CPT 99234 pays $88.18 in a non-facility setting and $88.18 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $83.10 in Arkansas to $119.88 in Alaska, a 44% spread.
National non-facility rate
$88.18
Office and other outpatient settings
Hospital and ASC settings
Alaska
Arkansas · 44% 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 | $119.88 | $119.88 | |
| New York | $95.28 | $95.28 | |
| District of Columbia | $95.20 | $95.20 | |
| New Jersey | $94.05 | $94.05 | |
| Florida | $93.92 | $93.92 | |
| Illinois | $93.37 | $93.37 | |
| Connecticut | $91.96 | $91.96 | |
| Washington | $91.17 | $91.17 | |
| Massachusetts | $91.04 | $91.04 | |
| California | $90.64 | $90.64 | |
| Maryland | $90.17 | $90.17 | |
| Michigan | $89.69 | $89.69 | |
| Rhode Island | $89.31 | $89.31 | |
| Pennsylvania | $88.88 | $88.88 | |
| West Virginia | $88.76 | $88.76 | |
| Georgia | $88.75 | $88.75 | |
| Colorado | $88.65 | $88.65 | |
| Puerto Rico | $88.26 | $88.26 | |
| Virgin Islands | $88.26 | $88.26 | |
| Montana | $88.17 | $88.17 | |
| New Mexico | $88.11 | $88.11 | |
| New Hampshire | $88.06 | $88.06 | |
| Texas | $87.88 | $87.88 | |
| Oregon | $87.87 | $87.87 | |
| Hawaii | $87.75 | $87.75 | |
| Delaware | $87.72 | $87.72 | |
| Nevada | $87.19 | $87.19 | |
| Louisiana | $87.12 | $87.12 | |
| Ohio | $86.89 | $86.89 | |
| Arizona | $86.84 | $86.84 | |
| Missouri | $86.82 | $86.82 | |
| Utah | $86.64 | $86.64 | |
| Wyoming | $86.62 | $86.62 | |
| Virginia | $86.15 | $86.15 | |
| South Carolina | $86.11 | $86.11 | |
| Kentucky | $85.96 | $85.96 | |
| Maine | $85.25 | $85.25 | |
| Oklahoma | $85.19 | $85.19 | |
| Vermont | $85.05 | $85.05 | |
| North Carolina | $84.98 | $84.98 | |
| North Dakota | $84.61 | $84.61 | |
| Mississippi | $84.47 | $84.47 | |
| Minnesota | $84.39 | $84.39 | |
| South Dakota | $84.19 | $84.19 | |
| Tennessee | $84.00 | $84.00 | |
| Indiana | $83.97 | $83.97 | |
| Idaho | $83.78 | $83.78 | |
| Kansas | $83.72 | $83.72 | |
| Alabama | $83.65 | $83.65 | |
| Wisconsin | $83.37 | $83.37 | |
| Nebraska | $83.26 | $83.26 | |
| Iowa | $83.25 | $83.25 | |
| Arkansas | $83.10 | $83.10 |
Medicare is the floor, not the market. See what UHC, Aetna, Cigna and BCBS actually pay — down to the TIN.
See negotiated rates