CPT 98962 pays $12.02 in a non-facility setting and $12.02 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $10.21 in Arkansas to $14.14 in District of Columbia, a 38% spread.
National non-facility rate
$12.02
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 | $14.14 | $14.14 | |
| California | $14.01 | $14.01 | |
| Washington | $13.59 | $13.59 | |
| New Jersey | $13.52 | $13.52 | |
| New York | $13.50 | $13.50 | |
| Hawaii | $13.49 | $13.49 | |
| Massachusetts | $13.42 | $13.42 | |
| Connecticut | $12.99 | $12.99 | |
| Colorado | $12.70 | $12.70 | |
| Alaska | $12.63 | $12.63 | |
| Oregon | $12.56 | $12.56 | |
| Maryland | $12.55 | $12.55 | |
| New Hampshire | $12.46 | $12.46 | |
| Florida | $12.38 | $12.38 | |
| Rhode Island | $12.37 | $12.37 | |
| Puerto Rico | $12.15 | $12.15 | |
| Virgin Islands | $12.15 | $12.15 | |
| Minnesota | $12.13 | $12.13 | |
| Montana | $12.02 | $12.02 | |
| Nevada | $11.98 | $11.98 | |
| Wyoming | $11.94 | $11.94 | |
| Illinois | $11.93 | $11.93 | |
| Delaware | $11.85 | $11.85 | |
| North Dakota | $11.83 | $11.83 | |
| Texas | $11.82 | $11.82 | |
| Pennsylvania | $11.81 | $11.81 | |
| South Dakota | $11.80 | $11.80 | |
| Vermont | $11.74 | $11.74 | |
| Virginia | $11.73 | $11.73 | |
| Arizona | $11.61 | $11.61 | |
| Georgia | $11.55 | $11.55 | |
| Michigan | $11.45 | $11.45 | |
| Maine | $11.38 | $11.38 | |
| Wisconsin | $11.30 | $11.30 | |
| Utah | $11.29 | $11.29 | |
| New Mexico | $11.12 | $11.12 | |
| North Carolina | $11.12 | $11.12 | |
| South Carolina | $11.09 | $11.09 | |
| Missouri | $11.06 | $11.06 | |
| Louisiana | $11.02 | $11.02 | |
| Ohio | $11.01 | $11.01 | |
| Indiana | $11.00 | $11.00 | |
| Nebraska | $10.92 | $10.92 | |
| Idaho | $10.91 | $10.91 | |
| Iowa | $10.83 | $10.83 | |
| Tennessee | $10.81 | $10.81 | |
| Kansas | $10.74 | $10.74 | |
| Kentucky | $10.70 | $10.70 | |
| Oklahoma | $10.70 | $10.70 | |
| West Virginia | $10.64 | $10.64 | |
| Alabama | $10.42 | $10.42 | |
| Mississippi | $10.31 | $10.31 | |
| Arkansas | $10.21 | $10.21 |
Medicare is the floor, not the market. See what UHC, Aetna, Cigna and BCBS actually pay — down to the TIN.
See negotiated rates