CPT 99173 pays $3.34 in a non-facility setting and $3.34 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $2.75 in Arkansas to $3.91 in District of Columbia, a 42% spread.
National non-facility rate
$3.34
Office and other outpatient settings
Hospital and ASC settings
District of Columbia
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 |
|---|---|---|---|
| District of Columbia | $3.91 | $3.91 | |
| New York | $3.81 | $3.81 | |
| New Jersey | $3.75 | $3.75 | |
| California | $3.74 | $3.74 | |
| Washington | $3.69 | $3.69 | |
| Florida | $3.67 | $3.67 | |
| Massachusetts | $3.66 | $3.66 | |
| Connecticut | $3.64 | $3.64 | |
| Hawaii | $3.61 | $3.61 | |
| Illinois | $3.54 | $3.54 | |
| Maryland | $3.49 | $3.49 | |
| Colorado | $3.46 | $3.46 | |
| New Hampshire | $3.42 | $3.42 | |
| Oregon | $3.41 | $3.41 | |
| Rhode Island | $3.40 | $3.40 | |
| Alaska | $3.39 | $3.39 | |
| Puerto Rico | $3.37 | $3.37 | |
| Virgin Islands | $3.37 | $3.37 | |
| Montana | $3.34 | $3.34 | |
| Pennsylvania | $3.30 | $3.30 | |
| Michigan | $3.29 | $3.29 | |
| Nevada | $3.29 | $3.29 | |
| Delaware | $3.27 | $3.27 | |
| Georgia | $3.27 | $3.27 | |
| Texas | $3.27 | $3.27 | |
| Wyoming | $3.25 | $3.25 | |
| Arizona | $3.20 | $3.20 | |
| Minnesota | $3.19 | $3.19 | |
| Virginia | $3.19 | $3.19 | |
| New Mexico | $3.16 | $3.16 | |
| Vermont | $3.15 | $3.15 | |
| North Dakota | $3.14 | $3.14 | |
| Utah | $3.13 | $3.13 | |
| South Dakota | $3.12 | $3.12 | |
| Louisiana | $3.09 | $3.09 | |
| Missouri | $3.09 | $3.09 | |
| West Virginia | $3.09 | $3.09 | |
| Maine | $3.08 | $3.08 | |
| Ohio | $3.08 | $3.08 | |
| South Carolina | $3.06 | $3.06 | |
| North Carolina | $3.02 | $3.02 | |
| Kentucky | $2.98 | $2.98 | |
| Wisconsin | $2.98 | $2.98 | |
| Indiana | $2.95 | $2.95 | |
| Oklahoma | $2.94 | $2.94 | |
| Idaho | $2.92 | $2.92 | |
| Tennessee | $2.91 | $2.91 | |
| Nebraska | $2.90 | $2.90 | |
| Kansas | $2.89 | $2.89 | |
| Iowa | $2.88 | $2.88 | |
| Mississippi | $2.84 | $2.84 | |
| Alabama | $2.82 | $2.82 | |
| Arkansas | $2.75 | $2.75 |
Medicare is the floor, not the market. See what UHC, Aetna, Cigna and BCBS actually pay — down to the TIN.
See negotiated rates