CPT 96369 pays $144.96 in a non-facility setting and $144.96 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $125.16 in Arkansas to $169.85 in California, a 36% spread.
National non-facility rate
$144.96
Office and other outpatient settings
Hospital and ASC settings
California
Arkansas · 36% 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 | $169.85 | $169.85 | |
| District of Columbia | $169.83 | $169.83 | |
| Washington | $164.14 | $164.14 | |
| Hawaii | $163.30 | $163.30 | |
| New Jersey | $162.66 | $162.66 | |
| Massachusetts | $161.92 | $161.92 | |
| New York | $161.48 | $161.48 | |
| Alaska | $156.92 | $156.92 | |
| Connecticut | $155.86 | $155.86 | |
| Colorado | $153.59 | $153.59 | |
| Oregon | $152.07 | $152.07 | |
| Maryland | $150.95 | $150.95 | |
| New Hampshire | $150.45 | $150.45 | |
| Rhode Island | $149.50 | $149.50 | |
| Minnesota | $148.23 | $148.23 | |
| Puerto Rico | $146.45 | $146.45 | |
| Virgin Islands | $146.45 | $146.45 | |
| Florida | $146.36 | $146.36 | |
| Montana | $144.96 | $144.96 | |
| Nevada | $144.93 | $144.93 | |
| Wyoming | $144.70 | $144.70 | |
| North Dakota | $144.36 | $144.36 | |
| South Dakota | $144.29 | $144.29 | |
| Delaware | $143.25 | $143.25 | |
| Vermont | $143.10 | $143.10 | |
| Texas | $142.80 | $142.80 | |
| Virginia | $142.34 | $142.34 | |
| Pennsylvania | $142.28 | $142.28 | |
| Illinois | $141.28 | $141.28 | |
| Arizona | $140.57 | $140.57 | |
| Georgia | $138.87 | $138.87 | |
| Wisconsin | $138.51 | $138.51 | |
| Maine | $138.49 | $138.49 | |
| Michigan | $137.01 | $137.01 | |
| Utah | $136.64 | $136.64 | |
| North Carolina | $135.42 | $135.42 | |
| Indiana | $134.45 | $134.45 | |
| South Carolina | $134.40 | $134.40 | |
| Nebraska | $133.79 | $133.79 | |
| New Mexico | $133.79 | $133.79 | |
| Missouri | $133.67 | $133.67 | |
| Idaho | $133.48 | $133.48 | |
| Louisiana | $133.09 | $133.09 | |
| Ohio | $133.05 | $133.05 | |
| Iowa | $132.72 | $132.72 | |
| Tennessee | $132.03 | $132.03 | |
| Kansas | $131.32 | $131.32 | |
| Oklahoma | $130.08 | $130.08 | |
| Kentucky | $129.67 | $129.67 | |
| West Virginia | $127.45 | $127.45 | |
| Alabama | $127.41 | $127.41 | |
| Mississippi | $125.66 | $125.66 | |
| Arkansas | $125.16 | $125.16 |
Medicare is the floor, not the market. See what UHC, Aetna, Cigna and BCBS actually pay — down to the TIN.
See negotiated rates