CPT 99254 pays $137.61 in a non-facility setting and $137.61 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $129.07 in Arkansas to $183.16 in Alaska, a 42% spread.
National non-facility rate
$137.61
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 | $183.16 | $183.16 | |
| District of Columbia | $150.47 | $150.47 | |
| New York | $148.71 | $148.71 | |
| New Jersey | $147.94 | $147.94 | |
| California | $145.80 | $145.80 | |
| Washington | $145.03 | $145.03 | |
| Massachusetts | $144.39 | $144.39 | |
| Connecticut | $143.78 | $143.78 | |
| Florida | $143.12 | $143.12 | |
| Illinois | $141.72 | $141.72 | |
| Maryland | $140.98 | $140.98 | |
| Hawaii | $140.85 | $140.85 | |
| Colorado | $140.09 | $140.09 | |
| Rhode Island | $140.08 | $140.08 | |
| Oregon | $138.97 | $138.97 | |
| New Hampshire | $138.59 | $138.59 | |
| Pennsylvania | $137.98 | $137.98 | |
| Puerto Rico | $137.98 | $137.98 | |
| Virgin Islands | $137.98 | $137.98 | |
| Montana | $137.60 | $137.60 | |
| Michigan | $137.42 | $137.42 | |
| Texas | $137.07 | $137.07 | |
| Delaware | $137.00 | $137.00 | |
| Georgia | $136.97 | $136.97 | |
| Nevada | $136.70 | $136.70 | |
| Wyoming | $136.14 | $136.14 | |
| Arizona | $135.52 | $135.52 | |
| New Mexico | $135.34 | $135.34 | |
| Virginia | $135.24 | $135.24 | |
| Minnesota | $134.81 | $134.81 | |
| West Virginia | $134.68 | $134.68 | |
| Utah | $134.57 | $134.57 | |
| Vermont | $134.40 | $134.40 | |
| Louisiana | $134.30 | $134.30 | |
| North Dakota | $134.24 | $134.24 | |
| Missouri | $134.14 | $134.14 | |
| Ohio | $134.08 | $134.08 | |
| South Dakota | $133.84 | $133.84 | |
| Maine | $133.66 | $133.66 | |
| South Carolina | $133.64 | $133.64 | |
| North Carolina | $132.81 | $132.81 | |
| Kentucky | $132.57 | $132.57 | |
| Wisconsin | $131.96 | $131.96 | |
| Oklahoma | $131.95 | $131.95 | |
| Indiana | $131.69 | $131.69 | |
| Idaho | $131.33 | $131.33 | |
| Tennessee | $131.24 | $131.24 | |
| Nebraska | $130.92 | $130.92 | |
| Kansas | $130.85 | $130.85 | |
| Iowa | $130.70 | $130.70 | |
| Mississippi | $130.42 | $130.42 | |
| Alabama | $130.01 | $130.01 | |
| Arkansas | $129.07 | $129.07 |
Medicare is the floor, not the market. See what UHC, Aetna, Cigna and BCBS actually pay — down to the TIN.
See negotiated rates