CPT 97113 pays $37.07 in a non-facility setting and $37.07 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $33.99 in Arkansas to $46.29 in Alaska, a 36% spread.
National non-facility rate
$37.07
Office and other outpatient settings
Hospital and ASC settings
Alaska
Arkansas · 36% 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 | $46.29 | $46.29 | |
| District of Columbia | $41.66 | $41.66 | |
| California | $41.29 | $41.29 | |
| New Jersey | $40.54 | $40.54 | |
| Washington | $40.41 | $40.41 | |
| New York | $40.35 | $40.35 | |
| Massachusetts | $40.04 | $40.04 | |
| Hawaii | $39.77 | $39.77 | |
| Connecticut | $39.06 | $39.06 | |
| Colorado | $38.52 | $38.52 | |
| Oregon | $38.22 | $38.22 | |
| Maryland | $38.19 | $38.19 | |
| Rhode Island | $38.03 | $38.03 | |
| New Hampshire | $37.88 | $37.88 | |
| Florida | $37.46 | $37.46 | |
| Minnesota | $37.44 | $37.44 | |
| Puerto Rico | $37.30 | $37.30 | |
| Virgin Islands | $37.30 | $37.30 | |
| Montana | $37.07 | $37.07 | |
| Nevada | $37.04 | $37.04 | |
| Wyoming | $36.99 | $36.99 | |
| North Dakota | $36.88 | $36.88 | |
| Delaware | $36.87 | $36.87 | |
| South Dakota | $36.85 | $36.85 | |
| Pennsylvania | $36.82 | $36.82 | |
| Texas | $36.82 | $36.82 | |
| Illinois | $36.74 | $36.74 | |
| Vermont | $36.70 | $36.70 | |
| Virginia | $36.62 | $36.62 | |
| Arizona | $36.38 | $36.38 | |
| Georgia | $36.21 | $36.21 | |
| Maine | $36.03 | $36.03 | |
| Wisconsin | $35.97 | $35.97 | |
| Michigan | $35.95 | $35.95 | |
| Utah | $35.80 | $35.80 | |
| North Carolina | $35.57 | $35.57 | |
| South Carolina | $35.45 | $35.45 | |
| New Mexico | $35.42 | $35.42 | |
| Indiana | $35.39 | $35.39 | |
| Missouri | $35.36 | $35.36 | |
| Louisiana | $35.29 | $35.29 | |
| Ohio | $35.28 | $35.28 | |
| Nebraska | $35.27 | $35.27 | |
| Idaho | $35.24 | $35.24 | |
| Iowa | $35.11 | $35.11 | |
| Tennessee | $35.04 | $35.04 | |
| Kansas | $34.92 | $34.92 | |
| Oklahoma | $34.78 | $34.78 | |
| Kentucky | $34.75 | $34.75 | |
| West Virginia | $34.51 | $34.51 | |
| Alabama | $34.34 | $34.34 | |
| Mississippi | $34.11 | $34.11 | |
| Arkansas | $33.99 | $33.99 |
Medicare is the floor, not the market. See what UHC, Aetna, Cigna and BCBS actually pay — down to the TIN.
See negotiated rates