CPT 97129

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CPT 97129 pays $22.38 in a non-facility setting and $19.71 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $21.46 in Arkansas to $30.93 in Alaska, a 44% spread.

National non-facility rate

$22.38

Office and other outpatient settings

Facility rate
$19.71

Hospital and ASC settings

Highest state
$30.93

Alaska

Lowest state
$21.46

Arkansas · 44% 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 $22.38
CPT 97129 Medicare reimbursement rate by state, 33.4009 conversion factor, 2026 Physician Fee Schedule. National non-facility $22.38, national facility $19.71.
StateRate compared visuallyNon-facilityFacility
Alaska
$30.93$28.08
District of Columbia
$24.27$21.12
New Jersey
$23.94$20.93
New York
$23.91$20.93
California
$23.80$20.64
Washington
$23.58$20.54
Massachusetts
$23.46$20.46
Connecticut
$23.19$20.32
Hawaii
$22.97$19.93
Colorado
$22.85$20.00
Maryland
$22.85$20.06
Rhode Island
$22.84$20.08
Florida
$22.71$20.03
Oregon
$22.71$19.89
Illinois
$22.56$19.98
New Hampshire
$22.56$19.77
Pennsylvania
$22.44$19.83
Puerto Rico
$22.43$19.73
Virgin Islands
$22.43$19.73
Montana
$22.38$19.71
Delaware
$22.36$19.72
Texas
$22.36$19.73
Nevada
$22.33$19.65
Minnesota
$22.30$19.55
Wyoming
$22.29$19.62
Georgia
$22.22$19.67
Michigan
$22.19$19.68
Virginia
$22.19$19.56
North Dakota
$22.18$19.51
Arizona
$22.16$19.58
South Dakota
$22.16$19.48
Vermont
$22.16$19.51
Maine
$22.02$19.46
Utah
$22.02$19.51
New Mexico
$22.00$19.55
Louisiana
$21.93$19.49
Missouri
$21.93$19.48
Ohio
$21.92$19.48
South Carolina
$21.92$19.45
Wisconsin
$21.92$19.36
North Carolina
$21.90$19.41
Indiana
$21.82$19.34
West Virginia
$21.82$19.50
Idaho
$21.78$19.32
Kentucky
$21.76$19.38
Nebraska
$21.76$19.29
Tennessee
$21.74$19.31
Oklahoma
$21.73$19.35
Iowa
$21.72$19.28
Kansas
$21.70$19.28
Alabama
$21.57$19.23
Mississippi
$21.55$19.25
Arkansas
$21.46$19.17

Billed by 1 specialties

Commercial rates for 97129

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

See negotiated rates