CPT 99437 pays $63.13 in a non-facility setting and $43.76 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $58.13 in Arkansas to $80.56 in Alaska, a 39% spread.
National non-facility rate
$63.13
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 | $80.56 | $59.93 | |
| District of Columbia | $70.07 | $47.25 | |
| New York | $68.72 | $47.11 | |
| New Jersey | $68.49 | $46.68 | |
| California | $68.27 | $45.35 | |
| Washington | $67.52 | $45.44 | |
| Massachusetts | $67.10 | $45.33 | |
| Connecticut | $66.40 | $45.53 | |
| Hawaii | $65.90 | $43.87 | |
| Florida | $65.43 | $46.00 | |
| Maryland | $64.91 | $44.71 | |
| Colorado | $64.77 | $44.16 | |
| Illinois | $64.45 | $45.73 | |
| Rhode Island | $64.41 | $44.40 | |
| Oregon | $64.21 | $43.80 | |
| New Hampshire | $63.96 | $43.79 | |
| Puerto Rico | $63.39 | $43.81 | |
| Virgin Islands | $63.39 | $43.81 | |
| Montana | $63.12 | $43.75 | |
| Pennsylvania | $63.03 | $44.05 | |
| Nevada | $62.76 | $43.37 | |
| Delaware | $62.73 | $43.59 | |
| Texas | $62.72 | $43.65 | |
| Wyoming | $62.52 | $43.15 | |
| Michigan | $62.41 | $44.22 | |
| Georgia | $62.38 | $43.90 | |
| Minnesota | $62.28 | $42.34 | |
| Virginia | $61.97 | $42.93 | |
| Arizona | $61.94 | $43.17 | |
| North Dakota | $61.74 | $42.37 | |
| Vermont | $61.70 | $42.52 | |
| South Dakota | $61.58 | $42.20 | |
| New Mexico | $61.32 | $43.56 | |
| Utah | $61.25 | $43.04 | |
| Maine | $61.04 | $42.53 | |
| Louisiana | $60.85 | $43.17 | |
| Missouri | $60.84 | $43.06 | |
| Ohio | $60.76 | $43.08 | |
| South Carolina | $60.70 | $42.80 | |
| West Virginia | $60.55 | $43.71 | |
| North Carolina | $60.45 | $42.37 | |
| Wisconsin | $60.36 | $41.80 | |
| Indiana | $59.93 | $41.97 | |
| Kentucky | $59.89 | $42.67 | |
| Idaho | $59.70 | $41.88 | |
| Oklahoma | $59.68 | $42.38 | |
| Nebraska | $59.56 | $41.68 | |
| Tennessee | $59.55 | $41.94 | |
| Iowa | $59.39 | $41.66 | |
| Kansas | $59.34 | $41.83 | |
| Mississippi | $58.71 | $42.03 | |
| Alabama | $58.69 | $41.74 | |
| Arkansas | $58.13 | $41.49 |
Medicare is the floor, not the market. See what UHC, Aetna, Cigna and BCBS actually pay — down to the TIN.
See negotiated rates