CPT 99156 pays $71.14 in a non-facility setting and $71.14 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $66.35 in Wisconsin to $96.48 in Alaska, a 45% spread.
National non-facility rate
$71.14
Office and other outpatient settings
Hospital and ASC settings
Alaska
Wisconsin · 45% 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 | $96.48 | $96.48 | |
| Florida | $77.18 | $77.18 | |
| New York | $77.16 | $77.16 | |
| Illinois | $76.79 | $76.79 | |
| District of Columbia | $76.56 | $76.56 | |
| New Jersey | $75.73 | $75.73 | |
| Connecticut | $74.32 | $74.32 | |
| Michigan | $73.14 | $73.14 | |
| Massachusetts | $72.92 | $72.92 | |
| Washington | $72.90 | $72.90 | |
| Maryland | $72.76 | $72.76 | |
| West Virginia | $72.61 | $72.61 | |
| Georgia | $72.03 | $72.03 | |
| California | $71.99 | $71.99 | |
| Pennsylvania | $71.88 | $71.88 | |
| Rhode Island | $71.83 | $71.83 | |
| New Mexico | $71.62 | $71.62 | |
| Puerto Rico | $71.16 | $71.16 | |
| Virgin Islands | $71.16 | $71.16 | |
| Montana | $71.13 | $71.13 | |
| Colorado | $71.04 | $71.04 | |
| Texas | $70.85 | $70.85 | |
| New Hampshire | $70.75 | $70.75 | |
| Delaware | $70.66 | $70.66 | |
| Louisiana | $70.60 | $70.60 | |
| Ohio | $70.35 | $70.35 | |
| Oregon | $70.35 | $70.35 | |
| Missouri | $70.25 | $70.25 | |
| Nevada | $70.09 | $70.09 | |
| Arizona | $69.93 | $69.93 | |
| Utah | $69.92 | $69.92 | |
| Hawaii | $69.80 | $69.80 | |
| Kentucky | $69.53 | $69.53 | |
| Wyoming | $69.49 | $69.49 | |
| South Carolina | $69.46 | $69.46 | |
| Virginia | $69.11 | $69.11 | |
| Oklahoma | $68.69 | $68.69 | |
| Maine | $68.34 | $68.34 | |
| North Carolina | $68.20 | $68.20 | |
| Mississippi | $68.14 | $68.14 | |
| Vermont | $67.91 | $67.91 | |
| North Dakota | $67.37 | $67.37 | |
| Tennessee | $67.32 | $67.32 | |
| Alabama | $67.18 | $67.18 | |
| Indiana | $67.17 | $67.17 | |
| Kansas | $67.07 | $67.07 | |
| Idaho | $67.02 | $67.02 | |
| Minnesota | $66.96 | $66.96 | |
| South Dakota | $66.93 | $66.93 | |
| Arkansas | $66.70 | $66.70 | |
| Iowa | $66.49 | $66.49 | |
| Nebraska | $66.45 | $66.45 | |
| Wisconsin | $66.35 | $66.35 |
Medicare is the floor, not the market. See what UHC, Aetna, Cigna and BCBS actually pay — down to the TIN.
See negotiated rates