CPT 99402 pays $64.80 in a non-facility setting and $42.09 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $59.59 in Arkansas to $82.22 in Alaska, a 38% spread.
National non-facility rate
$64.80
Office and other outpatient settings
Hospital and ASC settings
Alaska
Arkansas · 38% 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 | $82.22 | $58.03 | |
| District of Columbia | $72.14 | $45.39 | |
| California | $70.56 | $43.69 | |
| New York | $70.54 | $45.21 | |
| New Jersey | $70.44 | $44.86 | |
| Washington | $69.61 | $43.72 | |
| Massachusetts | $69.13 | $43.61 | |
| Connecticut | $68.19 | $43.73 | |
| Hawaii | $68.07 | $42.25 | |
| Florida | $66.80 | $44.01 | |
| Colorado | $66.68 | $42.51 | |
| Maryland | $66.66 | $42.98 | |
| Rhode Island | $66.20 | $42.73 | |
| Oregon | $66.11 | $42.19 | |
| New Hampshire | $65.78 | $42.14 | |
| Illinois | $65.72 | $43.78 | |
| Puerto Rico | $65.10 | $42.14 | |
| Virgin Islands | $65.10 | $42.14 | |
| Montana | $64.79 | $42.08 | |
| Pennsylvania | $64.61 | $42.37 | |
| Nevada | $64.49 | $41.76 | |
| Delaware | $64.40 | $41.96 | |
| Texas | $64.37 | $42.01 | |
| Wyoming | $64.28 | $41.56 | |
| Minnesota | $64.26 | $40.89 | |
| Georgia | $63.86 | $42.19 | |
| Michigan | $63.78 | $42.45 | |
| Virginia | $63.70 | $41.37 | |
| North Dakota | $63.61 | $40.89 | |
| Arizona | $63.58 | $41.57 | |
| Vermont | $63.51 | $41.02 | |
| South Dakota | $63.47 | $40.75 | |
| Utah | $62.79 | $41.44 | |
| Maine | $62.71 | $41.01 | |
| New Mexico | $62.71 | $41.88 | |
| Missouri | $62.29 | $41.45 | |
| Louisiana | $62.28 | $41.54 | |
| South Carolina | $62.21 | $41.23 | |
| Ohio | $62.20 | $41.46 | |
| Wisconsin | $62.15 | $40.39 | |
| North Carolina | $62.06 | $40.87 | |
| West Virginia | $61.72 | $41.99 | |
| Indiana | $61.57 | $40.52 | |
| Idaho | $61.34 | $40.44 | |
| Kentucky | $61.29 | $41.10 | |
| Nebraska | $61.24 | $40.27 | |
| Oklahoma | $61.13 | $40.85 | |
| Tennessee | $61.13 | $40.49 | |
| Iowa | $61.03 | $40.25 | |
| Kansas | $60.92 | $40.39 | |
| Alabama | $60.17 | $40.30 | |
| Mississippi | $60.10 | $40.54 | |
| Arkansas | $59.59 | $40.08 |
Medicare is the floor, not the market. See what UHC, Aetna, Cigna and BCBS actually pay — down to the TIN.
See negotiated rates