CPT 99425 pays $61.46 in a non-facility setting and $44.09 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $56.70 in Arkansas to $78.78 in Alaska, a 39% spread.
National non-facility rate
$61.46
Office and other outpatient settings
Hospital and ASC settings
Alaska
Arkansas · 39% 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 | $78.78 | $60.28 | |
| District of Columbia | $68.10 | $47.64 | |
| New York | $66.85 | $47.48 | |
| New Jersey | $66.61 | $47.05 | |
| California | $66.30 | $45.75 | |
| Washington | $65.62 | $45.82 | |
| Massachusetts | $65.22 | $45.71 | |
| Connecticut | $64.60 | $45.89 | |
| Hawaii | $64.00 | $44.25 | |
| Florida | $63.76 | $46.33 | |
| Maryland | $63.17 | $45.06 | |
| Colorado | $62.99 | $44.51 | |
| Illinois | $62.84 | $46.05 | |
| Rhode Island | $62.69 | $44.75 | |
| Oregon | $62.45 | $44.16 | |
| New Hampshire | $62.22 | $44.14 | |
| Puerto Rico | $61.71 | $44.15 | |
| Virgin Islands | $61.71 | $44.15 | |
| Montana | $61.45 | $44.08 | |
| Pennsylvania | $61.39 | $44.38 | |
| Nevada | $61.09 | $43.71 | |
| Delaware | $61.08 | $43.92 | |
| Texas | $61.08 | $43.98 | |
| Wyoming | $60.85 | $43.48 | |
| Michigan | $60.84 | $44.53 | |
| Georgia | $60.78 | $44.21 | |
| Minnesota | $60.56 | $42.69 | |
| Virginia | $60.33 | $43.26 | |
| Arizona | $60.32 | $43.49 | |
| North Dakota | $60.07 | $42.70 | |
| Vermont | $60.05 | $42.85 | |
| South Dakota | $59.91 | $42.54 | |
| New Mexico | $59.79 | $43.87 | |
| Utah | $59.68 | $43.35 | |
| Maine | $59.44 | $42.84 | |
| Louisiana | $59.33 | $43.47 | |
| Missouri | $59.30 | $43.37 | |
| Ohio | $59.24 | $43.38 | |
| South Carolina | $59.15 | $43.10 | |
| West Virginia | $59.10 | $44.00 | |
| North Carolina | $58.89 | $42.69 | |
| Wisconsin | $58.76 | $42.12 | |
| Kentucky | $58.40 | $42.96 | |
| Indiana | $58.38 | $42.28 | |
| Oklahoma | $58.18 | $42.67 | |
| Idaho | $58.17 | $42.19 | |
| Tennessee | $58.03 | $42.25 | |
| Nebraska | $58.02 | $41.99 | |
| Iowa | $57.86 | $41.97 | |
| Kansas | $57.83 | $42.13 | |
| Mississippi | $57.27 | $42.32 | |
| Alabama | $57.23 | $42.03 | |
| Arkansas | $56.70 | $41.78 |
Medicare is the floor, not the market. See what UHC, Aetna, Cigna and BCBS actually pay — down to the TIN.
See negotiated rates