CPT 96137 pays $37.07 in a non-facility setting and $16.37 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $34.01 in Arkansas to $46.17 in Alaska, a 36% spread.
National non-facility rate
$37.07
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 | $46.17 | $24.11 | |
| District of Columbia | $41.77 | $17.37 | |
| California | $41.60 | $17.10 | |
| New Jersey | $40.60 | $17.28 | |
| Washington | $40.60 | $16.99 | |
| New York | $40.31 | $17.21 | |
| Massachusetts | $40.19 | $16.93 | |
| Hawaii | $40.05 | $16.50 | |
| Connecticut | $39.05 | $16.75 | |
| Colorado | $38.65 | $16.61 | |
| Oregon | $38.36 | $16.54 | |
| Maryland | $38.20 | $16.61 | |
| Rhode Island | $38.08 | $16.69 | |
| New Hampshire | $37.97 | $16.41 | |
| Minnesota | $37.70 | $16.40 | |
| Puerto Rico | $37.31 | $16.38 | |
| Virgin Islands | $37.31 | $16.38 | |
| Florida | $37.15 | $16.37 | |
| Nevada | $37.10 | $16.37 | |
| Montana | $37.07 | $16.37 | |
| North Dakota | $37.07 | $16.37 | |
| South Dakota | $37.07 | $16.37 | |
| Wyoming | $37.07 | $16.37 | |
| Delaware | $36.89 | $16.43 | |
| Vermont | $36.86 | $16.36 | |
| Texas | $36.82 | $16.44 | |
| Pennsylvania | $36.77 | $16.48 | |
| Virginia | $36.71 | $16.35 | |
| Arizona | $36.40 | $16.34 | |
| Illinois | $36.40 | $16.39 | |
| Wisconsin | $36.16 | $16.32 | |
| Maine | $36.11 | $16.32 | |
| Georgia | $36.10 | $16.34 | |
| Utah | $35.77 | $16.31 | |
| Michigan | $35.75 | $16.31 | |
| North Carolina | $35.62 | $16.30 | |
| Indiana | $35.49 | $16.29 | |
| South Carolina | $35.42 | $16.29 | |
| Nebraska | $35.40 | $16.29 | |
| Idaho | $35.34 | $16.29 | |
| Missouri | $35.29 | $16.28 | |
| New Mexico | $35.27 | $16.28 | |
| Iowa | $35.23 | $16.28 | |
| Louisiana | $35.19 | $16.28 | |
| Ohio | $35.19 | $16.28 | |
| Tennessee | $35.10 | $16.28 | |
| Kansas | $34.99 | $16.27 | |
| Oklahoma | $34.75 | $16.26 | |
| Kentucky | $34.67 | $16.26 | |
| Alabama | $34.36 | $16.24 | |
| West Virginia | $34.23 | $16.24 | |
| Mississippi | $34.06 | $16.23 | |
| Arkansas | $34.01 | $16.23 |
Medicare is the floor, not the market. See what UHC, Aetna, Cigna and BCBS actually pay — down to the TIN.
See negotiated rates