CPT 96367 pays $29.73 in a non-facility setting and $29.73 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $26.32 in Arkansas to $34.25 in Alaska, a 30% spread.
National non-facility rate
$29.73
Office and other outpatient settings
Hospital and ASC settings
Alaska
Arkansas · 30% 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 | $34.25 | $34.25 | |
| District of Columbia | $34.21 | $34.21 | |
| California | $34.03 | $34.03 | |
| Washington | $33.08 | $33.08 | |
| New Jersey | $32.99 | $32.99 | |
| New York | $32.81 | $32.81 | |
| Hawaii | $32.74 | $32.74 | |
| Massachusetts | $32.70 | $32.70 | |
| Connecticut | $31.70 | $31.70 | |
| Colorado | $31.20 | $31.20 | |
| Oregon | $30.92 | $30.92 | |
| Maryland | $30.81 | $30.81 | |
| New Hampshire | $30.63 | $30.63 | |
| Rhode Island | $30.57 | $30.57 | |
| Minnesota | $30.16 | $30.16 | |
| Florida | $30.12 | $30.12 | |
| Puerto Rico | $29.98 | $29.98 | |
| Virgin Islands | $29.98 | $29.98 | |
| Montana | $29.73 | $29.73 | |
| Nevada | $29.69 | $29.69 | |
| Wyoming | $29.64 | $29.64 | |
| North Dakota | $29.53 | $29.53 | |
| South Dakota | $29.51 | $29.51 | |
| Delaware | $29.45 | $29.45 | |
| Texas | $29.38 | $29.38 | |
| Pennsylvania | $29.33 | $29.33 | |
| Vermont | $29.33 | $29.33 | |
| Illinois | $29.28 | $29.28 | |
| Virginia | $29.24 | $29.24 | |
| Arizona | $28.96 | $28.96 | |
| Georgia | $28.74 | $28.74 | |
| Maine | $28.58 | $28.58 | |
| Wisconsin | $28.53 | $28.53 | |
| Michigan | $28.46 | $28.46 | |
| Utah | $28.31 | $28.31 | |
| North Carolina | $28.06 | $28.06 | |
| South Carolina | $27.93 | $27.93 | |
| New Mexico | $27.88 | $27.88 | |
| Indiana | $27.87 | $27.87 | |
| Missouri | $27.82 | $27.82 | |
| Louisiana | $27.74 | $27.74 | |
| Nebraska | $27.74 | $27.74 | |
| Ohio | $27.72 | $27.72 | |
| Idaho | $27.71 | $27.71 | |
| Iowa | $27.57 | $27.57 | |
| Tennessee | $27.47 | $27.47 | |
| Kansas | $27.35 | $27.35 | |
| Oklahoma | $27.19 | $27.19 | |
| Kentucky | $27.14 | $27.14 | |
| West Virginia | $26.85 | $26.85 | |
| Alabama | $26.70 | $26.70 | |
| Mississippi | $26.44 | $26.44 | |
| Arkansas | $26.32 | $26.32 |
Medicare is the floor, not the market. See what UHC, Aetna, Cigna and BCBS actually pay — down to the TIN.
See negotiated rates