CPT 99406 pays $15.36 in a non-facility setting and $10.69 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $14.10 in Arkansas to $19.51 in Alaska, a 38% spread.
National non-facility rate
$15.36
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 | $19.51 | $14.53 | |
| District of Columbia | $17.06 | $11.55 | |
| New York | $16.76 | $11.54 | |
| New Jersey | $16.67 | $11.41 | |
| California | $16.57 | $11.04 | |
| Washington | $16.41 | $11.08 | |
| Massachusetts | $16.31 | $11.06 | |
| Connecticut | $16.18 | $11.14 | |
| Florida | $16.02 | $11.33 | |
| Hawaii | $16.00 | $10.68 | |
| Maryland | $15.80 | $10.93 | |
| Illinois | $15.78 | $11.26 | |
| Colorado | $15.74 | $10.77 | |
| Rhode Island | $15.67 | $10.83 | |
| Oregon | $15.60 | $10.67 | |
| New Hampshire | $15.55 | $10.69 | |
| Puerto Rico | $15.43 | $10.70 | |
| Virgin Islands | $15.43 | $10.70 | |
| Montana | $15.36 | $10.69 | |
| Pennsylvania | $15.35 | $10.77 | |
| Delaware | $15.26 | $10.64 | |
| Nevada | $15.26 | $10.58 | |
| Texas | $15.26 | $10.65 | |
| Michigan | $15.23 | $10.84 | |
| Georgia | $15.20 | $10.74 | |
| Wyoming | $15.19 | $10.51 | |
| Minnesota | $15.09 | $10.28 | |
| Arizona | $15.06 | $10.53 | |
| Virginia | $15.05 | $10.46 | |
| North Dakota | $14.97 | $10.29 | |
| Vermont | $14.97 | $10.34 | |
| New Mexico | $14.94 | $10.66 | |
| South Dakota | $14.92 | $10.24 | |
| Utah | $14.90 | $10.50 | |
| Maine | $14.82 | $10.35 | |
| Louisiana | $14.81 | $10.55 | |
| Missouri | $14.80 | $10.51 | |
| Ohio | $14.79 | $10.52 | |
| West Virginia | $14.78 | $10.71 | |
| South Carolina | $14.76 | $10.44 | |
| North Carolina | $14.68 | $10.31 | |
| Wisconsin | $14.62 | $10.14 | |
| Kentucky | $14.57 | $10.41 | |
| Indiana | $14.53 | $10.20 | |
| Oklahoma | $14.50 | $10.32 | |
| Idaho | $14.48 | $10.18 | |
| Tennessee | $14.45 | $10.20 | |
| Nebraska | $14.43 | $10.12 | |
| Iowa | $14.39 | $10.12 | |
| Kansas | $14.39 | $10.16 | |
| Mississippi | $14.26 | $10.24 | |
| Alabama | $14.24 | $10.15 | |
| Arkansas | $14.10 | $10.08 |
Medicare is the floor, not the market. See what UHC, Aetna, Cigna and BCBS actually pay — down to the TIN.
See negotiated rates