CPT 99447 pays $38.08 in a non-facility setting and $32.06 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $35.20 in Arkansas to $49.52 in Alaska, a 41% spread.
National non-facility rate
$38.08
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 | $49.52 | $43.12 | |
| District of Columbia | $41.80 | $34.72 | |
| New York | $41.45 | $34.75 | |
| New Jersey | $41.03 | $34.26 | |
| Florida | $40.33 | $34.30 | |
| California | $40.11 | $33.00 | |
| Washington | $40.05 | $33.20 | |
| Connecticut | $39.99 | $33.51 | |
| Massachusetts | $39.90 | $33.15 | |
| Illinois | $39.87 | $34.06 | |
| Maryland | $39.09 | $32.82 | |
| Hawaii | $38.79 | $31.95 | |
| Rhode Island | $38.68 | $32.47 | |
| Colorado | $38.64 | $32.24 | |
| New Hampshire | $38.29 | $32.03 | |
| Michigan | $38.28 | $32.63 | |
| Oregon | $38.28 | $31.94 | |
| Pennsylvania | $38.20 | $32.31 | |
| Puerto Rico | $38.18 | $32.10 | |
| Virgin Islands | $38.18 | $32.10 | |
| Montana | $38.07 | $32.06 | |
| Georgia | $38.00 | $32.27 | |
| Texas | $37.85 | $31.93 | |
| Delaware | $37.81 | $31.87 | |
| Nevada | $37.70 | $31.68 | |
| New Mexico | $37.52 | $32.01 | |
| West Virginia | $37.47 | $32.24 | |
| Wyoming | $37.47 | $31.46 | |
| Arizona | $37.36 | $31.53 | |
| Virginia | $37.18 | $31.27 | |
| Louisiana | $37.11 | $31.62 | |
| Utah | $37.10 | $31.45 | |
| Missouri | $37.02 | $31.51 | |
| Ohio | $37.02 | $31.53 | |
| Vermont | $36.80 | $30.85 | |
| Minnesota | $36.79 | $30.60 | |
| South Carolina | $36.79 | $31.23 | |
| North Dakota | $36.69 | $30.68 | |
| Maine | $36.65 | $30.91 | |
| South Dakota | $36.52 | $30.51 | |
| Kentucky | $36.51 | $31.16 | |
| North Carolina | $36.40 | $30.80 | |
| Oklahoma | $36.23 | $30.86 | |
| Indiana | $35.97 | $30.40 | |
| Wisconsin | $35.94 | $30.18 | |
| Tennessee | $35.87 | $30.40 | |
| Idaho | $35.86 | $30.33 | |
| Mississippi | $35.75 | $30.57 | |
| Kansas | $35.73 | $30.30 | |
| Nebraska | $35.67 | $30.12 | |
| Iowa | $35.62 | $30.12 | |
| Alabama | $35.52 | $30.26 | |
| Arkansas | $35.20 | $30.04 |
Medicare is the floor, not the market. See what UHC, Aetna, Cigna and BCBS actually pay — down to the TIN.
See negotiated rates