# CPT 99174: Instrument-based ocular screening, bilateral

Medicare 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.

Web page: https://www.med-reveal.com/rates/99174-cpt-fee-schedule
Section: Medical and Therapeutic Services
Billed by: Optometrist, Pediatrics

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $6.68 |
| National facility | $6.68 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | 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 |
| Georgia | $6.46 | $6.46 |
| South Dakota | $6.46 | $6.46 |
| Vermont | $6.45 | $6.45 |
| Arizona | $6.44 | $6.44 |
| Michigan | $6.43 | $6.43 |
| Maine | $6.28 | $6.28 |
| Utah | $6.27 | $6.27 |
| New Mexico | $6.22 | $6.22 |
| Wisconsin | $6.18 | $6.18 |
| Missouri | $6.16 | $6.16 |
| Louisiana | $6.15 | $6.15 |
| South Carolina | $6.15 | $6.15 |
| 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 |

## Related codes

- 99024: Postoperative follow-up visit, included in global service — https://www.med-reveal.com/rates/99024-cpt-fee-schedule
- 99050: Services provided after posted office hours — https://www.med-reveal.com/rates/99050-cpt-fee-schedule
- 99051: Services provided during regularly scheduled evening, weekend, or holiday office hours — https://www.med-reveal.com/rates/99051-cpt-fee-schedule
- 99053: Services provided between 10pm and 8am at a 24-hour facility — https://www.med-reveal.com/rates/99053-cpt-fee-schedule
- 99056: Services provided out of office at patient's request, unusual circumstances — https://www.med-reveal.com/rates/99056-cpt-fee-schedule
- 99058: Office services provided on an emergency basis — https://www.med-reveal.com/rates/99058-cpt-fee-schedule
- 99060: Services provided on an emergency basis, out of office — https://www.med-reveal.com/rates/99060-cpt-fee-schedule
- 99070: Supplies and materials provided by physician over and above usual — https://www.med-reveal.com/rates/99070-cpt-fee-schedule

Commercial negotiated rates for 99174 by payer and state: https://www.med-reveal.com/solutions/rate-benchmarking

## Sources

- CMS Medicare fee schedules (2026 Q4): https://www.cms.gov/medicare/payment/fee-schedules