CPT 99252 pays $70.14 in a non-facility setting and $70.14 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $66.40 in Arkansas to $95.12 in Alaska, a 43% spread.
National non-facility rate
$70.14
Office and other outpatient settings
Hospital and ASC settings
Alaska
Arkansas · 43% 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 | $95.12 | $95.12 | |
| District of Columbia | $76.24 | $76.24 | |
| New York | $75.49 | $75.49 | |
| New Jersey | $75.13 | $75.13 | |
| California | $73.90 | $73.90 | |
| Washington | $73.59 | $73.59 | |
| Massachusetts | $73.30 | $73.30 | |
| Connecticut | $73.04 | $73.04 | |
| Florida | $72.73 | $72.73 | |
| Illinois | $72.17 | $72.17 | |
| Maryland | $71.74 | $71.74 | |
| Hawaii | $71.40 | $71.40 | |
| Rhode Island | $71.38 | $71.38 | |
| Colorado | $71.27 | $71.27 | |
| Oregon | $70.73 | $70.73 | |
| New Hampshire | $70.52 | $70.52 | |
| Pennsylvania | $70.42 | $70.42 | |
| Puerto Rico | $70.29 | $70.29 | |
| Virgin Islands | $70.29 | $70.29 | |
| Michigan | $70.17 | $70.17 | |
| Montana | $70.14 | $70.14 | |
| Texas | $69.96 | $69.96 | |
| Georgia | $69.94 | $69.94 | |
| Delaware | $69.91 | $69.91 | |
| Nevada | $69.71 | $69.71 | |
| Wyoming | $69.45 | $69.45 | |
| New Mexico | $69.24 | $69.24 | |
| Arizona | $69.22 | $69.22 | |
| Virginia | $69.06 | $69.06 | |
| West Virginia | $69.02 | $69.02 | |
| Utah | $68.83 | $68.83 | |
| Louisiana | $68.76 | $68.76 | |
| Minnesota | $68.76 | $68.76 | |
| Missouri | $68.67 | $68.67 | |
| Ohio | $68.65 | $68.65 | |
| Vermont | $68.65 | $68.65 | |
| North Dakota | $68.55 | $68.55 | |
| South Carolina | $68.42 | $68.42 | |
| Maine | $68.37 | $68.37 | |
| South Dakota | $68.37 | $68.37 | |
| North Carolina | $68.01 | $68.01 | |
| Kentucky | $67.99 | $67.99 | |
| Oklahoma | $67.69 | $67.69 | |
| Wisconsin | $67.56 | $67.56 | |
| Indiana | $67.50 | $67.50 | |
| Idaho | $67.34 | $67.34 | |
| Tennessee | $67.32 | $67.32 | |
| Kansas | $67.15 | $67.15 | |
| Nebraska | $67.14 | $67.14 | |
| Iowa | $67.05 | $67.05 | |
| Mississippi | $67.03 | $67.03 | |
| Alabama | $66.81 | $66.81 | |
| Arkansas | $66.40 | $66.40 |
Medicare is the floor, not the market. See what UHC, Aetna, Cigna and BCBS actually pay — down to the TIN.
See negotiated rates