CPT 99451 pays $35.40 in a non-facility setting and $30.06 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $33.14 in Arkansas to $47.02 in Alaska, a 42% spread.
National non-facility rate
$35.40
Office and other outpatient settings
Hospital and ASC settings
Alaska
Arkansas · 42% 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 | $47.02 | $41.33 | |
| District of Columbia | $38.70 | $32.40 | |
| New York | $38.31 | $32.35 | |
| New Jersey | $38.05 | $32.03 | |
| California | $37.38 | $31.05 | |
| Washington | $37.24 | $31.15 | |
| Massachusetts | $37.09 | $31.08 | |
| Connecticut | $37.02 | $31.26 | |
| Florida | $37.02 | $31.66 | |
| Illinois | $36.66 | $31.49 | |
| Maryland | $36.28 | $30.71 | |
| Hawaii | $36.12 | $30.04 | |
| Rhode Island | $36.01 | $30.49 | |
| Colorado | $35.98 | $30.30 | |
| Oregon | $35.68 | $30.05 | |
| New Hampshire | $35.62 | $30.06 | |
| Pennsylvania | $35.52 | $30.28 | |
| Puerto Rico | $35.49 | $30.09 | |
| Virgin Islands | $35.49 | $30.09 | |
| Michigan | $35.45 | $30.44 | |
| Montana | $35.40 | $30.06 | |
| Georgia | $35.29 | $30.19 | |
| Texas | $35.25 | $29.99 | |
| Delaware | $35.23 | $29.95 | |
| Nevada | $35.14 | $29.79 | |
| Wyoming | $34.97 | $29.63 | |
| New Mexico | $34.88 | $29.98 | |
| Arizona | $34.84 | $29.67 | |
| West Virginia | $34.77 | $30.12 | |
| Virginia | $34.74 | $29.48 | |
| Utah | $34.61 | $29.59 | |
| Louisiana | $34.58 | $29.70 | |
| Minnesota | $34.53 | $29.03 | |
| Missouri | $34.53 | $29.62 | |
| Ohio | $34.52 | $29.64 | |
| Vermont | $34.48 | $29.19 | |
| North Dakota | $34.41 | $29.07 | |
| South Carolina | $34.37 | $29.43 | |
| Maine | $34.32 | $29.21 | |
| South Dakota | $34.30 | $28.95 | |
| Kentucky | $34.11 | $29.36 | |
| North Carolina | $34.11 | $29.12 | |
| Oklahoma | $33.92 | $29.15 | |
| Wisconsin | $33.81 | $28.69 | |
| Indiana | $33.79 | $28.84 | |
| Idaho | $33.70 | $28.78 | |
| Tennessee | $33.69 | $28.83 | |
| Kansas | $33.58 | $28.75 | |
| Nebraska | $33.57 | $28.64 | |
| Mississippi | $33.53 | $28.93 | |
| Iowa | $33.52 | $28.63 | |
| Alabama | $33.39 | $28.71 | |
| Arkansas | $33.14 | $28.54 |
Medicare is the floor, not the market. See what UHC, Aetna, Cigna and BCBS actually pay — down to the TIN.
See negotiated rates