CPT 97542 pays $31.06 in a non-facility setting and $31.06 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $28.83 in Arkansas to $39.88 in Alaska, a 38% spread.
National non-facility rate
$31.06
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 | $39.88 | $39.88 | |
| District of Columbia | $34.58 | $34.58 | |
| California | $34.18 | $34.18 | |
| New Jersey | $33.77 | $33.77 | |
| New York | $33.64 | $33.64 | |
| Washington | $33.55 | $33.55 | |
| Massachusetts | $33.28 | $33.28 | |
| Hawaii | $32.94 | $32.94 | |
| Connecticut | $32.59 | $32.59 | |
| Colorado | $32.12 | $32.12 | |
| Maryland | $31.92 | $31.92 | |
| Oregon | $31.89 | $31.89 | |
| Rhode Island | $31.82 | $31.82 | |
| New Hampshire | $31.62 | $31.62 | |
| Florida | $31.43 | $31.43 | |
| Minnesota | $31.25 | $31.25 | |
| Puerto Rico | $31.22 | $31.22 | |
| Virgin Islands | $31.22 | $31.22 | |
| Montana | $31.06 | $31.06 | |
| Nevada | $31.02 | $31.02 | |
| Wyoming | $30.98 | $30.98 | |
| Delaware | $30.93 | $30.93 | |
| Illinois | $30.93 | $30.93 | |
| Pennsylvania | $30.93 | $30.93 | |
| Texas | $30.90 | $30.90 | |
| North Dakota | $30.86 | $30.86 | |
| South Dakota | $30.84 | $30.84 | |
| Vermont | $30.75 | $30.75 | |
| Virginia | $30.71 | $30.71 | |
| Arizona | $30.56 | $30.56 | |
| Georgia | $30.48 | $30.48 | |
| Michigan | $30.30 | $30.30 | |
| Maine | $30.28 | $30.28 | |
| Wisconsin | $30.21 | $30.21 | |
| Utah | $30.15 | $30.15 | |
| North Carolina | $29.96 | $29.96 | |
| New Mexico | $29.91 | $29.91 | |
| South Carolina | $29.90 | $29.90 | |
| Missouri | $29.85 | $29.85 | |
| Indiana | $29.82 | $29.82 | |
| Louisiana | $29.80 | $29.80 | |
| Ohio | $29.79 | $29.79 | |
| Nebraska | $29.72 | $29.72 | |
| Idaho | $29.71 | $29.71 | |
| Iowa | $29.61 | $29.61 | |
| Tennessee | $29.57 | $29.57 | |
| Kansas | $29.49 | $29.49 | |
| Oklahoma | $29.42 | $29.42 | |
| Kentucky | $29.40 | $29.40 | |
| West Virginia | $29.28 | $29.28 | |
| Alabama | $29.08 | $29.08 | |
| Mississippi | $28.93 | $28.93 | |
| Arkansas | $28.83 | $28.83 |
Medicare is the floor, not the market. See what UHC, Aetna, Cigna and BCBS actually pay — down to the TIN.
See negotiated rates