CPT 96133 pays $97.86 in a non-facility setting and $70.48 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $93.07 in Arkansas to $132.36 in Alaska, a 42% spread.
National non-facility rate
$97.86
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 | $132.36 | $103.19 | |
| District of Columbia | $107.12 | $74.86 | |
| California | $105.72 | $73.31 | |
| New Jersey | $105.29 | $74.45 | |
| New York | $104.88 | $74.32 | |
| Washington | $104.23 | $73.01 | |
| Massachusetts | $103.54 | $72.77 | |
| Hawaii | $101.93 | $70.79 | |
| Connecticut | $101.76 | $72.26 | |
| Colorado | $100.53 | $71.39 | |
| Maryland | $100.12 | $71.56 | |
| Rhode Island | $100.08 | $71.79 | |
| Oregon | $99.90 | $71.05 | |
| New Hampshire | $99.08 | $70.57 | |
| Florida | $98.60 | $71.12 | |
| Minnesota | $98.31 | $70.13 | |
| Puerto Rico | $98.20 | $70.51 | |
| Virgin Islands | $98.20 | $70.51 | |
| Montana | $97.86 | $70.47 | |
| Pennsylvania | $97.85 | $71.02 | |
| Nevada | $97.78 | $70.37 | |
| Delaware | $97.74 | $70.68 | |
| Texas | $97.69 | $70.72 | |
| Wyoming | $97.69 | $70.30 | |
| Illinois | $97.63 | $71.17 | |
| North Dakota | $97.47 | $70.08 | |
| South Dakota | $97.42 | $70.03 | |
| Vermont | $97.22 | $70.10 | |
| Virginia | $97.13 | $70.21 | |
| Arizona | $96.78 | $70.25 | |
| Georgia | $96.63 | $70.51 | |
| Maine | $96.20 | $70.03 | |
| Michigan | $96.20 | $70.48 | |
| Wisconsin | $96.07 | $69.83 | |
| Utah | $95.89 | $70.15 | |
| North Carolina | $95.50 | $69.94 | |
| New Mexico | $95.37 | $70.25 | |
| South Carolina | $95.35 | $70.05 | |
| Missouri | $95.24 | $70.11 | |
| Indiana | $95.20 | $69.82 | |
| Louisiana | $95.14 | $70.13 | |
| Ohio | $95.11 | $70.10 | |
| Nebraska | $95.01 | $69.73 | |
| Idaho | $94.97 | $69.78 | |
| Iowa | $94.76 | $69.70 | |
| Tennessee | $94.67 | $69.77 | |
| Kansas | $94.49 | $69.73 | |
| Oklahoma | $94.32 | $69.86 | |
| Kentucky | $94.29 | $69.94 | |
| West Virginia | $94.00 | $70.19 | |
| Alabama | $93.61 | $69.64 | |
| Mississippi | $93.28 | $69.70 | |
| Arkansas | $93.07 | $69.54 |
Medicare is the floor, not the market. See what UHC, Aetna, Cigna and BCBS actually pay — down to the TIN.
See negotiated rates