CPT 99304 pays $81.16 in a non-facility setting and $71.14 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $75.75 in Arkansas to $106.69 in Alaska, a 41% spread.
National non-facility rate
$81.16
Office and other outpatient settings
Hospital and ASC settings
Alaska
Arkansas · 41% 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 | $106.69 | $96.02 | |
| District of Columbia | $89.20 | $77.40 | |
| New York | $87.86 | $76.68 | |
| New Jersey | $87.53 | $76.24 | |
| California | $86.73 | $74.87 | |
| Washington | $86.04 | $74.61 | |
| Massachusetts | $85.59 | $74.33 | |
| Connecticut | $84.96 | $74.17 | |
| Florida | $84.10 | $74.05 | |
| Hawaii | $83.74 | $72.35 | |
| Maryland | $83.24 | $72.79 | |
| Illinois | $83.13 | $73.45 | |
| Colorado | $82.90 | $72.24 | |
| Rhode Island | $82.72 | $72.37 | |
| Oregon | $82.23 | $71.68 | |
| New Hampshire | $81.94 | $71.51 | |
| Puerto Rico | $81.43 | $71.30 | |
| Virgin Islands | $81.43 | $71.30 | |
| Pennsylvania | $81.25 | $71.43 | |
| Montana | $81.16 | $71.14 | |
| Texas | $80.79 | $70.93 | |
| Delaware | $80.77 | $70.87 | |
| Nevada | $80.69 | $70.66 | |
| Michigan | $80.68 | $71.27 | |
| Georgia | $80.54 | $70.98 | |
| Wyoming | $80.38 | $70.36 | |
| Arizona | $79.86 | $70.15 | |
| Minnesota | $79.86 | $69.55 | |
| Virginia | $79.80 | $69.95 | |
| New Mexico | $79.44 | $70.25 | |
| Vermont | $79.40 | $69.48 | |
| North Dakota | $79.38 | $69.36 | |
| South Dakota | $79.17 | $69.15 | |
| Utah | $79.17 | $69.76 | |
| Louisiana | $78.86 | $69.72 | |
| Missouri | $78.81 | $69.61 | |
| Maine | $78.79 | $69.22 | |
| West Virginia | $78.78 | $70.08 | |
| Ohio | $78.75 | $69.60 | |
| South Carolina | $78.58 | $69.32 | |
| North Carolina | $78.20 | $68.85 | |
| Wisconsin | $77.91 | $68.31 | |
| Kentucky | $77.79 | $68.89 | |
| Indiana | $77.57 | $68.28 | |
| Oklahoma | $77.49 | $68.54 | |
| Idaho | $77.34 | $68.12 | |
| Tennessee | $77.22 | $68.11 | |
| Nebraska | $77.13 | $67.89 | |
| Kansas | $76.98 | $67.92 | |
| Iowa | $76.97 | $67.80 | |
| Mississippi | $76.48 | $67.85 | |
| Alabama | $76.35 | $67.58 | |
| Arkansas | $75.75 | $67.14 |
Medicare is the floor, not the market. See what UHC, Aetna, Cigna and BCBS actually pay — down to the TIN.
See negotiated rates