CPT 96417 pays $66.47 in a non-facility setting and $66.47 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $57.74 in Arkansas to $77.36 in District of Columbia, a 34% spread.
National non-facility rate
$66.47
Office and other outpatient settings
Hospital and ASC settings
District of Columbia
Arkansas · 34% 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 | $77.36 | $77.36 | |
| California | $76.97 | $76.97 | |
| Washington | $74.66 | $74.66 | |
| New Jersey | $74.28 | $74.28 | |
| Hawaii | $74.05 | $74.05 | |
| New York | $73.92 | $73.92 | |
| Massachusetts | $73.73 | $73.73 | |
| Alaska | $73.32 | $73.32 | |
| Connecticut | $71.32 | $71.32 | |
| Colorado | $70.07 | $70.07 | |
| Oregon | $69.37 | $69.37 | |
| Maryland | $69.12 | $69.12 | |
| New Hampshire | $68.74 | $68.74 | |
| Rhode Island | $68.42 | $68.42 | |
| Florida | $67.61 | $67.61 | |
| Minnesota | $67.46 | $67.46 | |
| Puerto Rico | $67.10 | $67.10 | |
| Virgin Islands | $67.10 | $67.10 | |
| Montana | $66.47 | $66.47 | |
| Nevada | $66.36 | $66.36 | |
| Wyoming | $66.21 | $66.21 | |
| North Dakota | $65.87 | $65.87 | |
| South Dakota | $65.80 | $65.80 | |
| Delaware | $65.70 | $65.70 | |
| Texas | $65.53 | $65.53 | |
| Illinois | $65.43 | $65.43 | |
| Pennsylvania | $65.40 | $65.40 | |
| Vermont | $65.39 | $65.39 | |
| Virginia | $65.18 | $65.18 | |
| Arizona | $64.51 | $64.51 | |
| Georgia | $63.99 | $63.99 | |
| Maine | $63.49 | $63.49 | |
| Wisconsin | $63.32 | $63.32 | |
| Michigan | $63.31 | $63.31 | |
| Utah | $62.86 | $62.86 | |
| North Carolina | $62.19 | $62.19 | |
| South Carolina | $61.88 | $61.88 | |
| New Mexico | $61.82 | $61.82 | |
| Indiana | $61.69 | $61.69 | |
| Missouri | $61.64 | $61.64 | |
| Louisiana | $61.43 | $61.43 | |
| Ohio | $61.39 | $61.39 | |
| Nebraska | $61.34 | $61.34 | |
| Idaho | $61.26 | $61.26 | |
| Iowa | $60.90 | $60.90 | |
| Tennessee | $60.68 | $60.68 | |
| Kansas | $60.36 | $60.36 | |
| Oklahoma | $59.99 | $59.99 | |
| Kentucky | $59.89 | $59.89 | |
| West Virginia | $59.24 | $59.24 | |
| Alabama | $58.73 | $58.73 | |
| Mississippi | $58.08 | $58.08 | |
| Arkansas | $57.74 | $57.74 |
Medicare is the floor, not the market. See what UHC, Aetna, Cigna and BCBS actually pay — down to the TIN.
See negotiated rates