CPT 99412 pays $25.38 in a non-facility setting and $11.02 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $22.75 in Arkansas to $30.32 in Alaska, a 33% spread.
National non-facility rate
$25.38
Office and other outpatient settings
Hospital and ASC settings
Alaska
Arkansas · 33% 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 | $30.32 | $15.03 | |
| District of Columbia | $28.82 | $11.91 | |
| California | $28.38 | $11.38 | |
| New Jersey | $27.93 | $11.76 | |
| New York | $27.91 | $11.89 | |
| Washington | $27.80 | $11.42 | |
| Massachusetts | $27.54 | $11.40 | |
| Hawaii | $27.35 | $11.02 | |
| Connecticut | $26.95 | $11.48 | |
| Colorado | $26.39 | $11.10 | |
| Maryland | $26.24 | $11.27 | |
| Oregon | $26.14 | $11.01 | |
| Florida | $26.07 | $11.66 | |
| Rhode Island | $26.01 | $11.17 | |
| New Hampshire | $25.97 | $11.02 | |
| Puerto Rico | $25.55 | $11.03 | |
| Virgin Islands | $25.55 | $11.03 | |
| Illinois | $25.47 | $11.59 | |
| Minnesota | $25.39 | $10.61 | |
| Montana | $25.38 | $11.02 | |
| Nevada | $25.29 | $10.91 | |
| Wyoming | $25.21 | $10.85 | |
| Pennsylvania | $25.17 | $11.10 | |
| Delaware | $25.16 | $10.97 | |
| Texas | $25.13 | $10.99 | |
| North Dakota | $24.99 | $10.63 | |
| South Dakota | $24.94 | $10.58 | |
| Virginia | $24.91 | $10.79 | |
| Vermont | $24.89 | $10.67 | |
| Arizona | $24.78 | $10.86 | |
| Georgia | $24.78 | $11.07 | |
| Michigan | $24.66 | $11.17 | |
| Maine | $24.41 | $10.68 | |
| Utah | $24.33 | $10.83 | |
| Wisconsin | $24.24 | $10.48 | |
| New Mexico | $24.16 | $10.99 | |
| North Carolina | $24.05 | $10.65 | |
| South Carolina | $24.04 | $10.77 | |
| Missouri | $24.03 | $10.85 | |
| Louisiana | $23.99 | $10.88 | |
| Ohio | $23.97 | $10.85 | |
| Indiana | $23.85 | $10.53 | |
| Idaho | $23.72 | $10.51 | |
| Nebraska | $23.71 | $10.45 | |
| Iowa | $23.59 | $10.45 | |
| Tennessee | $23.59 | $10.53 | |
| West Virginia | $23.53 | $11.05 | |
| Kentucky | $23.51 | $10.74 | |
| Kansas | $23.48 | $10.50 | |
| Oklahoma | $23.48 | $10.66 | |
| Alabama | $23.05 | $10.48 | |
| Mississippi | $22.94 | $10.57 | |
| Arkansas | $22.75 | $10.42 |
Medicare is the floor, not the market. See what UHC, Aetna, Cigna and BCBS actually pay — down to the TIN.
See negotiated rates