CPT 99091 pays $55.45 in a non-facility setting and $47.43 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $52.00 in Arkansas to $73.83 in Alaska, a 42% spread.
National non-facility rate
$55.45
Office and other outpatient settings
Hospital and ASC settings
Alaska
Arkansas · 42% 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 | $73.83 | $65.29 | |
| District of Columbia | $60.61 | $51.16 | |
| New York | $59.92 | $50.98 | |
| New Jersey | $59.59 | $50.57 | |
| California | $58.69 | $49.21 | |
| Washington | $58.40 | $49.26 | |
| Massachusetts | $58.15 | $49.14 | |
| Connecticut | $57.93 | $49.30 | |
| Florida | $57.71 | $49.67 | |
| Illinois | $57.15 | $49.41 | |
| Maryland | $56.80 | $48.44 | |
| Hawaii | $56.70 | $47.59 | |
| Rhode Island | $56.43 | $48.15 | |
| Colorado | $56.42 | $47.89 | |
| Oregon | $55.97 | $47.52 | |
| New Hampshire | $55.82 | $47.48 | |
| Pennsylvania | $55.60 | $47.75 | |
| Puerto Rico | $55.59 | $47.49 | |
| Virgin Islands | $55.59 | $47.49 | |
| Montana | $55.44 | $47.42 | |
| Michigan | $55.40 | $47.87 | |
| Texas | $55.23 | $47.34 | |
| Georgia | $55.21 | $47.56 | |
| Delaware | $55.20 | $47.28 | |
| Nevada | $55.07 | $47.05 | |
| Wyoming | $54.84 | $46.82 | |
| Arizona | $54.60 | $46.83 | |
| New Mexico | $54.56 | $47.21 | |
| Virginia | $54.48 | $46.60 | |
| West Virginia | $54.31 | $47.34 | |
| Minnesota | $54.27 | $46.03 | |
| Utah | $54.23 | $46.69 | |
| Louisiana | $54.13 | $46.81 | |
| Vermont | $54.13 | $46.19 | |
| Missouri | $54.06 | $46.71 | |
| North Dakota | $54.06 | $46.04 | |
| Ohio | $54.04 | $46.72 | |
| South Dakota | $53.89 | $45.88 | |
| South Carolina | $53.85 | $46.44 | |
| Maine | $53.84 | $46.18 | |
| North Carolina | $53.50 | $46.03 | |
| Kentucky | $53.43 | $46.30 | |
| Oklahoma | $53.17 | $46.01 | |
| Wisconsin | $53.14 | $45.46 | |
| Indiana | $53.05 | $45.62 | |
| Idaho | $52.90 | $45.53 | |
| Tennessee | $52.87 | $45.59 | |
| Nebraska | $52.73 | $45.33 | |
| Kansas | $52.71 | $45.47 | |
| Iowa | $52.64 | $45.31 | |
| Mississippi | $52.56 | $45.66 | |
| Alabama | $52.38 | $45.37 | |
| Arkansas | $52.00 | $45.12 |
Medicare is the floor, not the market. See what UHC, Aetna, Cigna and BCBS actually pay — down to the TIN.
See negotiated rates