CPT 99174 pays $6.68 in a non-facility setting and $6.68 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $5.62 in Arkansas to $7.85 in District of Columbia, a 40% spread.
National non-facility rate
$6.68
Office and other outpatient settings
Hospital and ASC settings
District of Columbia
Arkansas · 40% 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 | $7.85 | $7.85 | |
| California | $7.69 | $7.69 | |
| New York | $7.53 | $7.53 | |
| New Jersey | $7.51 | $7.51 | |
| Washington | $7.50 | $7.50 | |
| Hawaii | $7.41 | $7.41 | |
| Massachusetts | $7.41 | $7.41 | |
| Connecticut | $7.24 | $7.24 | |
| Florida | $7.02 | $7.02 | |
| Colorado | $7.01 | $7.01 | |
| Maryland | $6.98 | $6.98 | |
| Alaska | $6.94 | $6.94 | |
| Oregon | $6.93 | $6.93 | |
| New Hampshire | $6.90 | $6.90 | |
| Rhode Island | $6.85 | $6.85 | |
| Illinois | $6.77 | $6.77 | |
| Puerto Rico | $6.74 | $6.74 | |
| Virgin Islands | $6.74 | $6.74 | |
| Montana | $6.68 | $6.68 | |
| Minnesota | $6.63 | $6.63 | |
| Nevada | $6.63 | $6.63 | |
| Wyoming | $6.59 | $6.59 | |
| Delaware | $6.57 | $6.57 | |
| Pennsylvania | $6.57 | $6.57 | |
| Texas | $6.56 | $6.56 | |
| North Dakota | $6.48 | $6.48 | |
| Virginia | $6.47 | $6.47 | |
| South Dakota | $6.46 | $6.46 | |
| Georgia | $6.45 | $6.45 | |
| Vermont | $6.45 | $6.45 | |
| Arizona | $6.44 | $6.44 | |
| Michigan | $6.43 | $6.43 | |
| Maine | $6.27 | $6.27 | |
| Utah | $6.27 | $6.27 | |
| New Mexico | $6.22 | $6.22 | |
| Wisconsin | $6.18 | $6.18 | |
| Missouri | $6.15 | $6.15 | |
| South Carolina | $6.15 | $6.15 | |
| Louisiana | $6.14 | $6.14 | |
| North Carolina | $6.13 | $6.13 | |
| Ohio | $6.13 | $6.13 | |
| Indiana | $6.05 | $6.05 | |
| Idaho | $6.00 | $6.00 | |
| West Virginia | $5.99 | $5.99 | |
| Nebraska | $5.98 | $5.98 | |
| Kentucky | $5.95 | $5.95 | |
| Tennessee | $5.95 | $5.95 | |
| Iowa | $5.94 | $5.94 | |
| Oklahoma | $5.93 | $5.93 | |
| Kansas | $5.91 | $5.91 | |
| Alabama | $5.74 | $5.74 | |
| Mississippi | $5.71 | $5.71 | |
| Arkansas | $5.62 | $5.62 |
Medicare is the floor, not the market. See what UHC, Aetna, Cigna and BCBS actually pay — down to the TIN.
See negotiated rates