CPT 99448 pays $56.78 in a non-facility setting and $47.76 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $52.69 in Arkansas to $74.18 in Alaska, a 41% spread.
National non-facility rate
$56.78
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 | $74.18 | $64.58 | |
| District of Columbia | $62.34 | $51.72 | |
| New York | $61.69 | $51.63 | |
| New Jersey | $61.19 | $51.04 | |
| California | $60.09 | $49.42 | |
| Washington | $59.87 | $49.59 | |
| Florida | $59.69 | $50.64 | |
| Massachusetts | $59.62 | $49.49 | |
| Connecticut | $59.55 | $49.84 | |
| Illinois | $59.01 | $50.30 | |
| Maryland | $58.27 | $48.86 | |
| Hawaii | $58.08 | $47.82 | |
| Colorado | $57.74 | $48.15 | |
| Rhode Island | $57.74 | $48.42 | |
| Oregon | $57.23 | $47.73 | |
| New Hampshire | $57.17 | $47.78 | |
| Puerto Rico | $56.94 | $47.82 | |
| Virgin Islands | $56.94 | $47.82 | |
| Pennsylvania | $56.92 | $48.09 | |
| Michigan | $56.87 | $48.40 | |
| Montana | $56.78 | $47.76 | |
| Georgia | $56.56 | $47.96 | |
| Texas | $56.47 | $47.59 | |
| Delaware | $56.43 | $47.52 | |
| Nevada | $56.30 | $47.27 | |
| Wyoming | $56.00 | $46.98 | |
| New Mexico | $55.83 | $47.56 | |
| Arizona | $55.77 | $47.03 | |
| West Virginia | $55.63 | $47.79 | |
| Virginia | $55.58 | $46.71 | |
| Utah | $55.35 | $46.88 | |
| Louisiana | $55.30 | $47.06 | |
| Minnesota | $55.21 | $45.93 | |
| Missouri | $55.19 | $46.92 | |
| Ohio | $55.18 | $46.94 | |
| Vermont | $55.11 | $46.18 | |
| North Dakota | $55.00 | $45.98 | |
| South Carolina | $54.91 | $46.58 | |
| Maine | $54.83 | $46.21 | |
| South Dakota | $54.79 | $45.77 | |
| Kentucky | $54.45 | $46.43 | |
| North Carolina | $54.44 | $46.03 | |
| Oklahoma | $54.11 | $46.06 | |
| Wisconsin | $53.92 | $45.28 | |
| Indiana | $53.87 | $45.51 | |
| Idaho | $53.70 | $45.40 | |
| Tennessee | $53.69 | $45.49 | |
| Kansas | $53.49 | $45.34 | |
| Nebraska | $53.47 | $45.15 | |
| Mississippi | $53.40 | $45.63 | |
| Iowa | $53.38 | $45.13 | |
| Alabama | $53.14 | $45.25 | |
| Arkansas | $52.69 | $44.94 |
Medicare is the floor, not the market. See what UHC, Aetna, Cigna and BCBS actually pay — down to the TIN.
See negotiated rates