CPT 99236 pays $189.72 in a non-facility setting and $189.72 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $179.08 in Arkansas to $258.34 in Alaska, a 44% spread.
National non-facility rate
$189.72
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 | $258.34 | $258.34 | |
| District of Columbia | $204.90 | $204.90 | |
| New York | $204.79 | $204.79 | |
| New Jersey | $202.40 | $202.40 | |
| Florida | $201.21 | $201.21 | |
| Illinois | $200.02 | $200.02 | |
| Connecticut | $197.74 | $197.74 | |
| Washington | $196.47 | $196.47 | |
| Massachusetts | $196.14 | $196.14 | |
| California | $195.60 | $195.60 | |
| Maryland | $193.96 | $193.96 | |
| Michigan | $192.54 | $192.54 | |
| Rhode Island | $192.27 | $192.27 | |
| Pennsylvania | $191.14 | $191.14 | |
| Colorado | $190.99 | $190.99 | |
| Georgia | $190.73 | $190.73 | |
| West Virginia | $190.44 | $190.44 | |
| Puerto Rico | $189.91 | $189.91 | |
| Virgin Islands | $189.91 | $189.91 | |
| Montana | $189.69 | $189.69 | |
| New Hampshire | $189.61 | $189.61 | |
| Oregon | $189.36 | $189.36 | |
| Hawaii | $189.32 | $189.32 | |
| New Mexico | $189.31 | $189.31 | |
| Texas | $189.12 | $189.12 | |
| Delaware | $188.81 | $188.81 | |
| Nevada | $187.74 | $187.74 | |
| Louisiana | $187.32 | $187.32 | |
| Arizona | $186.93 | $186.93 | |
| Ohio | $186.85 | $186.85 | |
| Missouri | $186.72 | $186.72 | |
| Wyoming | $186.59 | $186.59 | |
| Utah | $186.45 | $186.45 | |
| Virginia | $185.60 | $185.60 | |
| South Carolina | $185.32 | $185.32 | |
| Kentucky | $184.91 | $184.91 | |
| Maine | $183.71 | $183.71 | |
| Vermont | $183.44 | $183.44 | |
| Oklahoma | $183.39 | $183.39 | |
| North Carolina | $183.09 | $183.09 | |
| North Dakota | $182.57 | $182.57 | |
| Minnesota | $182.24 | $182.24 | |
| Mississippi | $181.84 | $181.84 | |
| South Dakota | $181.73 | $181.73 | |
| Indiana | $181.05 | $181.05 | |
| Tennessee | $181.05 | $181.05 | |
| Idaho | $180.65 | $180.65 | |
| Kansas | $180.48 | $180.48 | |
| Alabama | $180.24 | $180.24 | |
| Wisconsin | $179.97 | $179.97 | |
| Nebraska | $179.61 | $179.61 | |
| Iowa | $179.57 | $179.57 | |
| Arkansas | $179.08 | $179.08 |
Medicare is the floor, not the market. See what UHC, Aetna, Cigna and BCBS actually pay — down to the TIN.
See negotiated rates