CPT 96413 pays $133.27 in a non-facility setting and $133.27 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $114.99 in Arkansas to $155.68 in District of Columbia, a 35% spread.
National non-facility rate
$133.27
Office and other outpatient settings
Hospital and ASC settings
District of Columbia
Arkansas · 35% 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 | $155.68 | $155.68 | |
| California | $154.82 | $154.82 | |
| Washington | $150.09 | $150.09 | |
| New Jersey | $149.26 | $149.26 | |
| Hawaii | $148.94 | $148.94 | |
| New York | $148.61 | $148.61 | |
| Massachusetts | $148.19 | $148.19 | |
| Alaska | $144.80 | $144.80 | |
| Connecticut | $143.31 | $143.31 | |
| Colorado | $140.65 | $140.65 | |
| Oregon | $139.20 | $139.20 | |
| Maryland | $138.74 | $138.74 | |
| New Hampshire | $137.96 | $137.96 | |
| Rhode Island | $137.21 | $137.21 | |
| Florida | $135.89 | $135.89 | |
| Minnesota | $135.15 | $135.15 | |
| Puerto Rico | $134.57 | $134.57 | |
| Virgin Islands | $134.57 | $134.57 | |
| Montana | $133.26 | $133.26 | |
| Nevada | $133.00 | $133.00 | |
| Wyoming | $132.66 | $132.66 | |
| North Dakota | $131.88 | $131.88 | |
| South Dakota | $131.72 | $131.72 | |
| Delaware | $131.62 | $131.62 | |
| Illinois | $131.33 | $131.33 | |
| Texas | $131.27 | $131.27 | |
| Pennsylvania | $131.02 | $131.02 | |
| Vermont | $130.90 | $130.90 | |
| Virginia | $130.52 | $130.52 | |
| Arizona | $129.16 | $129.16 | |
| Georgia | $128.15 | $128.15 | |
| Maine | $126.99 | $126.99 | |
| Michigan | $126.81 | $126.81 | |
| Wisconsin | $126.55 | $126.55 | |
| Utah | $125.74 | $125.74 | |
| North Carolina | $124.28 | $124.28 | |
| South Carolina | $123.68 | $123.68 | |
| New Mexico | $123.65 | $123.65 | |
| Missouri | $123.22 | $123.22 | |
| Indiana | $123.19 | $123.19 | |
| Louisiana | $122.80 | $122.80 | |
| Ohio | $122.71 | $122.71 | |
| Nebraska | $122.45 | $122.45 | |
| Idaho | $122.31 | $122.31 | |
| Iowa | $121.53 | $121.53 | |
| Tennessee | $121.12 | $121.12 | |
| Kansas | $120.44 | $120.44 | |
| Oklahoma | $119.74 | $119.74 | |
| Kentucky | $119.58 | $119.58 | |
| West Virginia | $118.35 | $118.35 | |
| Alabama | $117.06 | $117.06 | |
| Mississippi | $115.76 | $115.76 | |
| Arkansas | $114.99 | $114.99 |
Medicare is the floor, not the market. See what UHC, Aetna, Cigna and BCBS actually pay — down to the TIN.
See negotiated rates