CPT 99253 pays $98.87 in a non-facility setting and $98.87 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $92.97 in Arkansas to $132.29 in Alaska, a 42% spread.
National non-facility rate
$98.87
Office and other outpatient settings
Hospital and ASC settings
Alaska
Arkansas · 42% 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 | $132.29 | $132.29 | |
| District of Columbia | $107.92 | $107.92 | |
| New York | $106.72 | $106.72 | |
| New Jersey | $106.17 | $106.17 | |
| California | $104.57 | $104.57 | |
| Washington | $104.05 | $104.05 | |
| Massachusetts | $103.61 | $103.61 | |
| Connecticut | $103.20 | $103.20 | |
| Florida | $102.75 | $102.75 | |
| Illinois | $101.80 | $101.80 | |
| Maryland | $101.24 | $101.24 | |
| Hawaii | $101.02 | $101.02 | |
| Rhode Island | $100.63 | $100.63 | |
| Colorado | $100.59 | $100.59 | |
| Oregon | $99.79 | $99.79 | |
| New Hampshire | $99.52 | $99.52 | |
| Pennsylvania | $99.17 | $99.17 | |
| Puerto Rico | $99.12 | $99.12 | |
| Virgin Islands | $99.12 | $99.12 | |
| Montana | $98.86 | $98.86 | |
| Michigan | $98.79 | $98.79 | |
| Texas | $98.51 | $98.51 | |
| Delaware | $98.46 | $98.46 | |
| Georgia | $98.46 | $98.46 | |
| Nevada | $98.23 | $98.23 | |
| Wyoming | $97.82 | $97.82 | |
| Arizona | $97.42 | $97.42 | |
| New Mexico | $97.34 | $97.34 | |
| Virginia | $97.21 | $97.21 | |
| West Virginia | $96.92 | $96.92 | |
| Minnesota | $96.86 | $96.86 | |
| Utah | $96.77 | $96.77 | |
| Louisiana | $96.61 | $96.61 | |
| Vermont | $96.61 | $96.61 | |
| Missouri | $96.49 | $96.49 | |
| North Dakota | $96.49 | $96.49 | |
| Ohio | $96.46 | $96.46 | |
| South Dakota | $96.21 | $96.21 | |
| South Carolina | $96.13 | $96.13 | |
| Maine | $96.12 | $96.12 | |
| North Carolina | $95.54 | $95.54 | |
| Kentucky | $95.41 | $95.41 | |
| Oklahoma | $94.97 | $94.97 | |
| Wisconsin | $94.91 | $94.91 | |
| Indiana | $94.76 | $94.76 | |
| Idaho | $94.51 | $94.51 | |
| Tennessee | $94.46 | $94.46 | |
| Nebraska | $94.21 | $94.21 | |
| Kansas | $94.19 | $94.19 | |
| Iowa | $94.06 | $94.06 | |
| Mississippi | $93.92 | $93.92 | |
| Alabama | $93.62 | $93.62 | |
| Arkansas | $92.97 | $92.97 |
Medicare is the floor, not the market. See what UHC, Aetna, Cigna and BCBS actually pay — down to the TIN.
See negotiated rates