CPT 96415 pays $28.39 in a non-facility setting and $28.39 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $25.05 in Arkansas to $32.65 in Alaska, a 30% spread.
National non-facility rate
$28.39
Office and other outpatient settings
Hospital and ASC settings
Alaska
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 |
|---|---|---|---|
| Alaska | $32.65 | $32.65 | |
| District of Columbia | $32.61 | $32.61 | |
| California | $32.23 | $32.23 | |
| New Jersey | $31.47 | $31.47 | |
| Washington | $31.44 | $31.44 | |
| New York | $31.40 | $31.40 | |
| Massachusetts | $31.11 | $31.11 | |
| Hawaii | $31.04 | $31.04 | |
| Connecticut | $30.30 | $30.30 | |
| Colorado | $29.69 | $29.69 | |
| Maryland | $29.43 | $29.43 | |
| Oregon | $29.40 | $29.40 | |
| New Hampshire | $29.18 | $29.18 | |
| Rhode Island | $29.14 | $29.14 | |
| Florida | $29.09 | $29.09 | |
| Puerto Rico | $28.62 | $28.62 | |
| Virgin Islands | $28.62 | $28.62 | |
| Minnesota | $28.54 | $28.54 | |
| Montana | $28.39 | $28.39 | |
| Illinois | $28.30 | $28.30 | |
| Nevada | $28.30 | $28.30 | |
| Wyoming | $28.22 | $28.22 | |
| Delaware | $28.10 | $28.10 | |
| Pennsylvania | $28.06 | $28.06 | |
| Texas | $28.05 | $28.05 | |
| North Dakota | $27.99 | $27.99 | |
| South Dakota | $27.95 | $27.95 | |
| Vermont | $27.85 | $27.85 | |
| Virginia | $27.83 | $27.83 | |
| Arizona | $27.63 | $27.63 | |
| Georgia | $27.55 | $27.55 | |
| Michigan | $27.36 | $27.36 | |
| Maine | $27.19 | $27.19 | |
| Utah | $27.04 | $27.04 | |
| Wisconsin | $27.03 | $27.03 | |
| New Mexico | $26.75 | $26.75 | |
| North Carolina | $26.72 | $26.72 | |
| South Carolina | $26.67 | $26.67 | |
| Missouri | $26.62 | $26.62 | |
| Louisiana | $26.56 | $26.56 | |
| Ohio | $26.54 | $26.54 | |
| Indiana | $26.49 | $26.49 | |
| Idaho | $26.33 | $26.33 | |
| Nebraska | $26.33 | $26.33 | |
| Iowa | $26.17 | $26.17 | |
| Tennessee | $26.14 | $26.14 | |
| Kansas | $26.01 | $26.01 | |
| Kentucky | $25.96 | $25.96 | |
| Oklahoma | $25.95 | $25.95 | |
| West Virginia | $25.88 | $25.88 | |
| Alabama | $25.43 | $25.43 | |
| Mississippi | $25.25 | $25.25 | |
| Arkansas | $25.05 | $25.05 |
Medicare is the floor, not the market. See what UHC, Aetna, Cigna and BCBS actually pay — down to the TIN.
See negotiated rates