CPT 97130 pays $21.04 in a non-facility setting and $18.37 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $20.34 in Arkansas to $29.38 in Alaska, a 44% spread.
National non-facility rate
$21.04
Office and other outpatient settings
Hospital and ASC settings
Alaska
Arkansas · 44% 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 | $29.38 | $26.54 | |
| District of Columbia | $22.80 | $19.65 | |
| California | $22.54 | $19.37 | |
| New Jersey | $22.50 | $19.49 | |
| New York | $22.38 | $19.40 | |
| Washington | $22.25 | $19.20 | |
| Massachusetts | $22.12 | $19.12 | |
| Connecticut | $21.75 | $18.87 | |
| Hawaii | $21.73 | $18.69 | |
| Colorado | $21.56 | $18.71 | |
| Rhode Island | $21.51 | $18.75 | |
| Maryland | $21.46 | $18.68 | |
| Oregon | $21.44 | $18.62 | |
| New Hampshire | $21.25 | $18.47 | |
| Minnesota | $21.19 | $18.44 | |
| Puerto Rico | $21.10 | $18.40 | |
| Virgin Islands | $21.10 | $18.40 | |
| Pennsylvania | $21.08 | $18.47 | |
| Delaware | $21.06 | $18.42 | |
| Florida | $21.06 | $18.38 | |
| Nevada | $21.05 | $18.37 | |
| Texas | $21.05 | $18.42 | |
| Montana | $21.04 | $18.37 | |
| North Dakota | $21.04 | $18.37 | |
| South Dakota | $21.04 | $18.37 | |
| Wyoming | $21.04 | $18.37 | |
| Vermont | $20.99 | $18.35 | |
| Virginia | $20.96 | $18.33 | |
| Illinois | $20.93 | $18.35 | |
| Arizona | $20.89 | $18.30 | |
| Georgia | $20.84 | $18.29 | |
| Wisconsin | $20.83 | $18.27 | |
| Maine | $20.82 | $18.27 | |
| Michigan | $20.74 | $18.23 | |
| Utah | $20.74 | $18.23 | |
| North Carolina | $20.71 | $18.21 | |
| Indiana | $20.68 | $18.20 | |
| Nebraska | $20.66 | $18.19 | |
| South Carolina | $20.66 | $18.19 | |
| Idaho | $20.64 | $18.18 | |
| Missouri | $20.63 | $18.18 | |
| New Mexico | $20.63 | $18.18 | |
| Iowa | $20.62 | $18.17 | |
| Louisiana | $20.61 | $18.17 | |
| Ohio | $20.61 | $18.17 | |
| Tennessee | $20.59 | $18.16 | |
| Kansas | $20.56 | $18.15 | |
| Oklahoma | $20.51 | $18.12 | |
| Kentucky | $20.49 | $18.11 | |
| Alabama | $20.42 | $18.08 | |
| West Virginia | $20.39 | $18.06 | |
| Mississippi | $20.35 | $18.05 | |
| Arkansas | $20.34 | $18.04 |
Medicare is the floor, not the market. See what UHC, Aetna, Cigna and BCBS actually pay — down to the TIN.
See negotiated rates