CPT 99449 pays $76.15 in a non-facility setting and $63.46 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $70.63 in Arkansas to $99.39 in Alaska, a 41% spread.
National non-facility rate
$76.15
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 | $99.39 | $85.87 | |
| District of Columbia | $83.65 | $68.70 | |
| New York | $82.75 | $68.59 | |
| New Jersey | $82.09 | $67.80 | |
| California | $80.65 | $65.63 | |
| Washington | $80.34 | $65.87 | |
| Florida | $80.03 | $67.30 | |
| Massachusetts | $79.99 | $65.73 | |
| Connecticut | $79.89 | $66.22 | |
| Illinois | $79.11 | $66.85 | |
| Maryland | $78.15 | $64.92 | |
| Hawaii | $77.94 | $63.51 | |
| Colorado | $77.46 | $63.96 | |
| Rhode Island | $77.45 | $64.34 | |
| Oregon | $76.78 | $63.41 | |
| New Hampshire | $76.69 | $63.48 | |
| Puerto Rico | $76.37 | $63.54 | |
| Virgin Islands | $76.37 | $63.54 | |
| Pennsylvania | $76.33 | $63.90 | |
| Michigan | $76.24 | $64.32 | |
| Montana | $76.15 | $63.45 | |
| Georgia | $75.84 | $63.74 | |
| Texas | $75.73 | $63.24 | |
| Delaware | $75.68 | $63.14 | |
| Nevada | $75.51 | $62.81 | |
| Wyoming | $75.11 | $62.42 | |
| New Mexico | $74.85 | $63.21 | |
| Arizona | $74.79 | $62.49 | |
| West Virginia | $74.56 | $63.53 | |
| Virginia | $74.54 | $62.07 | |
| Utah | $74.22 | $62.29 | |
| Louisiana | $74.13 | $62.55 | |
| Minnesota | $74.07 | $61.01 | |
| Missouri | $74.00 | $62.35 | |
| Ohio | $73.98 | $62.39 | |
| Vermont | $73.92 | $61.35 | |
| North Dakota | $73.77 | $61.08 | |
| South Carolina | $73.62 | $61.90 | |
| Maine | $73.53 | $61.40 | |
| South Dakota | $73.49 | $60.80 | |
| North Carolina | $73.01 | $61.16 | |
| Kentucky | $73.00 | $61.71 | |
| Oklahoma | $72.54 | $61.21 | |
| Wisconsin | $72.31 | $60.16 | |
| Indiana | $72.24 | $60.48 | |
| Idaho | $72.01 | $60.33 | |
| Tennessee | $71.99 | $60.45 | |
| Kansas | $71.73 | $60.26 | |
| Nebraska | $71.71 | $59.99 | |
| Iowa | $71.58 | $59.97 | |
| Mississippi | $71.58 | $60.65 | |
| Alabama | $71.24 | $60.14 | |
| Arkansas | $70.63 | $59.73 |
Medicare is the floor, not the market. See what UHC, Aetna, Cigna and BCBS actually pay — down to the TIN.
See negotiated rates