CPT 96406 pays $131.93 in a non-facility setting and $37.41 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $116.41 in Arkansas to $151.97 in District of Columbia, a 31% spread.
National non-facility rate
$131.93
Office and other outpatient settings
Hospital and ASC settings
District of Columbia
Arkansas · 31% 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 | $151.97 | $40.62 | |
| Alaska | $151.10 | $50.43 | |
| California | $150.89 | $39.04 | |
| Washington | $146.80 | $39.04 | |
| New Jersey | $146.48 | $40.04 | |
| New York | $145.85 | $40.40 | |
| Hawaii | $145.23 | $37.76 | |
| Massachusetts | $145.13 | $38.93 | |
| Connecticut | $140.84 | $39.03 | |
| Colorado | $138.42 | $37.85 | |
| Oregon | $137.11 | $37.53 | |
| Maryland | $136.82 | $38.28 | |
| New Hampshire | $135.91 | $37.51 | |
| Rhode Island | $135.63 | $37.99 | |
| Florida | $134.17 | $39.34 | |
| Minnesota | $133.52 | $36.25 | |
| Puerto Rico | $133.04 | $37.47 | |
| Virgin Islands | $133.04 | $37.47 | |
| Montana | $131.93 | $37.40 | |
| Nevada | $131.70 | $37.08 | |
| Wyoming | $131.41 | $36.89 | |
| North Dakota | $130.74 | $36.22 | |
| Delaware | $130.63 | $37.24 | |
| South Dakota | $130.60 | $36.08 | |
| Illinois | $130.37 | $39.04 | |
| Texas | $130.34 | $37.28 | |
| Pennsylvania | $130.20 | $37.61 | |
| Vermont | $129.91 | $36.33 | |
| Virginia | $129.59 | $36.67 | |
| Arizona | $128.45 | $36.85 | |
| Georgia | $127.62 | $37.44 | |
| Maine | $126.59 | $36.27 | |
| Michigan | $126.45 | $37.70 | |
| Wisconsin | $126.21 | $35.66 | |
| Utah | $125.54 | $36.68 | |
| North Carolina | $124.30 | $36.10 | |
| South Carolina | $123.79 | $36.45 | |
| New Mexico | $123.77 | $37.09 | |
| Missouri | $123.40 | $36.66 | |
| Indiana | $123.37 | $35.74 | |
| Louisiana | $123.05 | $36.75 | |
| Ohio | $122.97 | $36.67 | |
| Nebraska | $122.74 | $35.49 | |
| Idaho | $122.62 | $35.66 | |
| Iowa | $121.95 | $35.46 | |
| Tennessee | $121.61 | $35.69 | |
| Kansas | $121.03 | $35.58 | |
| Oklahoma | $120.44 | $36.03 | |
| Kentucky | $120.31 | $36.27 | |
| West Virginia | $119.28 | $37.14 | |
| Alabama | $118.16 | $35.45 | |
| Mississippi | $117.06 | $35.68 | |
| Arkansas | $116.41 | $35.21 |
Medicare is the floor, not the market. See what UHC, Aetna, Cigna and BCBS actually pay — down to the TIN.
See negotiated rates