CPT 96368 pays $20.71 in a non-facility setting and $20.71 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $18.47 in Arkansas to $24.35 in Alaska, a 32% spread.
National non-facility rate
$20.71
Office and other outpatient settings
Hospital and ASC settings
Alaska
Arkansas · 32% 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 | $24.35 | $24.35 | |
| District of Columbia | $23.67 | $23.67 | |
| California | $23.45 | $23.45 | |
| New Jersey | $22.88 | $22.88 | |
| Washington | $22.87 | $22.87 | |
| New York | $22.80 | $22.80 | |
| Massachusetts | $22.63 | $22.63 | |
| Hawaii | $22.58 | $22.58 | |
| Connecticut | $22.02 | $22.02 | |
| Colorado | $21.64 | $21.64 | |
| Oregon | $21.45 | $21.45 | |
| Maryland | $21.43 | $21.43 | |
| New Hampshire | $21.27 | $21.27 | |
| Rhode Island | $21.27 | $21.27 | |
| Florida | $21.07 | $21.07 | |
| Minnesota | $20.90 | $20.90 | |
| Puerto Rico | $20.87 | $20.87 | |
| Virgin Islands | $20.87 | $20.87 | |
| Montana | $20.71 | $20.71 | |
| Nevada | $20.67 | $20.67 | |
| Wyoming | $20.62 | $20.62 | |
| Illinois | $20.54 | $20.54 | |
| Delaware | $20.53 | $20.53 | |
| North Dakota | $20.51 | $20.51 | |
| South Dakota | $20.49 | $20.49 | |
| Texas | $20.49 | $20.49 | |
| Pennsylvania | $20.48 | $20.48 | |
| Vermont | $20.40 | $20.40 | |
| Virginia | $20.36 | $20.36 | |
| Arizona | $20.20 | $20.20 | |
| Georgia | $20.11 | $20.11 | |
| Michigan | $19.95 | $19.95 | |
| Maine | $19.93 | $19.93 | |
| Wisconsin | $19.86 | $19.86 | |
| Utah | $19.79 | $19.79 | |
| North Carolina | $19.60 | $19.60 | |
| New Mexico | $19.56 | $19.56 | |
| South Carolina | $19.54 | $19.54 | |
| Missouri | $19.49 | $19.49 | |
| Indiana | $19.46 | $19.46 | |
| Louisiana | $19.45 | $19.45 | |
| Ohio | $19.43 | $19.43 | |
| Nebraska | $19.37 | $19.37 | |
| Idaho | $19.36 | $19.36 | |
| Iowa | $19.26 | $19.26 | |
| Tennessee | $19.22 | $19.22 | |
| Kansas | $19.13 | $19.13 | |
| Oklahoma | $19.06 | $19.06 | |
| Kentucky | $19.05 | $19.05 | |
| West Virginia | $18.93 | $18.93 | |
| Alabama | $18.73 | $18.73 | |
| Mississippi | $18.58 | $18.58 | |
| Arkansas | $18.47 | $18.47 |
Medicare is the floor, not the market. See what UHC, Aetna, Cigna and BCBS actually pay — down to the TIN.
See negotiated rates