CPT 96361 pays $13.03 in a non-facility setting and $13.03 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $11.50 in Arkansas to $15.01 in Alaska, a 31% spread.
National non-facility rate
$13.03
Office and other outpatient settings
Hospital and ASC settings
Alaska
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 |
|---|---|---|---|
| Alaska | $15.01 | $15.01 | |
| District of Columbia | $14.95 | $14.95 | |
| California | $14.76 | $14.76 | |
| New Jersey | $14.43 | $14.43 | |
| New York | $14.41 | $14.41 | |
| Washington | $14.41 | $14.41 | |
| Massachusetts | $14.26 | $14.26 | |
| Hawaii | $14.21 | $14.21 | |
| Connecticut | $13.90 | $13.90 | |
| Colorado | $13.61 | $13.61 | |
| Maryland | $13.50 | $13.50 | |
| Oregon | $13.48 | $13.48 | |
| New Hampshire | $13.38 | $13.38 | |
| Florida | $13.37 | $13.37 | |
| Rhode Island | $13.37 | $13.37 | |
| Puerto Rico | $13.13 | $13.13 | |
| Virgin Islands | $13.13 | $13.13 | |
| Minnesota | $13.07 | $13.07 | |
| Montana | $13.03 | $13.03 | |
| Illinois | $13.01 | $13.01 | |
| Nevada | $12.98 | $12.98 | |
| Wyoming | $12.94 | $12.94 | |
| Delaware | $12.89 | $12.89 | |
| Pennsylvania | $12.88 | $12.88 | |
| Texas | $12.87 | $12.87 | |
| North Dakota | $12.83 | $12.83 | |
| South Dakota | $12.80 | $12.80 | |
| Vermont | $12.76 | $12.76 | |
| Virginia | $12.76 | $12.76 | |
| Arizona | $12.68 | $12.68 | |
| Georgia | $12.65 | $12.65 | |
| Michigan | $12.57 | $12.57 | |
| Maine | $12.47 | $12.47 | |
| Utah | $12.41 | $12.41 | |
| Wisconsin | $12.39 | $12.39 | |
| New Mexico | $12.29 | $12.29 | |
| North Carolina | $12.26 | $12.26 | |
| South Carolina | $12.24 | $12.24 | |
| Missouri | $12.22 | $12.22 | |
| Louisiana | $12.20 | $12.20 | |
| Ohio | $12.19 | $12.19 | |
| Indiana | $12.15 | $12.15 | |
| Idaho | $12.08 | $12.08 | |
| Nebraska | $12.07 | $12.07 | |
| Iowa | $12.00 | $12.00 | |
| Tennessee | $11.99 | $11.99 | |
| Kansas | $11.93 | $11.93 | |
| Kentucky | $11.92 | $11.92 | |
| Oklahoma | $11.92 | $11.92 | |
| West Virginia | $11.90 | $11.90 | |
| Alabama | $11.67 | $11.67 | |
| Mississippi | $11.59 | $11.59 | |
| Arkansas | $11.50 | $11.50 |
Medicare is the floor, not the market. See what UHC, Aetna, Cigna and BCBS actually pay — down to the TIN.
See negotiated rates