CPT 96373 pays $19.71 in a non-facility setting and $19.71 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $17.61 in Arkansas to $23.29 in Alaska, a 32% spread.
National non-facility rate
$19.71
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 | $23.29 | $23.29 | |
| District of Columbia | $22.49 | $22.49 | |
| California | $22.27 | $22.27 | |
| New Jersey | $21.75 | $21.75 | |
| Washington | $21.73 | $21.73 | |
| New York | $21.68 | $21.68 | |
| Massachusetts | $21.51 | $21.51 | |
| Hawaii | $21.44 | $21.44 | |
| Connecticut | $20.94 | $20.94 | |
| Colorado | $20.58 | $20.58 | |
| Maryland | $20.39 | $20.39 | |
| Oregon | $20.39 | $20.39 | |
| New Hampshire | $20.23 | $20.23 | |
| Rhode Island | $20.23 | $20.23 | |
| Florida | $20.07 | $20.07 | |
| Minnesota | $19.87 | $19.87 | |
| Puerto Rico | $19.85 | $19.85 | |
| Virgin Islands | $19.85 | $19.85 | |
| Montana | $19.71 | $19.71 | |
| Nevada | $19.66 | $19.66 | |
| Wyoming | $19.62 | $19.62 | |
| Illinois | $19.57 | $19.57 | |
| Delaware | $19.54 | $19.54 | |
| North Dakota | $19.51 | $19.51 | |
| Pennsylvania | $19.50 | $19.50 | |
| Texas | $19.50 | $19.50 | |
| South Dakota | $19.48 | $19.48 | |
| Vermont | $19.40 | $19.40 | |
| Virginia | $19.38 | $19.38 | |
| Arizona | $19.23 | $19.23 | |
| Georgia | $19.15 | $19.15 | |
| Michigan | $19.01 | $19.01 | |
| Maine | $18.97 | $18.97 | |
| Wisconsin | $18.90 | $18.90 | |
| Utah | $18.85 | $18.85 | |
| North Carolina | $18.67 | $18.67 | |
| New Mexico | $18.64 | $18.64 | |
| South Carolina | $18.62 | $18.62 | |
| Missouri | $18.57 | $18.57 | |
| Indiana | $18.54 | $18.54 | |
| Louisiana | $18.53 | $18.53 | |
| Ohio | $18.52 | $18.52 | |
| Nebraska | $18.44 | $18.44 | |
| Idaho | $18.43 | $18.43 | |
| Iowa | $18.34 | $18.34 | |
| Tennessee | $18.31 | $18.31 | |
| Kansas | $18.23 | $18.23 | |
| Oklahoma | $18.17 | $18.17 | |
| Kentucky | $18.16 | $18.16 | |
| West Virginia | $18.06 | $18.06 | |
| Alabama | $17.85 | $17.85 | |
| Mississippi | $17.72 | $17.72 | |
| Arkansas | $17.61 | $17.61 |
Medicare is the floor, not the market. See what UHC, Aetna, Cigna and BCBS actually pay — down to the TIN.
See negotiated rates