CPT 98960 pays $33.40 in a non-facility setting and $33.40 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $28.46 in Arkansas to $39.30 in District of Columbia, a 38% spread.
National non-facility rate
$33.40
Office and other outpatient settings
Hospital and ASC settings
District of Columbia
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 |
|---|---|---|---|
| District of Columbia | $39.30 | $39.30 | |
| California | $39.09 | $39.09 | |
| Washington | $37.84 | $37.84 | |
| Hawaii | $37.60 | $37.60 | |
| New Jersey | $37.58 | $37.58 | |
| New York | $37.43 | $37.43 | |
| Massachusetts | $37.34 | $37.34 | |
| Connecticut | $36.06 | $36.06 | |
| Colorado | $35.35 | $35.35 | |
| Alaska | $35.23 | $35.23 | |
| Oregon | $34.97 | $34.97 | |
| Maryland | $34.84 | $34.84 | |
| New Hampshire | $34.66 | $34.66 | |
| Rhode Island | $34.41 | $34.41 | |
| Florida | $34.14 | $34.14 | |
| Minnesota | $33.88 | $33.88 | |
| Puerto Rico | $33.75 | $33.75 | |
| Virgin Islands | $33.75 | $33.75 | |
| Montana | $33.40 | $33.40 | |
| Nevada | $33.32 | $33.32 | |
| Wyoming | $33.23 | $33.23 | |
| North Dakota | $33.00 | $33.00 | |
| South Dakota | $32.96 | $32.96 | |
| Delaware | $32.94 | $32.94 | |
| Illinois | $32.90 | $32.90 | |
| Texas | $32.85 | $32.85 | |
| Pennsylvania | $32.78 | $32.78 | |
| Vermont | $32.74 | $32.74 | |
| Virginia | $32.65 | $32.65 | |
| Arizona | $32.29 | $32.29 | |
| Georgia | $32.03 | $32.03 | |
| Maine | $31.69 | $31.69 | |
| Michigan | $31.68 | $31.68 | |
| Wisconsin | $31.56 | $31.56 | |
| Utah | $31.37 | $31.37 | |
| North Carolina | $30.97 | $30.97 | |
| New Mexico | $30.82 | $30.82 | |
| South Carolina | $30.81 | $30.81 | |
| Missouri | $30.70 | $30.70 | |
| Indiana | $30.67 | $30.67 | |
| Louisiana | $30.58 | $30.58 | |
| Ohio | $30.56 | $30.56 | |
| Nebraska | $30.46 | $30.46 | |
| Idaho | $30.43 | $30.43 | |
| Iowa | $30.22 | $30.22 | |
| Tennessee | $30.11 | $30.11 | |
| Kansas | $29.93 | $29.93 | |
| Oklahoma | $29.75 | $29.75 | |
| Kentucky | $29.71 | $29.71 | |
| West Virginia | $29.40 | $29.40 | |
| Alabama | $29.02 | $29.02 | |
| Mississippi | $28.68 | $28.68 | |
| Arkansas | $28.46 | $28.46 |
Medicare is the floor, not the market. See what UHC, Aetna, Cigna and BCBS actually pay — down to the TIN.
See negotiated rates