CPT 99415 pays $23.05 in a non-facility setting and $23.05 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $19.68 in Arkansas to $27.13 in District of Columbia, a 38% spread.
National non-facility rate
$23.05
Office and other outpatient settings
Hospital and ASC settings
District of Columbia
Arkansas · 38% 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 |
|---|---|---|---|
| District of Columbia | $27.13 | $27.13 | |
| California | $27.06 | $27.06 | |
| Washington | $26.16 | $26.16 | |
| Hawaii | $26.02 | $26.02 | |
| New Jersey | $25.94 | $25.94 | |
| Massachusetts | $25.80 | $25.80 | |
| New York | $25.79 | $25.79 | |
| Connecticut | $24.87 | $24.87 | |
| Colorado | $24.43 | $24.43 | |
| Alaska | $24.37 | $24.37 | |
| Oregon | $24.17 | $24.17 | |
| Maryland | $24.04 | $24.04 | |
| New Hampshire | $23.94 | $23.94 | |
| Rhode Island | $23.76 | $23.76 | |
| Minnesota | $23.47 | $23.47 | |
| Florida | $23.44 | $23.44 | |
| Puerto Rico | $23.29 | $23.29 | |
| Virgin Islands | $23.29 | $23.29 | |
| Montana | $23.05 | $23.05 | |
| Nevada | $23.01 | $23.01 | |
| Wyoming | $22.96 | $22.96 | |
| North Dakota | $22.85 | $22.85 | |
| South Dakota | $22.82 | $22.82 | |
| Delaware | $22.74 | $22.74 | |
| Texas | $22.67 | $22.67 | |
| Vermont | $22.65 | $22.65 | |
| Pennsylvania | $22.60 | $22.60 | |
| Illinois | $22.58 | $22.58 | |
| Virginia | $22.56 | $22.56 | |
| Arizona | $22.29 | $22.29 | |
| Georgia | $22.07 | $22.07 | |
| Maine | $21.91 | $21.91 | |
| Wisconsin | $21.86 | $21.86 | |
| Michigan | $21.80 | $21.80 | |
| Utah | $21.65 | $21.65 | |
| North Carolina | $21.40 | $21.40 | |
| South Carolina | $21.27 | $21.27 | |
| New Mexico | $21.23 | $21.23 | |
| Indiana | $21.22 | $21.22 | |
| Missouri | $21.17 | $21.17 | |
| Louisiana | $21.09 | $21.09 | |
| Nebraska | $21.09 | $21.09 | |
| Ohio | $21.07 | $21.07 | |
| Idaho | $21.05 | $21.05 | |
| Iowa | $20.91 | $20.91 | |
| Tennessee | $20.83 | $20.83 | |
| Kansas | $20.70 | $20.70 | |
| Oklahoma | $20.54 | $20.54 | |
| Kentucky | $20.50 | $20.50 | |
| West Virginia | $20.22 | $20.22 | |
| Alabama | $20.06 | $20.06 | |
| Mississippi | $19.80 | $19.80 | |
| Arkansas | $19.68 | $19.68 |
Medicare is the floor, not the market. See what UHC, Aetna, Cigna and BCBS actually pay — down to the TIN.
See negotiated rates