CPT 99439 pays $50.44 in a non-facility setting and $30.73 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $46.05 in Arkansas to $63.03 in Alaska, a 37% spread.
National non-facility rate
$50.44
Office and other outpatient settings
Hospital and ASC settings
Alaska
Arkansas · 37% 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 | $63.03 | $42.04 | |
| District of Columbia | $56.41 | $33.19 | |
| California | $55.16 | $31.84 | |
| New York | $55.08 | $33.09 | |
| New Jersey | $54.98 | $32.79 | |
| Washington | $54.37 | $31.91 | |
| Massachusetts | $53.98 | $31.84 | |
| Connecticut | $53.21 | $31.98 | |
| Hawaii | $53.21 | $30.80 | |
| Florida | $52.10 | $32.33 | |
| Colorado | $51.97 | $31.01 | |
| Maryland | $51.95 | $31.40 | |
| Rhode Island | $51.54 | $31.18 | |
| Oregon | $51.52 | $30.76 | |
| New Hampshire | $51.27 | $30.75 | |
| Illinois | $51.18 | $32.14 | |
| Puerto Rico | $50.69 | $30.77 | |
| Virgin Islands | $50.69 | $30.77 | |
| Montana | $50.43 | $30.73 | |
| Pennsylvania | $50.24 | $30.94 | |
| Nevada | $50.18 | $30.46 | |
| Delaware | $50.08 | $30.61 | |
| Texas | $50.05 | $30.65 | |
| Minnesota | $50.00 | $29.72 | |
| Wyoming | $50.00 | $30.29 | |
| Georgia | $49.63 | $30.83 | |
| Michigan | $49.57 | $31.06 | |
| Virginia | $49.51 | $30.14 | |
| North Dakota | $49.44 | $29.74 | |
| Arizona | $49.41 | $30.31 | |
| Vermont | $49.36 | $29.85 | |
| South Dakota | $49.33 | $29.62 | |
| Utah | $48.74 | $30.22 | |
| Maine | $48.68 | $29.85 | |
| New Mexico | $48.66 | $30.59 | |
| Missouri | $48.32 | $30.24 | |
| Louisiana | $48.31 | $30.31 | |
| South Carolina | $48.26 | $30.05 | |
| Ohio | $48.24 | $30.25 | |
| Wisconsin | $48.21 | $29.33 | |
| North Carolina | $48.13 | $29.75 | |
| West Virginia | $47.83 | $30.70 | |
| Indiana | $47.72 | $29.46 | |
| Idaho | $47.52 | $29.39 | |
| Kentucky | $47.48 | $29.96 | |
| Nebraska | $47.44 | $29.25 | |
| Oklahoma | $47.35 | $29.75 | |
| Tennessee | $47.35 | $29.44 | |
| Iowa | $47.27 | $29.24 | |
| Kansas | $47.17 | $29.36 | |
| Alabama | $46.54 | $29.29 | |
| Mississippi | $46.47 | $29.50 | |
| Arkansas | $46.05 | $29.12 |
Medicare is the floor, not the market. See what UHC, Aetna, Cigna and BCBS actually pay — down to the TIN.
See negotiated rates