CPT 96922 pays $176.02 in a non-facility setting and $75.15 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $155.90 in Arkansas to $202.88 in Alaska, a 30% spread.
National non-facility rate
$176.02
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 | $202.88 | $95.45 | |
| District of Columbia | $202.61 | $83.78 | |
| California | $201.70 | $82.34 | |
| Washington | $196.02 | $81.03 | |
| New Jersey | $195.34 | $81.76 | |
| New York | $194.23 | $81.70 | |
| Hawaii | $194.08 | $79.39 | |
| Massachusetts | $193.74 | $80.41 | |
| Connecticut | $187.67 | $79.03 | |
| Colorado | $184.87 | $77.54 | |
| Oregon | $183.19 | $76.92 | |
| Maryland | $182.46 | $77.30 | |
| New Hampshire | $181.43 | $76.42 | |
| Rhode Island | $181.07 | $76.87 | |
| Minnesota | $178.82 | $75.02 | |
| Florida | $178.06 | $76.85 | |
| Puerto Rico | $177.50 | $75.52 | |
| Virgin Islands | $177.50 | $75.52 | |
| Montana | $176.02 | $75.15 | |
| Nevada | $175.88 | $74.91 | |
| Wyoming | $175.59 | $74.72 | |
| North Dakota | $175.03 | $74.16 | |
| South Dakota | $174.91 | $74.04 | |
| Delaware | $174.40 | $74.74 | |
| Texas | $173.99 | $74.68 | |
| Vermont | $173.83 | $73.97 | |
| Pennsylvania | $173.67 | $74.86 | |
| Virginia | $173.20 | $74.05 | |
| Illinois | $173.05 | $75.59 | |
| Arizona | $171.54 | $73.79 | |
| Georgia | $170.11 | $73.88 | |
| Maine | $169.30 | $72.92 | |
| Wisconsin | $169.12 | $72.48 | |
| Michigan | $168.35 | $73.63 | |
| Utah | $167.64 | $72.82 | |
| North Carolina | $166.24 | $72.13 | |
| South Carolina | $165.36 | $72.16 | |
| Indiana | $165.17 | $71.66 | |
| New Mexico | $164.99 | $72.49 | |
| Missouri | $164.72 | $72.16 | |
| Nebraska | $164.44 | $71.34 | |
| Idaho | $164.19 | $71.39 | |
| Louisiana | $164.19 | $72.09 | |
| Ohio | $164.12 | $72.03 | |
| Iowa | $163.38 | $71.08 | |
| Tennessee | $162.79 | $71.10 | |
| Kansas | $162.05 | $70.86 | |
| Oklahoma | $161.00 | $70.92 | |
| Kentucky | $160.68 | $71.01 | |
| West Virginia | $158.80 | $71.15 | |
| Alabama | $158.18 | $69.92 | |
| Mississippi | $156.55 | $69.70 | |
| Arkansas | $155.90 | $69.26 |
Medicare is the floor, not the market. See what UHC, Aetna, Cigna and BCBS actually pay — down to the TIN.
See negotiated rates