CPT 96360 pays $33.40 in a non-facility setting and $33.40 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $29.38 in Arkansas to $38.62 in District of Columbia, a 31% spread.
National non-facility rate
$33.40
Office and other outpatient settings
Hospital and ASC settings
District of Columbia
Arkansas · 31% 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 |
|---|---|---|---|
| District of Columbia | $38.62 | $38.62 | |
| California | $38.47 | $38.47 | |
| Alaska | $37.87 | $37.87 | |
| Washington | $37.34 | $37.34 | |
| New Jersey | $37.17 | $37.17 | |
| Hawaii | $37.01 | $37.01 | |
| New York | $36.96 | $36.96 | |
| Massachusetts | $36.89 | $36.89 | |
| Connecticut | $35.69 | $35.69 | |
| Colorado | $35.15 | $35.15 | |
| Oregon | $34.82 | $34.82 | |
| Maryland | $34.66 | $34.66 | |
| New Hampshire | $34.48 | $34.48 | |
| Rhode Island | $34.38 | $34.38 | |
| Minnesota | $33.96 | $33.96 | |
| Florida | $33.81 | $33.81 | |
| Puerto Rico | $33.70 | $33.70 | |
| Virgin Islands | $33.70 | $33.70 | |
| Montana | $33.40 | $33.40 | |
| Nevada | $33.37 | $33.37 | |
| Wyoming | $33.31 | $33.31 | |
| North Dakota | $33.20 | $33.20 | |
| South Dakota | $33.18 | $33.18 | |
| Delaware | $33.07 | $33.07 | |
| Texas | $32.98 | $32.98 | |
| Vermont | $32.96 | $32.96 | |
| Pennsylvania | $32.91 | $32.91 | |
| Virginia | $32.84 | $32.84 | |
| Illinois | $32.80 | $32.80 | |
| Arizona | $32.50 | $32.50 | |
| Georgia | $32.22 | $32.22 | |
| Maine | $32.06 | $32.06 | |
| Wisconsin | $32.02 | $32.02 | |
| Michigan | $31.87 | $31.87 | |
| Utah | $31.72 | $31.72 | |
| North Carolina | $31.45 | $31.45 | |
| South Carolina | $31.27 | $31.27 | |
| Indiana | $31.23 | $31.23 | |
| New Mexico | $31.19 | $31.19 | |
| Missouri | $31.14 | $31.14 | |
| Nebraska | $31.08 | $31.08 | |
| Idaho | $31.03 | $31.03 | |
| Louisiana | $31.03 | $31.03 | |
| Ohio | $31.02 | $31.02 | |
| Iowa | $30.87 | $30.87 | |
| Tennessee | $30.75 | $30.75 | |
| Kansas | $30.61 | $30.61 | |
| Oklahoma | $30.40 | $30.40 | |
| Kentucky | $30.33 | $30.33 | |
| West Virginia | $29.96 | $29.96 | |
| Alabama | $29.83 | $29.83 | |
| Mississippi | $29.51 | $29.51 | |
| Arkansas | $29.38 | $29.38 |
Medicare is the floor, not the market. See what UHC, Aetna, Cigna and BCBS actually pay — down to the TIN.
See negotiated rates