CPT 96375 pays $15.70 in a non-facility setting and $15.70 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $13.84 in Arkansas to $18.06 in District of Columbia, a 30% spread.
National non-facility rate
$15.70
Office and other outpatient settings
Hospital and ASC settings
District of Columbia
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 |
|---|---|---|---|
| District of Columbia | $18.06 | $18.06 | |
| Alaska | $18.00 | $18.00 | |
| California | $17.87 | $17.87 | |
| Washington | $17.42 | $17.42 | |
| New Jersey | $17.41 | $17.41 | |
| New York | $17.37 | $17.37 | |
| Massachusetts | $17.23 | $17.23 | |
| Hawaii | $17.21 | $17.21 | |
| Connecticut | $16.76 | $16.76 | |
| Colorado | $16.43 | $16.43 | |
| Maryland | $16.28 | $16.28 | |
| Oregon | $16.28 | $16.28 | |
| New Hampshire | $16.15 | $16.15 | |
| Rhode Island | $16.12 | $16.12 | |
| Florida | $16.05 | $16.05 | |
| Puerto Rico | $15.83 | $15.83 | |
| Virgin Islands | $15.83 | $15.83 | |
| Minnesota | $15.81 | $15.81 | |
| Montana | $15.70 | $15.70 | |
| Nevada | $15.65 | $15.65 | |
| Illinois | $15.61 | $15.61 | |
| Wyoming | $15.61 | $15.61 | |
| Delaware | $15.54 | $15.54 | |
| Pennsylvania | $15.51 | $15.51 | |
| Texas | $15.51 | $15.51 | |
| North Dakota | $15.50 | $15.50 | |
| South Dakota | $15.48 | $15.48 | |
| Vermont | $15.41 | $15.41 | |
| Virginia | $15.40 | $15.40 | |
| Arizona | $15.28 | $15.28 | |
| Georgia | $15.22 | $15.22 | |
| Michigan | $15.10 | $15.10 | |
| Maine | $15.04 | $15.04 | |
| Wisconsin | $14.96 | $14.96 | |
| Utah | $14.94 | $14.94 | |
| New Mexico | $14.77 | $14.77 | |
| North Carolina | $14.77 | $14.77 | |
| South Carolina | $14.73 | $14.73 | |
| Missouri | $14.70 | $14.70 | |
| Louisiana | $14.67 | $14.67 | |
| Indiana | $14.65 | $14.65 | |
| Ohio | $14.65 | $14.65 | |
| Idaho | $14.56 | $14.56 | |
| Nebraska | $14.56 | $14.56 | |
| Iowa | $14.47 | $14.47 | |
| Tennessee | $14.45 | $14.45 | |
| Kansas | $14.38 | $14.38 | |
| Kentucky | $14.34 | $14.34 | |
| Oklahoma | $14.34 | $14.34 | |
| West Virginia | $14.27 | $14.27 | |
| Alabama | $14.05 | $14.05 | |
| Mississippi | $13.94 | $13.94 | |
| Arkansas | $13.84 | $13.84 |
Medicare is the floor, not the market. See what UHC, Aetna, Cigna and BCBS actually pay — down to the TIN.
See negotiated rates