CPT 97116 pays $29.06 in a non-facility setting and $29.06 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $26.97 in Arkansas to $37.31 in Alaska, a 38% spread.
National non-facility rate
$29.06
Office and other outpatient settings
Hospital and ASC settings
Alaska
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 |
|---|---|---|---|
| Alaska | $37.31 | $37.31 | |
| District of Columbia | $32.35 | $32.35 | |
| California | $31.95 | $31.95 | |
| New Jersey | $31.59 | $31.59 | |
| New York | $31.47 | $31.47 | |
| Washington | $31.38 | $31.38 | |
| Massachusetts | $31.13 | $31.13 | |
| Hawaii | $30.79 | $30.79 | |
| Connecticut | $30.48 | $30.48 | |
| Colorado | $30.04 | $30.04 | |
| Maryland | $29.86 | $29.86 | |
| Oregon | $29.82 | $29.82 | |
| Rhode Island | $29.76 | $29.76 | |
| New Hampshire | $29.58 | $29.58 | |
| Florida | $29.42 | $29.42 | |
| Minnesota | $29.22 | $29.22 | |
| Puerto Rico | $29.20 | $29.20 | |
| Virgin Islands | $29.20 | $29.20 | |
| Montana | $29.06 | $29.06 | |
| Nevada | $29.02 | $29.02 | |
| Wyoming | $28.97 | $28.97 | |
| Illinois | $28.95 | $28.95 | |
| Delaware | $28.94 | $28.94 | |
| Pennsylvania | $28.94 | $28.94 | |
| Texas | $28.91 | $28.91 | |
| North Dakota | $28.86 | $28.86 | |
| South Dakota | $28.84 | $28.84 | |
| Vermont | $28.76 | $28.76 | |
| Virginia | $28.73 | $28.73 | |
| Arizona | $28.59 | $28.59 | |
| Georgia | $28.52 | $28.52 | |
| Michigan | $28.36 | $28.36 | |
| Maine | $28.32 | $28.32 | |
| Wisconsin | $28.25 | $28.25 | |
| Utah | $28.20 | $28.20 | |
| North Carolina | $28.02 | $28.02 | |
| New Mexico | $27.99 | $27.99 | |
| South Carolina | $27.97 | $27.97 | |
| Missouri | $27.93 | $27.93 | |
| Indiana | $27.89 | $27.89 | |
| Louisiana | $27.88 | $27.88 | |
| Ohio | $27.87 | $27.87 | |
| Nebraska | $27.80 | $27.80 | |
| Idaho | $27.79 | $27.79 | |
| Iowa | $27.69 | $27.69 | |
| Tennessee | $27.66 | $27.66 | |
| Kansas | $27.58 | $27.58 | |
| Oklahoma | $27.52 | $27.52 | |
| Kentucky | $27.51 | $27.51 | |
| West Virginia | $27.41 | $27.41 | |
| Alabama | $27.20 | $27.20 | |
| Mississippi | $27.07 | $27.07 | |
| Arkansas | $26.97 | $26.97 |
Medicare is the floor, not the market. See what UHC, Aetna, Cigna and BCBS actually pay — down to the TIN.
See negotiated rates