CPT 99418 pays $34.74 in a non-facility setting and $34.74 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $33.08 in Arkansas to $47.91 in Alaska, a 45% spread.
National non-facility rate
$34.74
Office and other outpatient settings
Hospital and ASC settings
Alaska
Arkansas · 45% 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 | $47.91 | $47.91 | |
| District of Columbia | $37.46 | $37.46 | |
| New York | $37.31 | $37.31 | |
| New Jersey | $37.03 | $37.03 | |
| Florida | $36.34 | $36.34 | |
| Illinois | $36.15 | $36.15 | |
| Connecticut | $36.09 | $36.09 | |
| Washington | $36.08 | $36.08 | |
| California | $36.04 | $36.04 | |
| Massachusetts | $35.99 | $35.99 | |
| Maryland | $35.47 | $35.47 | |
| Rhode Island | $35.27 | $35.27 | |
| Colorado | $35.08 | $35.08 | |
| Michigan | $35.05 | $35.05 | |
| Pennsylvania | $34.97 | $34.97 | |
| Hawaii | $34.86 | $34.86 | |
| Georgia | $34.83 | $34.83 | |
| Oregon | $34.81 | $34.81 | |
| Puerto Rico | $34.78 | $34.78 | |
| Virgin Islands | $34.78 | $34.78 | |
| New Hampshire | $34.77 | $34.77 | |
| Montana | $34.73 | $34.73 | |
| Texas | $34.67 | $34.67 | |
| West Virginia | $34.67 | $34.67 | |
| Delaware | $34.63 | $34.63 | |
| New Mexico | $34.57 | $34.57 | |
| Nevada | $34.46 | $34.46 | |
| Arizona | $34.31 | $34.31 | |
| Wyoming | $34.30 | $34.30 | |
| Louisiana | $34.29 | $34.29 | |
| Ohio | $34.23 | $34.23 | |
| Missouri | $34.22 | $34.22 | |
| Utah | $34.21 | $34.21 | |
| Virginia | $34.14 | $34.14 | |
| South Carolina | $34.03 | $34.03 | |
| Kentucky | $33.93 | $33.93 | |
| Maine | $33.85 | $33.85 | |
| Vermont | $33.85 | $33.85 | |
| Minnesota | $33.74 | $33.74 | |
| North Dakota | $33.74 | $33.74 | |
| North Carolina | $33.73 | $33.73 | |
| Oklahoma | $33.72 | $33.72 | |
| South Dakota | $33.63 | $33.63 | |
| Mississippi | $33.47 | $33.47 | |
| Indiana | $33.44 | $33.44 | |
| Tennessee | $33.42 | $33.42 | |
| Idaho | $33.38 | $33.38 | |
| Kansas | $33.33 | $33.33 | |
| Wisconsin | $33.33 | $33.33 | |
| Alabama | $33.26 | $33.26 | |
| Nebraska | $33.24 | $33.24 | |
| Iowa | $33.22 | $33.22 | |
| Arkansas | $33.08 | $33.08 |
Medicare is the floor, not the market. See what UHC, Aetna, Cigna and BCBS actually pay — down to the TIN.
See negotiated rates