CPT 97112

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CPT 97112 pays $32.73 in a non-facility setting and $32.73 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $30.36 in Arkansas to $41.95 in Alaska, a 38% spread.

National non-facility rate

$32.73

Office and other outpatient settings

Facility rate
$32.73

Hospital and ASC settings

Highest state
$41.95

Alaska

Lowest state
$30.36

Arkansas · 38% spread

Medicare rate by state

53 Medicare jurisdictions, highest to lowest. State values average every locality in the jurisdiction at a 33.4009 conversion factor.

Non-facilityFacilityNational $32.73
CPT 97112 Medicare reimbursement rate by state, 33.4009 conversion factor, 2026 Physician Fee Schedule. National non-facility $32.73, national facility $32.73.
StateRate compared visuallyNon-facilityFacility
Alaska
$41.95$41.95
District of Columbia
$36.47$36.47
California
$36.06$36.06
New Jersey
$35.60$35.60
New York
$35.46$35.46
Washington
$35.39$35.39
Massachusetts
$35.10$35.10
Hawaii
$34.74$34.74
Connecticut
$34.35$34.35
Colorado
$33.86$33.86
Maryland
$33.64$33.64
Oregon
$33.61$33.61
Rhode Island
$33.53$33.53
New Hampshire
$33.33$33.33
Florida
$33.10$33.10
Minnesota
$32.95$32.95
Puerto Rico
$32.90$32.90
Virgin Islands
$32.90$32.90
Montana
$32.73$32.73
Nevada
$32.69$32.69
Wyoming
$32.65$32.65
Delaware
$32.59$32.59
Pennsylvania
$32.58$32.58
Illinois
$32.57$32.57
Texas
$32.56$32.56
North Dakota
$32.53$32.53
South Dakota
$32.51$32.51
Vermont
$32.41$32.41
Virginia
$32.37$32.37
Arizona
$32.20$32.20
Georgia
$32.10$32.10
Maine
$31.91$31.91
Michigan
$31.91$31.91
Wisconsin
$31.84$31.84
Utah
$31.76$31.76
North Carolina
$31.56$31.56
New Mexico
$31.50$31.50
South Carolina
$31.49$31.49
Missouri
$31.44$31.44
Indiana
$31.42$31.42
Louisiana
$31.38$31.38
Ohio
$31.37$31.37
Nebraska
$31.32$31.32
Idaho
$31.30$31.30
Iowa
$31.20$31.20
Tennessee
$31.15$31.15
Kansas
$31.06$31.06
Oklahoma
$30.98$30.98
Kentucky
$30.96$30.96
West Virginia
$30.82$30.82
Alabama
$30.63$30.63
Mississippi
$30.46$30.46
Arkansas
$30.36$30.36

Billed by 1 specialties

Commercial rates for 97112

Medicare is the floor, not the market. See what UHC, Aetna, Cigna and BCBS actually pay — down to the TIN.

See negotiated rates