CPT 99446 pays $19.04 in a non-facility setting and $16.03 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $17.54 in Arkansas to $24.67 in Alaska, a 41% spread.
National non-facility rate
$19.04
Office and other outpatient settings
Hospital and ASC settings
Alaska
Arkansas · 41% 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 | $24.67 | $21.47 | |
| District of Columbia | $20.89 | $17.35 | |
| New York | $20.77 | $17.41 | |
| New Jersey | $20.51 | $17.12 | |
| Florida | $20.32 | $17.31 | |
| Illinois | $20.09 | $17.19 | |
| Connecticut | $20.02 | $16.78 | |
| Washington | $19.97 | $16.54 | |
| California | $19.95 | $16.39 | |
| Massachusetts | $19.91 | $16.53 | |
| Maryland | $19.55 | $16.42 | |
| Rhode Island | $19.31 | $16.21 | |
| Hawaii | $19.30 | $15.88 | |
| Colorado | $19.27 | $16.07 | |
| Michigan | $19.22 | $16.39 | |
| New Hampshire | $19.12 | $15.99 | |
| Pennsylvania | $19.11 | $16.17 | |
| Oregon | $19.08 | $15.92 | |
| Puerto Rico | $19.08 | $16.05 | |
| Virgin Islands | $19.08 | $16.05 | |
| Georgia | $19.04 | $16.17 | |
| Montana | $19.04 | $16.03 | |
| Texas | $18.91 | $15.96 | |
| Delaware | $18.89 | $15.92 | |
| West Virginia | $18.83 | $16.21 | |
| Nevada | $18.82 | $15.81 | |
| New Mexico | $18.81 | $16.05 | |
| Wyoming | $18.69 | $15.69 | |
| Arizona | $18.66 | $15.75 | |
| Louisiana | $18.58 | $15.83 | |
| Utah | $18.54 | $15.72 | |
| Virginia | $18.54 | $15.59 | |
| Ohio | $18.53 | $15.78 | |
| Missouri | $18.52 | $15.76 | |
| South Carolina | $18.38 | $15.60 | |
| Vermont | $18.32 | $15.34 | |
| Maine | $18.27 | $15.40 | |
| Minnesota | $18.27 | $15.18 | |
| Kentucky | $18.26 | $15.59 | |
| North Dakota | $18.24 | $15.24 | |
| North Carolina | $18.15 | $15.35 | |
| South Dakota | $18.15 | $15.15 | |
| Oklahoma | $18.10 | $15.41 | |
| Indiana | $17.91 | $15.13 | |
| Tennessee | $17.87 | $15.14 | |
| Wisconsin | $17.86 | $14.98 | |
| Idaho | $17.85 | $15.09 | |
| Mississippi | $17.85 | $15.27 | |
| Kansas | $17.80 | $15.08 | |
| Nebraska | $17.74 | $14.97 | |
| Iowa | $17.72 | $14.97 | |
| Alabama | $17.71 | $15.08 | |
| Arkansas | $17.54 | $14.96 |
Medicare is the floor, not the market. See what UHC, Aetna, Cigna and BCBS actually pay — down to the TIN.
See negotiated rates