CPT 99152 pays $51.44 in a non-facility setting and $11.02 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $45.02 in Arkansas to $59.49 in District of Columbia, a 32% spread.
National non-facility rate
$51.44
Office and other outpatient settings
Hospital and ASC settings
District of Columbia
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 |
|---|---|---|---|
| District of Columbia | $59.49 | $11.88 | |
| California | $58.99 | $11.17 | |
| Alaska | $57.90 | $14.86 | |
| Washington | $57.38 | $11.31 | |
| New Jersey | $57.25 | $11.75 | |
| New York | $57.06 | $11.97 | |
| Hawaii | $56.78 | $10.83 | |
| Massachusetts | $56.72 | $11.31 | |
| Connecticut | $55.06 | $11.53 | |
| Colorado | $54.01 | $11.01 | |
| Oregon | $53.48 | $10.90 | |
| Maryland | $53.41 | $11.28 | |
| New Hampshire | $53.04 | $10.97 | |
| Rhode Island | $52.88 | $11.13 | |
| Florida | $52.53 | $11.98 | |
| Minnesota | $51.95 | $10.37 | |
| Puerto Rico | $51.89 | $11.03 | |
| Virgin Islands | $51.89 | $11.03 | |
| Montana | $51.44 | $11.02 | |
| Nevada | $51.31 | $10.86 | |
| Wyoming | $51.18 | $10.76 | |
| Illinois | $50.96 | $11.91 | |
| Delaware | $50.87 | $10.94 | |
| North Dakota | $50.84 | $10.43 | |
| South Dakota | $50.77 | $10.36 | |
| Texas | $50.76 | $10.97 | |
| Pennsylvania | $50.72 | $11.13 | |
| Vermont | $50.52 | $10.51 | |
| Virginia | $50.43 | $10.70 | |
| Arizona | $49.99 | $10.83 | |
| Georgia | $49.71 | $11.15 | |
| Michigan | $49.28 | $11.33 | |
| Maine | $49.19 | $10.57 | |
| Wisconsin | $48.98 | $10.26 | |
| Utah | $48.81 | $10.82 | |
| North Carolina | $48.26 | $10.55 | |
| New Mexico | $48.15 | $11.09 | |
| South Carolina | $48.09 | $10.75 | |
| Missouri | $47.96 | $10.87 | |
| Indiana | $47.85 | $10.39 | |
| Louisiana | $47.82 | $10.92 | |
| Ohio | $47.78 | $10.89 | |
| Nebraska | $47.57 | $10.27 | |
| Idaho | $47.54 | $10.36 | |
| Iowa | $47.26 | $10.28 | |
| Tennessee | $47.14 | $10.41 | |
| Kansas | $46.90 | $10.36 | |
| Oklahoma | $46.71 | $10.62 | |
| Kentucky | $46.68 | $10.75 | |
| West Virginia | $46.36 | $11.24 | |
| Alabama | $45.74 | $10.38 | |
| Mississippi | $45.33 | $10.53 | |
| Arkansas | $45.02 | $10.30 |
Medicare is the floor, not the market. See what UHC, Aetna, Cigna and BCBS actually pay — down to the TIN.
See negotiated rates