CPT 96136 pays $43.76 in a non-facility setting and $21.38 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $39.95 in Arkansas to $54.25 in Alaska, a 36% spread.
National non-facility rate
$43.76
Office and other outpatient settings
Hospital and ASC settings
Alaska
Arkansas · 36% 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 | $54.25 | $30.41 | |
| District of Columbia | $49.22 | $22.86 | |
| California | $48.64 | $22.16 | |
| New Jersey | $47.87 | $22.67 | |
| New York | $47.72 | $22.76 | |
| Washington | $47.65 | $22.14 | |
| Massachusetts | $47.23 | $22.08 | |
| Hawaii | $46.86 | $21.42 | |
| Connecticut | $46.17 | $22.06 | |
| Colorado | $45.41 | $21.60 | |
| Maryland | $45.10 | $21.77 | |
| Oregon | $45.04 | $21.46 | |
| Rhode Island | $44.85 | $21.73 | |
| New Hampshire | $44.69 | $21.39 | |
| Florida | $44.47 | $22.02 | |
| Puerto Rico | $44.02 | $21.39 | |
| Virgin Islands | $44.02 | $21.39 | |
| Minnesota | $44.00 | $20.97 | |
| Montana | $43.75 | $21.38 | |
| Nevada | $43.67 | $21.27 | |
| Illinois | $43.59 | $21.97 | |
| Wyoming | $43.58 | $21.20 | |
| Delaware | $43.48 | $21.37 | |
| Pennsylvania | $43.46 | $21.54 | |
| Texas | $43.43 | $21.39 | |
| North Dakota | $43.36 | $20.98 | |
| South Dakota | $43.31 | $20.93 | |
| Vermont | $43.18 | $21.02 | |
| Virginia | $43.14 | $21.14 | |
| Arizona | $42.89 | $21.21 | |
| Georgia | $42.78 | $21.43 | |
| Michigan | $42.52 | $21.51 | |
| Maine | $42.41 | $21.02 | |
| Wisconsin | $42.25 | $20.82 | |
| Utah | $42.20 | $21.17 | |
| North Carolina | $41.86 | $20.98 | |
| New Mexico | $41.84 | $21.32 | |
| South Carolina | $41.78 | $21.10 | |
| Missouri | $41.71 | $21.17 | |
| Louisiana | $41.64 | $21.20 | |
| Indiana | $41.61 | $20.86 | |
| Ohio | $41.61 | $21.18 | |
| Nebraska | $41.44 | $20.78 | |
| Idaho | $41.43 | $20.84 | |
| Iowa | $41.25 | $20.78 | |
| Tennessee | $41.20 | $20.85 | |
| Kansas | $41.05 | $20.82 | |
| Oklahoma | $40.96 | $20.98 | |
| Kentucky | $40.95 | $21.06 | |
| West Virginia | $40.81 | $21.36 | |
| Alabama | $40.38 | $20.79 | |
| Mississippi | $40.15 | $20.88 | |
| Arkansas | $39.95 | $20.72 |
Medicare is the floor, not the market. See what UHC, Aetna, Cigna and BCBS actually pay — down to the TIN.
See negotiated rates