59 | $60.91 | |
| Oklahoma | $73.48 | $60.95 | |
| Kentucky | $73.46 | $60.98 | |
| West Virginia | $73.27 | $61.08 | |
| Alabama | $73.09 | $60.81 | |
| Mississippi | $72.89 | $60.81 | |
| Arkansas | $72.78 | $60.73 |
Medicare is the floor, not the market. See what UHC, Aetna, Cigna and BCBS actually pay — down to the TIN.
See negotiated rates