CPT 99426 pays $67.80 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 $62.15 in Arkansas to $85.54 in Alaska, a 38% spread.
National non-facility rate
$67.80
Office and other outpatient settings
Hospital and ASC settings
Alaska
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 |
|---|---|---|---|
| Alaska | $85.54 | $60.28 | |
| District of Columbia | $75.58 | $47.64 | |
| New York | $73.93 | $47.48 | |
| California | $73.81 | $45.75 | |
| New Jersey | $73.76 | $47.05 | |
| Washington | $72.85 | $45.82 | |
| Massachusetts | $72.35 | $45.71 | |
| Connecticut | $71.43 | $45.89 | |
| Hawaii | $71.21 | $44.25 | |
| Florida | $70.12 | $46.33 | |
| Maryland | $69.78 | $45.06 | |
| Colorado | $69.74 | $44.51 | |
| Rhode Island | $69.24 | $44.75 | |
| Oregon | $69.14 | $44.16 | |
| Illinois | $68.97 | $46.05 | |
| New Hampshire | $68.83 | $44.14 | |
| Puerto Rico | $68.12 | $44.15 | |
| Virgin Islands | $68.12 | $44.15 | |
| Montana | $67.80 | $44.08 | |
| Pennsylvania | $67.61 | $44.38 | |
| Nevada | $67.45 | $43.71 | |
| Delaware | $67.35 | $43.92 | |
| Texas | $67.32 | $43.98 | |
| Wyoming | $67.20 | $43.48 | |
| Minnesota | $67.09 | $42.69 | |
| Georgia | $66.84 | $44.21 | |
| Michigan | $66.80 | $44.53 | |
| Virginia | $66.57 | $43.26 | |
| Arizona | $66.47 | $43.49 | |
| North Dakota | $66.42 | $42.70 | |
| Vermont | $66.33 | $42.85 | |
| South Dakota | $66.25 | $42.54 | |
| Utah | $65.64 | $43.35 | |
| New Mexico | $65.61 | $43.87 | |
| Maine | $65.50 | $42.84 | |
| Missouri | $65.13 | $43.37 | |
| Louisiana | $65.12 | $43.47 | |
| Ohio | $65.03 | $43.38 | |
| South Carolina | $65.02 | $43.10 | |
| Wisconsin | $64.84 | $42.12 | |
| North Carolina | $64.81 | $42.69 | |
| West Virginia | $64.61 | $44.00 | |
| Indiana | $64.26 | $42.28 | |
| Kentucky | $64.05 | $42.96 | |
| Idaho | $64.01 | $42.19 | |
| Nebraska | $63.88 | $41.99 | |
| Oklahoma | $63.85 | $42.67 | |
| Tennessee | $63.80 | $42.25 | |
| Iowa | $63.67 | $41.97 | |
| Kansas | $63.57 | $42.13 | |
| Alabama | $62.78 | $42.03 | |
| Mississippi | $62.74 | $42.32 | |
| Arkansas | $62.15 | $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