CPT 99411 pays $20.37 in a non-facility setting and $6.35 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $18.09 in Arkansas to $23.71 in Alaska, a 31% spread.
National non-facility rate
$20.37
Office and other outpatient settings
Hospital and ASC settings
Alaska
Arkansas · 31% 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 | $23.71 | $8.77 | |
| District of Columbia | $23.36 | $6.83 | |
| California | $23.16 | $6.56 | |
| Washington | $22.57 | $6.57 | |
| New Jersey | $22.55 | $6.76 | |
| New York | $22.47 | $6.82 | |
| Massachusetts | $22.32 | $6.56 | |
| Hawaii | $22.29 | $6.34 | |
| Connecticut | $21.70 | $6.59 | |
| Colorado | $21.32 | $6.40 | |
| Oregon | $21.13 | $6.35 | |
| Maryland | $21.10 | $6.48 | |
| New Hampshire | $20.95 | $6.35 | |
| Rhode Island | $20.93 | $6.44 | |
| Florida | $20.74 | $6.67 | |
| Minnesota | $20.58 | $6.14 | |
| Puerto Rico | $20.53 | $6.35 | |
| Virgin Islands | $20.53 | $6.35 | |
| Montana | $20.37 | $6.35 | |
| Nevada | $20.33 | $6.29 | |
| Wyoming | $20.29 | $6.26 | |
| Delaware | $20.19 | $6.33 | |
| Illinois | $20.19 | $6.63 | |
| North Dakota | $20.18 | $6.15 | |
| South Dakota | $20.15 | $6.12 | |
| Texas | $20.15 | $6.33 | |
| Pennsylvania | $20.13 | $6.39 | |
| Vermont | $20.06 | $6.17 | |
| Virginia | $20.02 | $6.23 | |
| Arizona | $19.86 | $6.27 | |
| Georgia | $19.76 | $6.37 | |
| Michigan | $19.59 | $6.42 | |
| Maine | $19.58 | $6.18 | |
| Wisconsin | $19.51 | $6.07 | |
| Utah | $19.44 | $6.25 | |
| North Carolina | $19.25 | $6.16 | |
| New Mexico | $19.19 | $6.33 | |
| South Carolina | $19.18 | $6.22 | |
| Missouri | $19.13 | $6.26 | |
| Indiana | $19.11 | $6.10 | |
| Louisiana | $19.08 | $6.27 | |
| Ohio | $19.07 | $6.26 | |
| Nebraska | $19.01 | $6.06 | |
| Idaho | $19.00 | $6.09 | |
| Iowa | $18.90 | $6.06 | |
| Tennessee | $18.85 | $6.10 | |
| Kansas | $18.77 | $6.08 | |
| Oklahoma | $18.69 | $6.16 | |
| Kentucky | $18.68 | $6.21 | |
| West Virginia | $18.55 | $6.36 | |
| Alabama | $18.35 | $6.08 | |
| Mississippi | $18.20 | $6.12 | |
| Arkansas | $18.09 | $6.04 |
Medicare is the floor, not the market. See what UHC, Aetna, Cigna and BCBS actually pay — down to the TIN.
See negotiated rates