CPT 99315 pays $85.84 in a non-facility setting and $73.15 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $79.77 in Arkansas to $111.67 in Alaska, a 40% spread.
National non-facility rate
$85.84
Office and other outpatient settings
Hospital and ASC settings
Alaska
Arkansas · 40% 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 | $111.67 | $98.15 | |
| District of Columbia | $94.71 | $79.76 | |
| New York | $93.08 | $78.92 | |
| New Jersey | $92.79 | $78.50 | |
| California | $92.26 | $77.24 | |
| Washington | $91.37 | $76.90 | |
| Massachusetts | $90.84 | $76.58 | |
| Connecticut | $89.99 | $76.32 | |
| Hawaii | $89.06 | $74.63 | |
| Florida | $88.80 | $76.06 | |
| Maryland | $88.12 | $74.88 | |
| Colorado | $87.88 | $74.37 | |
| Illinois | $87.65 | $75.39 | |
| Rhode Island | $87.55 | $74.44 | |
| Oregon | $87.16 | $73.79 | |
| New Hampshire | $86.81 | $73.59 | |
| Puerto Rico | $86.16 | $73.32 | |
| Virgin Islands | $86.16 | $73.32 | |
| Montana | $85.83 | $73.14 | |
| Pennsylvania | $85.83 | $73.40 | |
| Delaware | $85.39 | $72.85 | |
| Texas | $85.39 | $72.90 | |
| Nevada | $85.37 | $72.67 | |
| Michigan | $85.07 | $73.15 | |
| Wyoming | $85.06 | $72.37 | |
| Georgia | $85.00 | $72.89 | |
| Minnesota | $84.67 | $71.61 | |
| Virginia | $84.40 | $71.92 | |
| Arizona | $84.39 | $72.09 | |
| North Dakota | $84.05 | $71.36 | |
| Vermont | $84.03 | $71.46 | |
| South Dakota | $83.84 | $71.15 | |
| New Mexico | $83.73 | $72.09 | |
| Utah | $83.57 | $71.64 | |
| Maine | $83.26 | $71.13 | |
| Louisiana | $83.13 | $71.55 | |
| Missouri | $83.10 | $71.45 | |
| Ohio | $83.02 | $71.43 | |
| South Carolina | $82.90 | $71.17 | |
| West Virginia | $82.85 | $71.82 | |
| North Carolina | $82.56 | $70.72 | |
| Wisconsin | $82.39 | $70.23 | |
| Kentucky | $81.95 | $70.67 | |
| Indiana | $81.91 | $70.14 | |
| Oklahoma | $81.67 | $70.33 | |
| Idaho | $81.64 | $69.96 | |
| Tennessee | $81.47 | $69.93 | |
| Nebraska | $81.45 | $69.74 | |
| Iowa | $81.25 | $69.63 | |
| Kansas | $81.21 | $69.73 | |
| Mississippi | $80.51 | $69.58 | |
| Alabama | $80.44 | $69.34 | |
| Arkansas | $79.77 | $68.86 |
Medicare is the floor, not the market. See what UHC, Aetna, Cigna and BCBS actually pay — down to the TIN.
See negotiated rates