CPT 99409 pays $67.47 in a non-facility setting and $55.45 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $63.27 in Arkansas to $89.54 in Alaska, a 42% spread.
National non-facility rate
$67.47
Office and other outpatient settings
Hospital and ASC settings
Alaska
Arkansas · 42% 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 | $89.54 | $76.74 | |
| District of Columbia | $73.94 | $59.78 | |
| New York | $72.88 | $59.46 | |
| New Jersey | $72.63 | $59.10 | |
| California | $71.93 | $57.71 | |
| Washington | $71.38 | $57.68 | |
| Massachusetts | $71.02 | $57.51 | |
| Connecticut | $70.50 | $57.55 | |
| Florida | $69.76 | $57.69 | |
| Hawaii | $69.46 | $55.79 | |
| Maryland | $69.14 | $56.60 | |
| Illinois | $69.02 | $57.40 | |
| Colorado | $68.87 | $56.07 | |
| Rhode Island | $68.76 | $56.34 | |
| Oregon | $68.33 | $55.66 | |
| New Hampshire | $68.07 | $55.55 | |
| Puerto Rico | $67.67 | $55.52 | |
| Virgin Islands | $67.67 | $55.52 | |
| Pennsylvania | $67.58 | $55.80 | |
| Montana | $67.47 | $55.44 | |
| Texas | $67.21 | $55.37 | |
| Delaware | $67.19 | $55.31 | |
| Michigan | $67.10 | $55.81 | |
| Nevada | $67.10 | $55.06 | |
| Georgia | $67.00 | $55.52 | |
| Wyoming | $66.86 | $54.84 | |
| Arizona | $66.46 | $54.81 | |
| Minnesota | $66.45 | $54.08 | |
| Virginia | $66.41 | $54.59 | |
| New Mexico | $66.14 | $55.11 | |
| Vermont | $66.10 | $54.19 | |
| North Dakota | $66.08 | $54.06 | |
| Utah | $65.93 | $54.63 | |
| South Dakota | $65.92 | $53.89 | |
| Louisiana | $65.69 | $54.71 | |
| Missouri | $65.65 | $54.61 | |
| Maine | $65.63 | $54.14 | |
| West Virginia | $65.63 | $55.18 | |
| Ohio | $65.60 | $54.62 | |
| South Carolina | $65.47 | $54.36 | |
| North Carolina | $65.17 | $53.95 | |
| Wisconsin | $64.94 | $53.42 | |
| Kentucky | $64.86 | $54.17 | |
| Indiana | $64.68 | $53.54 | |
| Oklahoma | $64.63 | $53.89 | |
| Idaho | $64.50 | $53.44 | |
| Tennessee | $64.41 | $53.48 | |
| Nebraska | $64.34 | $53.25 | |
| Kansas | $64.23 | $53.36 | |
| Iowa | $64.21 | $53.21 | |
| Mississippi | $63.84 | $53.49 | |
| Alabama | $63.74 | $53.22 | |
| Arkansas | $63.27 | $52.95 |
Medicare is the floor, not the market. See what UHC, Aetna, Cigna and BCBS actually pay — down to the TIN.
See negotiated rates