CPT 99151 pays $62.13 in a non-facility setting and $21.04 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $55.38 in Arkansas to $72.91 in Alaska, a 32% spread.
National non-facility rate
$62.13
Office and other outpatient settings
Hospital and ASC settings
Alaska
Arkansas · 32% 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 | $72.91 | $29.16 | |
| District of Columbia | $71.05 | $22.65 | |
| California | $70.41 | $21.79 | |
| New Jersey | $68.67 | $22.41 | |
| Washington | $68.66 | $21.82 | |
| New York | $68.41 | $22.58 | |
| Massachusetts | $67.93 | $21.77 | |
| Hawaii | $67.79 | $21.08 | |
| Connecticut | $66.09 | $21.84 | |
| Colorado | $64.95 | $21.24 | |
| Oregon | $64.36 | $21.08 | |
| Maryland | $64.31 | $21.48 | |
| New Hampshire | $63.82 | $21.05 | |
| Rhode Island | $63.80 | $21.36 | |
| Florida | $63.22 | $22.00 | |
| Minnesota | $62.71 | $20.43 | |
| Puerto Rico | $62.60 | $21.06 | |
| Virgin Islands | $62.60 | $21.06 | |
| Montana | $62.12 | $21.04 | |
| Nevada | $62.00 | $20.88 | |
| Wyoming | $61.87 | $20.78 | |
| Illinois | $61.60 | $21.90 | |
| Delaware | $61.57 | $20.98 | |
| North Dakota | $61.53 | $20.45 | |
| South Dakota | $61.46 | $20.38 | |
| Texas | $61.46 | $21.01 | |
| Pennsylvania | $61.43 | $21.19 | |
| Vermont | $61.19 | $20.51 | |
| Virginia | $61.08 | $20.69 | |
| Arizona | $60.60 | $20.79 | |
| Georgia | $60.30 | $21.11 | |
| Michigan | $59.82 | $21.25 | |
| Maine | $59.77 | $20.52 | |
| Wisconsin | $59.57 | $20.21 | |
| Utah | $59.36 | $20.74 | |
| North Carolina | $58.79 | $20.46 | |
| New Mexico | $58.64 | $20.97 | |
| South Carolina | $58.60 | $20.64 | |
| Missouri | $58.45 | $20.75 | |
| Indiana | $58.37 | $20.28 | |
| Louisiana | $58.31 | $20.80 | |
| Ohio | $58.27 | $20.76 | |
| Nebraska | $58.08 | $20.16 | |
| Idaho | $58.04 | $20.25 | |
| Iowa | $57.75 | $20.15 | |
| Tennessee | $57.62 | $20.27 | |
| Kansas | $57.36 | $20.22 | |
| Oklahoma | $57.15 | $20.46 | |
| Kentucky | $57.11 | $20.59 | |
| West Virginia | $56.74 | $21.04 | |
| Alabama | $56.14 | $20.19 | |
| Mississippi | $55.69 | $20.32 | |
| Arkansas | $55.38 | $20.09 |
Medicare is the floor, not the market. See what UHC, Aetna, Cigna and BCBS actually pay — down to the TIN.
See negotiated rates