CPT 99255 pays $184.71 in a non-facility setting and $184.71 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $174.20 in Arkansas to $248.85 in Alaska, a 43% spread.
National non-facility rate
$184.71
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 | $248.85 | $248.85 | |
| District of Columbia | $201.10 | $201.10 | |
| New York | $199.14 | $199.14 | |
| New Jersey | $198.04 | $198.04 | |
| California | $194.63 | $194.63 | |
| Washington | $193.88 | $193.88 | |
| Massachusetts | $193.12 | $193.12 | |
| Connecticut | $192.60 | $192.60 | |
| Florida | $192.14 | $192.14 | |
| Illinois | $190.53 | $190.53 | |
| Maryland | $189.02 | $189.02 | |
| Hawaii | $188.06 | $188.06 | |
| Rhode Island | $187.91 | $187.91 | |
| Colorado | $187.65 | $187.65 | |
| Oregon | $186.19 | $186.19 | |
| New Hampshire | $185.72 | $185.72 | |
| Pennsylvania | $185.41 | $185.41 | |
| Puerto Rico | $185.12 | $185.12 | |
| Virgin Islands | $185.12 | $185.12 | |
| Michigan | $184.90 | $184.90 | |
| Montana | $184.69 | $184.69 | |
| Georgia | $184.20 | $184.20 | |
| Texas | $184.12 | $184.12 | |
| Delaware | $184.00 | $184.00 | |
| Nevada | $183.47 | $183.47 | |
| Wyoming | $182.71 | $182.71 | |
| New Mexico | $182.26 | $182.26 | |
| Arizona | $182.11 | $182.11 | |
| West Virginia | $181.72 | $181.72 | |
| Virginia | $181.63 | $181.63 | |
| Utah | $181.04 | $181.04 | |
| Louisiana | $180.88 | $180.88 | |
| Minnesota | $180.69 | $180.69 | |
| Missouri | $180.63 | $180.63 | |
| Ohio | $180.58 | $180.58 | |
| Vermont | $180.43 | $180.43 | |
| North Dakota | $180.14 | $180.14 | |
| South Carolina | $179.90 | $179.90 | |
| Maine | $179.70 | $179.70 | |
| South Dakota | $179.61 | $179.61 | |
| Kentucky | $178.72 | $178.72 | |
| North Carolina | $178.71 | $178.71 | |
| Oklahoma | $177.85 | $177.85 | |
| Wisconsin | $177.37 | $177.37 | |
| Indiana | $177.25 | $177.25 | |
| Idaho | $176.81 | $176.81 | |
| Tennessee | $176.77 | $176.77 | |
| Kansas | $176.28 | $176.28 | |
| Nebraska | $176.23 | $176.23 | |
| Mississippi | $176.02 | $176.02 | |
| Iowa | $175.99 | $175.99 | |
| Alabama | $175.36 | $175.36 | |
| Arkansas | $174.20 | $174.20 |
Medicare is the floor, not the market. See what UHC, Aetna, Cigna and BCBS actually pay — down to the TIN.
See negotiated rates