CPT 99417 pays $32.06 in a non-facility setting and $26.39 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $29.96 in Arkansas to $42.33 in Alaska, a 41% spread.
National non-facility rate
$32.06
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 | $42.33 | $36.28 | |
| District of Columbia | $35.16 | $28.47 | |
| New York | $34.71 | $28.37 | |
| New Jersey | $34.53 | $28.14 | |
| California | $34.08 | $27.36 | |
| Washington | $33.87 | $27.40 | |
| Massachusetts | $33.72 | $27.34 | |
| Connecticut | $33.55 | $27.43 | |
| Florida | $33.36 | $27.67 | |
| Illinois | $33.00 | $27.52 | |
| Hawaii | $32.92 | $26.46 | |
| Maryland | $32.87 | $26.95 | |
| Colorado | $32.68 | $26.64 | |
| Rhode Island | $32.65 | $26.78 | |
| Oregon | $32.41 | $26.43 | |
| New Hampshire | $32.32 | $26.41 | |
| Puerto Rico | $32.16 | $26.42 | |
| Virgin Islands | $32.16 | $26.42 | |
| Pennsylvania | $32.13 | $26.57 | |
| Montana | $32.06 | $26.38 | |
| Michigan | $31.98 | $26.65 | |
| Texas | $31.92 | $26.33 | |
| Delaware | $31.91 | $26.30 | |
| Georgia | $31.88 | $26.46 | |
| Nevada | $31.85 | $26.17 | |
| Wyoming | $31.72 | $26.04 | |
| Arizona | $31.55 | $26.05 | |
| Virginia | $31.50 | $25.91 | |
| New Mexico | $31.47 | $26.27 | |
| Minnesota | $31.42 | $25.58 | |
| Utah | $31.31 | $25.97 | |
| Vermont | $31.30 | $25.68 | |
| West Virginia | $31.28 | $26.35 | |
| North Dakota | $31.27 | $25.59 | |
| Louisiana | $31.23 | $26.04 | |
| Missouri | $31.19 | $25.98 | |
| South Dakota | $31.18 | $25.50 | |
| Ohio | $31.17 | $25.99 | |
| Maine | $31.11 | $25.68 | |
| South Carolina | $31.08 | $25.83 | |
| North Carolina | $30.89 | $25.59 | |
| Kentucky | $30.80 | $25.75 | |
| Wisconsin | $30.71 | $25.27 | |
| Oklahoma | $30.66 | $25.59 | |
| Indiana | $30.62 | $25.36 | |
| Idaho | $30.53 | $25.31 | |
| Tennessee | $30.50 | $25.34 | |
| Nebraska | $30.44 | $25.20 | |
| Kansas | $30.41 | $25.28 | |
| Iowa | $30.38 | $25.18 | |
| Mississippi | $30.28 | $25.39 | |
| Alabama | $30.19 | $25.22 | |
| Arkansas | $29.96 | $25.08 |
Medicare is the floor, not the market. See what UHC, Aetna, Cigna and BCBS actually pay — down to the TIN.
See negotiated rates