CPT 96402 pays $38.75 in a non-facility setting and $38.75 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $33.95 in Arkansas to $44.81 in District of Columbia, a 32% spread.
National non-facility rate
$38.75
Office and other outpatient settings
Hospital and ASC settings
District of Columbia
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 |
|---|---|---|---|
| District of Columbia | $44.81 | $44.81 | |
| California | $44.48 | $44.48 | |
| Alaska | $43.68 | $43.68 | |
| Washington | $43.25 | $43.25 | |
| New Jersey | $43.13 | $43.13 | |
| New York | $42.95 | $42.95 | |
| Hawaii | $42.81 | $42.81 | |
| Massachusetts | $42.74 | $42.74 | |
| Connecticut | $41.46 | $41.46 | |
| Colorado | $40.71 | $40.71 | |
| Oregon | $40.31 | $40.31 | |
| Maryland | $40.23 | $40.23 | |
| New Hampshire | $39.96 | $39.96 | |
| Rhode Island | $39.84 | $39.84 | |
| Florida | $39.48 | $39.48 | |
| Minnesota | $39.19 | $39.19 | |
| Puerto Rico | $39.08 | $39.08 | |
| Virgin Islands | $39.08 | $39.08 | |
| Montana | $38.74 | $38.74 | |
| Nevada | $38.67 | $38.67 | |
| Wyoming | $38.57 | $38.57 | |
| North Dakota | $38.35 | $38.35 | |
| Delaware | $38.33 | $38.33 | |
| Illinois | $38.30 | $38.30 | |
| South Dakota | $38.30 | $38.30 | |
| Texas | $38.24 | $38.24 | |
| Pennsylvania | $38.20 | $38.20 | |
| Vermont | $38.10 | $38.10 | |
| Virginia | $38.01 | $38.01 | |
| Arizona | $37.67 | $37.67 | |
| Georgia | $37.43 | $37.43 | |
| Maine | $37.08 | $37.08 | |
| Michigan | $37.08 | $37.08 | |
| Wisconsin | $36.95 | $36.95 | |
| Utah | $36.77 | $36.77 | |
| North Carolina | $36.38 | $36.38 | |
| New Mexico | $36.25 | $36.25 | |
| South Carolina | $36.23 | $36.23 | |
| Missouri | $36.12 | $36.12 | |
| Indiana | $36.09 | $36.09 | |
| Louisiana | $36.02 | $36.02 | |
| Ohio | $35.99 | $35.99 | |
| Nebraska | $35.89 | $35.89 | |
| Idaho | $35.85 | $35.85 | |
| Iowa | $35.65 | $35.65 | |
| Tennessee | $35.55 | $35.55 | |
| Kansas | $35.37 | $35.37 | |
| Oklahoma | $35.20 | $35.20 | |
| Kentucky | $35.17 | $35.17 | |
| West Virginia | $34.88 | $34.88 | |
| Alabama | $34.49 | $34.49 | |
| Mississippi | $34.16 | $34.16 | |
| Arkansas | $33.95 | $33.95 |
Medicare is the floor, not the market. See what UHC, Aetna, Cigna and BCBS actually pay — down to the TIN.
See negotiated rates