CPT 99316 pays $138.28 in a non-facility setting and $117.57 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $128.60 in Arkansas to $180.67 in Alaska, a 40% spread.
National non-facility rate
$138.28
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 | $180.67 | $158.62 | |
| District of Columbia | $152.17 | $127.78 | |
| New York | $149.96 | $126.85 | |
| New Jersey | $149.24 | $125.92 | |
| California | $147.67 | $123.17 | |
| Washington | $146.59 | $122.98 | |
| Massachusetts | $145.83 | $122.57 | |
| Connecticut | $144.92 | $122.62 | |
| Florida | $143.82 | $123.04 | |
| Hawaii | $142.62 | $119.07 | |
| Illinois | $142.09 | $122.08 | |
| Maryland | $141.89 | $120.30 | |
| Colorado | $141.18 | $119.15 | |
| Rhode Island | $140.87 | $119.48 | |
| Oregon | $140.00 | $118.19 | |
| New Hampshire | $139.58 | $118.03 | |
| Puerto Rico | $138.73 | $117.80 | |
| Virgin Islands | $138.73 | $117.80 | |
| Pennsylvania | $138.42 | $118.13 | |
| Montana | $138.27 | $117.56 | |
| Michigan | $137.60 | $118.15 | |
| Texas | $137.57 | $117.19 | |
| Delaware | $137.53 | $117.07 | |
| Nevada | $137.38 | $116.65 | |
| Georgia | $137.26 | $117.51 | |
| Wyoming | $136.80 | $116.09 | |
| Arizona | $135.94 | $115.87 | |
| Virginia | $135.78 | $115.42 | |
| Minnesota | $135.71 | $114.40 | |
| New Mexico | $135.35 | $116.36 | |
| Vermont | $134.98 | $114.48 | |
| North Dakota | $134.91 | $114.20 | |
| Utah | $134.75 | $115.29 | |
| South Dakota | $134.51 | $113.80 | |
| West Virginia | $134.29 | $116.30 | |
| Louisiana | $134.27 | $115.37 | |
| Missouri | $134.15 | $115.14 | |
| Ohio | $134.05 | $115.15 | |
| Maine | $133.97 | $114.19 | |
| South Carolina | $133.70 | $114.56 | |
| North Carolina | $132.94 | $113.62 | |
| Kentucky | $132.35 | $113.94 | |
| Wisconsin | $132.29 | $112.45 | |
| Indiana | $131.78 | $112.58 | |
| Oklahoma | $131.76 | $113.27 | |
| Idaho | $131.36 | $112.31 | |
| Tennessee | $131.18 | $112.36 | |
| Nebraska | $130.97 | $111.85 | |
| Kansas | $130.75 | $112.03 | |
| Iowa | $130.68 | $111.73 | |
| Mississippi | $129.97 | $112.14 | |
| Alabama | $129.68 | $111.56 | |
| Arkansas | $128.60 | $110.81 |
Medicare is the floor, not the market. See what UHC, Aetna, Cigna and BCBS actually pay — down to the TIN.
See negotiated rates