CPT 99407 pays $29.06 in a non-facility setting and $22.04 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $26.86 in Arkansas to $37.53 in Alaska, a 40% spread.
National non-facility rate
$29.06
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 | $37.53 | $30.06 | |
| District of Columbia | $32.07 | $23.81 | |
| New York | $31.61 | $23.78 | |
| New Jersey | $31.42 | $23.52 | |
| California | $31.07 | $22.77 | |
| Washington | $30.85 | $22.85 | |
| Massachusetts | $30.69 | $22.81 | |
| Connecticut | $30.52 | $22.97 | |
| Florida | $30.36 | $23.32 | |
| Hawaii | $30.01 | $22.03 | |
| Illinois | $29.96 | $23.18 | |
| Maryland | $29.85 | $22.54 | |
| Colorado | $29.67 | $22.21 | |
| Rhode Island | $29.60 | $22.35 | |
| Oregon | $29.41 | $22.02 | |
| New Hampshire | $29.34 | $22.04 | |
| Puerto Rico | $29.16 | $22.07 | |
| Virgin Islands | $29.16 | $22.07 | |
| Pennsylvania | $29.08 | $22.20 | |
| Montana | $29.06 | $22.04 | |
| Michigan | $28.93 | $22.34 | |
| Delaware | $28.88 | $21.95 | |
| Texas | $28.88 | $21.98 | |
| Nevada | $28.85 | $21.83 | |
| Georgia | $28.84 | $22.15 | |
| Wyoming | $28.71 | $21.70 | |
| Arizona | $28.52 | $21.73 | |
| Virginia | $28.48 | $21.58 | |
| Minnesota | $28.44 | $21.22 | |
| New Mexico | $28.41 | $21.98 | |
| Vermont | $28.29 | $21.34 | |
| North Dakota | $28.27 | $21.25 | |
| Utah | $28.26 | $21.67 | |
| West Virginia | $28.19 | $22.10 | |
| South Dakota | $28.17 | $21.16 | |
| Louisiana | $28.16 | $21.76 | |
| Missouri | $28.13 | $21.69 | |
| Ohio | $28.11 | $21.71 | |
| Maine | $28.07 | $21.37 | |
| South Carolina | $28.02 | $21.54 | |
| North Carolina | $27.84 | $21.29 | |
| Kentucky | $27.72 | $21.49 | |
| Wisconsin | $27.67 | $20.95 | |
| Oklahoma | $27.58 | $21.32 | |
| Indiana | $27.57 | $21.07 | |
| Idaho | $27.47 | $21.02 | |
| Tennessee | $27.44 | $21.06 | |
| Nebraska | $27.38 | $20.90 | |
| Kansas | $27.34 | $21.00 | |
| Iowa | $27.32 | $20.90 | |
| Mississippi | $27.18 | $21.14 | |
| Alabama | $27.10 | $20.96 | |
| Arkansas | $26.86 | $20.83 |
Medicare is the floor, not the market. See what UHC, Aetna, Cigna and BCBS actually pay — down to the TIN.
See negotiated rates