CPT 99177 pays $5.34 in a non-facility setting and $5.34 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $4.48 in Arkansas to $6.27 in District of Columbia, a 40% spread.
National non-facility rate
$5.34
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 | $6.27 | $6.27 | |
| California | $6.11 | $6.11 | |
| New York | $6.04 | $6.04 | |
| New Jersey | $6.00 | $6.00 | |
| Washington | $5.98 | $5.98 | |
| Massachusetts | $5.91 | $5.91 | |
| Hawaii | $5.89 | $5.89 | |
| Connecticut | $5.80 | $5.80 | |
| Florida | $5.68 | $5.68 | |
| Colorado | $5.59 | $5.59 | |
| Maryland | $5.58 | $5.58 | |
| Alaska | $5.52 | $5.52 | |
| Oregon | $5.52 | $5.52 | |
| New Hampshire | $5.51 | $5.51 | |
| Illinois | $5.48 | $5.48 | |
| Rhode Island | $5.47 | $5.47 | |
| Puerto Rico | $5.39 | $5.39 | |
| Virgin Islands | $5.39 | $5.39 | |
| Montana | $5.34 | $5.34 | |
| Nevada | $5.29 | $5.29 | |
| Pennsylvania | $5.26 | $5.26 | |
| Wyoming | $5.26 | $5.26 | |
| Delaware | $5.25 | $5.25 | |
| Minnesota | $5.25 | $5.25 | |
| Texas | $5.24 | $5.24 | |
| Georgia | $5.18 | $5.18 | |
| Michigan | $5.17 | $5.17 | |
| Virginia | $5.16 | $5.16 | |
| North Dakota | $5.15 | $5.15 | |
| Arizona | $5.14 | $5.14 | |
| Vermont | $5.13 | $5.13 | |
| South Dakota | $5.12 | $5.12 | |
| Utah | $5.01 | $5.01 | |
| Maine | $5.00 | $5.00 | |
| New Mexico | $5.00 | $5.00 | |
| Missouri | $4.93 | $4.93 | |
| Louisiana | $4.92 | $4.92 | |
| Ohio | $4.91 | $4.91 | |
| South Carolina | $4.91 | $4.91 | |
| Wisconsin | $4.90 | $4.90 | |
| North Carolina | $4.89 | $4.89 | |
| West Virginia | $4.83 | $4.83 | |
| Indiana | $4.81 | $4.81 | |
| Idaho | $4.77 | $4.77 | |
| Kentucky | $4.76 | $4.76 | |
| Nebraska | $4.75 | $4.75 | |
| Oklahoma | $4.73 | $4.73 | |
| Tennessee | $4.73 | $4.73 | |
| Iowa | $4.72 | $4.72 | |
| Kansas | $4.70 | $4.70 | |
| Alabama | $4.57 | $4.57 | |
| Mississippi | $4.56 | $4.56 | |
| Arkansas | $4.48 | $4.48 |
Medicare is the floor, not the market. See what UHC, Aetna, Cigna and BCBS actually pay — down to the TIN.
See negotiated rates