CPT 99408 pays $35.07 in a non-facility setting and $27.72 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $32.73 in Arkansas to $46.11 in Alaska, a 41% spread.
National non-facility rate
$35.07
Office and other outpatient settings
Hospital and ASC settings
Alaska
Arkansas · 41% 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 | $46.11 | $38.28 | |
| District of Columbia | $38.53 | $29.88 | |
| New York | $37.97 | $29.77 | |
| New Jersey | $37.81 | $29.54 | |
| California | $37.44 | $28.75 | |
| Washington | $37.16 | $28.78 | |
| Massachusetts | $36.97 | $28.71 | |
| Connecticut | $36.71 | $28.80 | |
| Florida | $36.38 | $29.00 | |
| Hawaii | $36.16 | $27.80 | |
| Maryland | $35.97 | $28.31 | |
| Illinois | $35.96 | $28.86 | |
| Colorado | $35.81 | $27.99 | |
| Rhode Island | $35.74 | $28.15 | |
| Oregon | $35.52 | $27.78 | |
| New Hampshire | $35.40 | $27.75 | |
| Puerto Rico | $35.18 | $27.75 | |
| Virgin Islands | $35.18 | $27.75 | |
| Pennsylvania | $35.11 | $27.91 | |
| Montana | $35.07 | $27.72 | |
| Texas | $34.91 | $27.67 | |
| Delaware | $34.90 | $27.64 | |
| Michigan | $34.88 | $27.98 | |
| Nevada | $34.86 | $27.50 | |
| Georgia | $34.81 | $27.80 | |
| Wyoming | $34.72 | $27.38 | |
| Arizona | $34.51 | $27.39 | |
| Minnesota | $34.48 | $26.92 | |
| Virginia | $34.47 | $27.25 | |
| New Mexico | $34.34 | $27.60 | |
| Vermont | $34.29 | $27.02 | |
| North Dakota | $34.28 | $26.93 | |
| Utah | $34.21 | $27.31 | |
| South Dakota | $34.18 | $26.84 | |
| Louisiana | $34.09 | $27.38 | |
| West Virginia | $34.07 | $27.69 | |
| Missouri | $34.06 | $27.32 | |
| Maine | $34.04 | $27.02 | |
| Ohio | $34.04 | $27.33 | |
| South Carolina | $33.96 | $27.17 | |
| North Carolina | $33.78 | $26.93 | |
| Wisconsin | $33.64 | $26.60 | |
| Kentucky | $33.62 | $27.09 | |
| Indiana | $33.51 | $26.69 | |
| Oklahoma | $33.49 | $26.92 | |
| Idaho | $33.40 | $26.64 | |
| Tennessee | $33.36 | $26.68 | |
| Nebraska | $33.31 | $26.53 | |
| Kansas | $33.25 | $26.61 | |
| Iowa | $33.24 | $26.52 | |
| Mississippi | $33.05 | $26.72 | |
| Alabama | $32.99 | $26.56 | |
| Arkansas | $32.73 | $26.42 |
Medicare is the floor, not the market. See what UHC, Aetna, Cigna and BCBS actually pay — down to the TIN.
See negotiated rates