CPT 96567 pays $129.26 in a non-facility setting and $129.26 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $110.92 in Arkansas to $152.74 in California, a 38% spread.
National non-facility rate
$129.26
Office and other outpatient settings
Hospital and ASC settings
California
Arkansas · 38% 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 |
|---|---|---|---|
| California | $152.74 | $152.74 | |
| District of Columbia | $152.25 | $152.25 | |
| Washington | $147.24 | $147.24 | |
| Hawaii | $146.78 | $146.78 | |
| New Jersey | $145.53 | $145.53 | |
| Massachusetts | $145.13 | $145.13 | |
| New York | $144.29 | $144.29 | |
| Connecticut | $139.26 | $139.26 | |
| Alaska | $137.49 | $137.49 | |
| Colorado | $137.44 | $137.44 | |
| Oregon | $136.07 | $136.07 | |
| Maryland | $134.77 | $134.77 | |
| New Hampshire | $134.51 | $134.51 | |
| Rhode Island | $133.48 | $133.48 | |
| Minnesota | $132.77 | $132.77 | |
| Puerto Rico | $130.67 | $130.67 | |
| Virgin Islands | $130.67 | $130.67 | |
| Florida | $130.01 | $130.01 | |
| Nevada | $129.33 | $129.33 | |
| Montana | $129.26 | $129.26 | |
| Wyoming | $129.17 | $129.17 | |
| North Dakota | $129.06 | $129.06 | |
| South Dakota | $129.04 | $129.04 | |
| Vermont | $127.81 | $127.81 | |
| Delaware | $127.68 | $127.68 | |
| Texas | $127.24 | $127.24 | |
| Virginia | $126.97 | $126.97 | |
| Pennsylvania | $126.64 | $126.64 | |
| Arizona | $125.22 | $125.22 | |
| Illinois | $125.21 | $125.21 | |
| Wisconsin | $123.62 | $123.62 | |
| Georgia | $123.40 | $123.40 | |
| Maine | $123.40 | $123.40 | |
| Michigan | $121.53 | $121.53 | |
| Utah | $121.49 | $121.49 | |
| North Carolina | $120.50 | $120.50 | |
| Indiana | $119.68 | $119.68 | |
| South Carolina | $119.41 | $119.41 | |
| Nebraska | $119.13 | $119.13 | |
| Idaho | $118.77 | $118.77 | |
| Missouri | $118.64 | $118.64 | |
| New Mexico | $118.63 | $118.63 | |
| Iowa | $118.10 | $118.10 | |
| Louisiana | $118.06 | $118.06 | |
| Ohio | $118.05 | $118.05 | |
| Tennessee | $117.37 | $117.37 | |
| Kansas | $116.72 | $116.72 | |
| Oklahoma | $115.39 | $115.39 | |
| Kentucky | $114.92 | $114.92 | |
| Alabama | $113.00 | $113.00 | |
| West Virginia | $112.52 | $112.52 | |
| Mississippi | $111.25 | $111.25 | |
| Arkansas | $110.92 | $110.92 |
Medicare is the floor, not the market. See what UHC, Aetna, Cigna and BCBS actually pay — down to the TIN.
See negotiated rates