CPT 99401 pays $39.75 in a non-facility setting and $20.71 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $36.06 in Arkansas to $48.79 in Alaska, a 35% spread.
National non-facility rate
$39.75
Office and other outpatient settings
Hospital and ASC settings
Alaska
Arkansas · 35% 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 | $48.79 | $28.51 | |
| District of Columbia | $44.77 | $22.34 | |
| California | $44.03 | $21.50 | |
| New Jersey | $43.52 | $22.08 | |
| New York | $43.49 | $22.25 | |
| Washington | $43.22 | $21.52 | |
| Massachusetts | $42.85 | $21.46 | |
| Hawaii | $42.44 | $20.79 | |
| Connecticut | $42.03 | $21.52 | |
| Colorado | $41.17 | $20.92 | |
| Maryland | $41.00 | $21.15 | |
| Oregon | $40.81 | $20.76 | |
| Florida | $40.77 | $21.67 | |
| Rhode Island | $40.69 | $21.03 | |
| New Hampshire | $40.55 | $20.73 | |
| Puerto Rico | $39.98 | $20.73 | |
| Virgin Islands | $39.98 | $20.73 | |
| Illinois | $39.95 | $21.55 | |
| Montana | $39.75 | $20.71 | |
| Minnesota | $39.70 | $20.11 | |
| Nevada | $39.60 | $20.54 | |
| Pennsylvania | $39.49 | $20.85 | |
| Wyoming | $39.49 | $20.45 | |
| Delaware | $39.45 | $20.64 | |
| Texas | $39.41 | $20.67 | |
| North Dakota | $39.15 | $20.11 | |
| South Dakota | $39.08 | $20.04 | |
| Virginia | $39.07 | $20.35 | |
| Vermont | $39.02 | $20.18 | |
| Georgia | $38.92 | $20.76 | |
| Arizona | $38.90 | $20.45 | |
| Michigan | $38.77 | $20.89 | |
| Maine | $38.36 | $20.17 | |
| Utah | $38.28 | $20.39 | |
| Wisconsin | $38.10 | $19.86 | |
| New Mexico | $38.06 | $20.61 | |
| South Carolina | $37.87 | $20.28 | |
| Missouri | $37.86 | $20.39 | |
| North Carolina | $37.86 | $20.10 | |
| Louisiana | $37.82 | $20.44 | |
| Ohio | $37.78 | $20.40 | |
| Indiana | $37.57 | $19.93 | |
| Idaho | $37.40 | $19.89 | |
| Nebraska | $37.37 | $19.80 | |
| Tennessee | $37.22 | $19.91 | |
| Iowa | $37.21 | $19.79 | |
| West Virginia | $37.20 | $20.66 | |
| Kentucky | $37.14 | $20.22 | |
| Oklahoma | $37.09 | $20.09 | |
| Kansas | $37.07 | $19.86 | |
| Alabama | $36.47 | $19.81 | |
| Mississippi | $36.33 | $19.94 | |
| Arkansas | $36.06 | $19.70 |
Medicare is the floor, not the market. See what UHC, Aetna, Cigna and BCBS actually pay — down to the TIN.
See negotiated rates