CPT 96139 pays $35.40 in a non-facility setting and $35.40 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $30.41 in Arkansas to $41.89 in California, a 38% spread.
National non-facility rate
$35.40
Office and other outpatient settings
Hospital and ASC settings
California
Arkansas · 38% 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 |
|---|---|---|---|
| California | $41.89 | $41.89 | |
| District of Columbia | $41.71 | $41.71 | |
| Washington | $40.36 | $40.36 | |
| Hawaii | $40.26 | $40.26 | |
| New Jersey | $39.87 | $39.87 | |
| Massachusetts | $39.78 | $39.78 | |
| New York | $39.50 | $39.50 | |
| Connecticut | $38.13 | $38.13 | |
| Alaska | $37.71 | $37.71 | |
| Colorado | $37.67 | $37.67 | |
| Oregon | $37.30 | $37.30 | |
| Maryland | $36.91 | $36.91 | |
| New Hampshire | $36.86 | $36.86 | |
| Rhode Island | $36.57 | $36.57 | |
| Minnesota | $36.43 | $36.43 | |
| Puerto Rico | $35.79 | $35.79 | |
| Virgin Islands | $35.79 | $35.79 | |
| Florida | $35.52 | $35.52 | |
| Nevada | $35.44 | $35.44 | |
| Montana | $35.40 | $35.40 | |
| North Dakota | $35.40 | $35.40 | |
| South Dakota | $35.40 | $35.40 | |
| Wyoming | $35.40 | $35.40 | |
| Vermont | $35.05 | $35.05 | |
| Delaware | $34.98 | $34.98 | |
| Texas | $34.86 | $34.86 | |
| Virginia | $34.80 | $34.80 | |
| Pennsylvania | $34.68 | $34.68 | |
| Arizona | $34.31 | $34.31 | |
| Illinois | $34.21 | $34.21 | |
| Wisconsin | $33.92 | $33.92 | |
| Maine | $33.83 | $33.83 | |
| Georgia | $33.78 | $33.78 | |
| Utah | $33.28 | $33.28 | |
| Michigan | $33.25 | $33.25 | |
| North Carolina | $33.03 | $33.03 | |
| Indiana | $32.82 | $32.82 | |
| South Carolina | $32.71 | $32.71 | |
| Nebraska | $32.68 | $32.68 | |
| Idaho | $32.57 | $32.57 | |
| Missouri | $32.49 | $32.49 | |
| New Mexico | $32.47 | $32.47 | |
| Iowa | $32.40 | $32.40 | |
| Louisiana | $32.32 | $32.32 | |
| Ohio | $32.32 | $32.32 | |
| Tennessee | $32.18 | $32.18 | |
| Kansas | $32.01 | $32.01 | |
| Oklahoma | $31.62 | $31.62 | |
| Kentucky | $31.48 | $31.48 | |
| Alabama | $30.98 | $30.98 | |
| West Virginia | $30.77 | $30.77 | |
| Mississippi | $30.48 | $30.48 | |
| Arkansas | $30.41 | $30.41 |
Medicare is the floor, not the market. See what UHC, Aetna, Cigna and BCBS actually pay — down to the TIN.
See negotiated rates