CPT 99235 pays $142.96 in a non-facility setting and $142.96 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $135.19 in Arkansas to $195.03 in Alaska, a 44% spread.
National non-facility rate
$142.96
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 | $195.03 | $195.03 | |
| District of Columbia | $154.44 | $154.44 | |
| New York | $154.14 | $154.14 | |
| New Jersey | $152.54 | $152.54 | |
| Florida | $150.95 | $150.95 | |
| Illinois | $150.05 | $150.05 | |
| Connecticut | $148.91 | $148.91 | |
| Washington | $148.30 | $148.30 | |
| Massachusetts | $147.99 | $147.99 | |
| California | $147.85 | $147.85 | |
| Maryland | $146.13 | $146.13 | |
| Rhode Island | $144.98 | $144.98 | |
| Michigan | $144.75 | $144.75 | |
| Colorado | $144.11 | $144.11 | |
| Pennsylvania | $143.97 | $143.97 | |
| Georgia | $143.55 | $143.55 | |
| Puerto Rico | $143.12 | $143.12 | |
| Virgin Islands | $143.12 | $143.12 | |
| West Virginia | $143.10 | $143.10 | |
| Hawaii | $143.06 | $143.06 | |
| New Hampshire | $142.99 | $142.99 | |
| Montana | $142.94 | $142.94 | |
| Oregon | $142.92 | $142.92 | |
| Texas | $142.55 | $142.55 | |
| New Mexico | $142.44 | $142.44 | |
| Delaware | $142.34 | $142.34 | |
| Nevada | $141.59 | $141.59 | |
| Louisiana | $141.05 | $141.05 | |
| Arizona | $140.94 | $140.94 | |
| Wyoming | $140.78 | $140.78 | |
| Ohio | $140.73 | $140.73 | |
| Missouri | $140.65 | $140.65 | |
| Utah | $140.52 | $140.52 | |
| Virginia | $140.05 | $140.05 | |
| South Carolina | $139.70 | $139.70 | |
| Kentucky | $139.32 | $139.32 | |
| Maine | $138.66 | $138.66 | |
| Vermont | $138.57 | $138.57 | |
| Oklahoma | $138.27 | $138.27 | |
| North Carolina | $138.17 | $138.17 | |
| North Dakota | $138.00 | $138.00 | |
| Minnesota | $137.84 | $137.84 | |
| South Dakota | $137.41 | $137.41 | |
| Mississippi | $137.11 | $137.11 | |
| Indiana | $136.74 | $136.74 | |
| Tennessee | $136.69 | $136.69 | |
| Idaho | $136.44 | $136.44 | |
| Kansas | $136.28 | $136.28 | |
| Wisconsin | $136.07 | $136.07 | |
| Alabama | $136.03 | $136.03 | |
| Nebraska | $135.73 | $135.73 | |
| Iowa | $135.68 | $135.68 | |
| Arkansas | $135.19 | $135.19 |
Medicare is the floor, not the market. See what UHC, Aetna, Cigna and BCBS actually pay — down to the TIN.
See negotiated rates