CPT 98961 pays $15.70 in a non-facility setting and $15.70 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $13.37 in Arkansas to $18.47 in District of Columbia, a 38% spread.
National non-facility rate
$15.70
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 | $18.47 | $18.47 | |
| California | $18.36 | $18.36 | |
| Washington | $17.78 | $17.78 | |
| Hawaii | $17.66 | $17.66 | |
| New Jersey | $17.66 | $17.66 | |
| New York | $17.59 | $17.59 | |
| Massachusetts | $17.54 | $17.54 | |
| Connecticut | $16.95 | $16.95 | |
| Colorado | $16.61 | $16.61 | |
| Alaska | $16.55 | $16.55 | |
| Oregon | $16.43 | $16.43 | |
| Maryland | $16.38 | $16.38 | |
| New Hampshire | $16.29 | $16.29 | |
| Rhode Island | $16.17 | $16.17 | |
| Florida | $16.07 | $16.07 | |
| Minnesota | $15.91 | $15.91 | |
| Puerto Rico | $15.86 | $15.86 | |
| Virgin Islands | $15.86 | $15.86 | |
| Montana | $15.70 | $15.70 | |
| Nevada | $15.66 | $15.66 | |
| Wyoming | $15.61 | $15.61 | |
| North Dakota | $15.50 | $15.50 | |
| Delaware | $15.48 | $15.48 | |
| Illinois | $15.48 | $15.48 | |
| South Dakota | $15.48 | $15.48 | |
| Texas | $15.44 | $15.44 | |
| Pennsylvania | $15.41 | $15.41 | |
| Vermont | $15.38 | $15.38 | |
| Virginia | $15.34 | $15.34 | |
| Arizona | $15.17 | $15.17 | |
| Georgia | $15.06 | $15.06 | |
| Michigan | $14.90 | $14.90 | |
| Maine | $14.89 | $14.89 | |
| Wisconsin | $14.82 | $14.82 | |
| Utah | $14.74 | $14.74 | |
| North Carolina | $14.55 | $14.55 | |
| New Mexico | $14.49 | $14.49 | |
| South Carolina | $14.48 | $14.48 | |
| Missouri | $14.43 | $14.43 | |
| Indiana | $14.41 | $14.41 | |
| Louisiana | $14.38 | $14.38 | |
| Ohio | $14.36 | $14.36 | |
| Nebraska | $14.31 | $14.31 | |
| Idaho | $14.29 | $14.29 | |
| Iowa | $14.19 | $14.19 | |
| Tennessee | $14.15 | $14.15 | |
| Kansas | $14.06 | $14.06 | |
| Oklahoma | $13.98 | $13.98 | |
| Kentucky | $13.96 | $13.96 | |
| West Virginia | $13.83 | $13.83 | |
| Alabama | $13.63 | $13.63 | |
| Mississippi | $13.48 | $13.48 | |
| Arkansas | $13.37 | $13.37 |
Medicare is the floor, not the market. See what UHC, Aetna, Cigna and BCBS actually pay — down to the TIN.
See negotiated rates