CPT 99403 pays $88.18 in a non-facility setting and $62.13 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $81.70 in Arkansas to $113.75 in Alaska, a 39% spread.
National non-facility rate
$88.18
Office and other outpatient settings
Hospital and ASC settings
Alaska
Arkansas · 39% 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 | $113.75 | $86.00 | |
| District of Columbia | $97.65 | $66.96 | |
| New York | $95.70 | $66.63 | |
| New Jersey | $95.54 | $66.20 | |
| California | $95.44 | $64.61 | |
| Washington | $94.29 | $64.59 | |
| Massachusetts | $93.69 | $64.42 | |
| Connecticut | $92.54 | $64.49 | |
| Hawaii | $92.09 | $62.47 | |
| Florida | $90.83 | $64.69 | |
| Maryland | $90.58 | $63.42 | |
| Colorado | $90.53 | $62.81 | |
| Rhode Island | $90.03 | $63.12 | |
| Oregon | $89.80 | $62.35 | |
| Illinois | $89.54 | $64.37 | |
| New Hampshire | $89.35 | $62.23 | |
| Puerto Rico | $88.54 | $62.20 | |
| Virgin Islands | $88.54 | $62.20 | |
| Montana | $88.17 | $62.12 | |
| Pennsylvania | $88.05 | $62.53 | |
| Nevada | $87.77 | $61.69 | |
| Delaware | $87.71 | $61.97 | |
| Texas | $87.69 | $62.04 | |
| Wyoming | $87.48 | $61.43 | |
| Minnesota | $87.36 | $60.55 | |
| Georgia | $87.09 | $62.23 | |
| Michigan | $87.03 | $62.56 | |
| Virginia | $86.77 | $61.16 | |
| Arizona | $86.65 | $61.41 | |
| North Dakota | $86.59 | $60.54 | |
| Vermont | $86.49 | $60.70 | |
| South Dakota | $86.40 | $60.35 | |
| Utah | $85.70 | $61.21 | |
| New Mexico | $85.67 | $61.78 | |
| Maine | $85.55 | $60.65 | |
| Louisiana | $85.11 | $61.32 | |
| Missouri | $85.11 | $61.20 | |
| Ohio | $85.00 | $61.22 | |
| South Carolina | $84.99 | $60.91 | |
| Wisconsin | $84.79 | $59.83 | |
| North Carolina | $84.75 | $60.44 | |
| West Virginia | $84.52 | $61.88 | |
| Indiana | $84.12 | $59.97 | |
| Kentucky | $83.87 | $60.71 | |
| Idaho | $83.83 | $59.86 | |
| Nebraska | $83.69 | $59.64 | |
| Oklahoma | $83.65 | $60.39 | |
| Tennessee | $83.60 | $59.92 | |
| Iowa | $83.44 | $59.61 | |
| Kansas | $83.33 | $59.77 | |
| Alabama | $82.43 | $59.63 | |
| Mississippi | $82.37 | $59.94 | |
| Arkansas | $81.70 | $59.32 |
Medicare is the floor, not the market. See what UHC, Aetna, Cigna and BCBS actually pay — down to the TIN.
See negotiated rates