CPT 99427 pays $54.11 in a non-facility setting and $31.40 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $49.25 in Arkansas to $67.08 in Alaska, a 36% spread.
National non-facility rate
$54.11
Office and other outpatient settings
Hospital and ASC settings
Alaska
Arkansas · 36% 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 | $67.08 | $42.90 | |
| District of Columbia | $60.69 | $33.94 | |
| California | $59.46 | $32.58 | |
| New York | $59.15 | $33.82 | |
| New Jersey | $59.09 | $33.51 | |
| Washington | $58.53 | $32.63 | |
| Massachusetts | $58.07 | $32.55 | |
| Hawaii | $57.34 | $31.52 | |
| Connecticut | $57.15 | $32.68 | |
| Colorado | $55.87 | $31.70 | |
| Florida | $55.79 | $33.00 | |
| Maryland | $55.77 | $32.09 | |
| Oregon | $55.37 | $31.45 | |
| Rhode Island | $55.33 | $31.87 | |
| New Hampshire | $55.08 | $31.43 | |
| Illinois | $54.74 | $32.80 | |
| Puerto Rico | $54.40 | $31.44 | |
| Virgin Islands | $54.40 | $31.44 | |
| Montana | $54.11 | $31.39 | |
| Nevada | $53.86 | $31.12 | |
| Pennsylvania | $53.85 | $31.60 | |
| Minnesota | $53.77 | $30.40 | |
| Delaware | $53.71 | $31.27 | |
| Texas | $53.68 | $31.32 | |
| Wyoming | $53.68 | $30.96 | |
| Georgia | $53.15 | $31.48 | |
| Virginia | $53.13 | $30.80 | |
| North Dakota | $53.12 | $30.40 | |
| Michigan | $53.04 | $31.71 | |
| South Dakota | $53.00 | $30.29 | |
| Vermont | $53.00 | $30.51 | |
| Arizona | $52.98 | $30.97 | |
| Utah | $52.22 | $30.87 | |
| Maine | $52.21 | $30.51 | |
| New Mexico | $52.06 | $31.23 | |
| Wisconsin | $51.75 | $29.99 | |
| Missouri | $51.72 | $30.88 | |
| Louisiana | $51.69 | $30.95 | |
| South Carolina | $51.68 | $30.69 | |
| Ohio | $51.62 | $30.89 | |
| North Carolina | $51.58 | $30.39 | |
| Indiana | $51.15 | $30.10 | |
| West Virginia | $51.07 | $31.33 | |
| Idaho | $50.93 | $30.04 | |
| Nebraska | $50.86 | $29.90 | |
| Kentucky | $50.78 | $30.59 | |
| Tennessee | $50.72 | $30.08 | |
| Iowa | $50.66 | $29.88 | |
| Oklahoma | $50.66 | $30.38 | |
| Kansas | $50.52 | $29.99 | |
| Alabama | $49.79 | $29.92 | |
| Mississippi | $49.68 | $30.13 | |
| Arkansas | $49.25 | $29.74 |
Medicare is the floor, not the market. See what UHC, Aetna, Cigna and BCBS actually pay — down to the TIN.
See negotiated rates