CPT 99452 pays $37.07 in a non-facility setting and $31.06 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $34.57 in Arkansas to $48.80 in Alaska, a 41% spread.
National non-facility rate
$37.07
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 | $48.80 | $42.39 | |
| District of Columbia | $40.67 | $33.58 | |
| New York | $40.17 | $33.47 | |
| New Jersey | $39.93 | $33.16 | |
| California | $39.35 | $32.24 | |
| Washington | $39.14 | $32.29 | |
| Massachusetts | $38.96 | $32.21 | |
| Connecticut | $38.82 | $32.34 | |
| Florida | $38.70 | $32.66 | |
| Illinois | $38.27 | $32.46 | |
| Hawaii | $38.02 | $31.18 | |
| Maryland | $38.02 | $31.75 | |
| Colorado | $37.76 | $31.36 | |
| Rhode Island | $37.74 | $31.53 | |
| Oregon | $37.44 | $31.11 | |
| New Hampshire | $37.36 | $31.10 | |
| Puerto Rico | $37.18 | $31.10 | |
| Virgin Islands | $37.18 | $31.10 | |
| Pennsylvania | $37.15 | $31.27 | |
| Montana | $37.07 | $31.06 | |
| Michigan | $37.02 | $31.38 | |
| Texas | $36.90 | $30.98 | |
| Georgia | $36.89 | $31.15 | |
| Delaware | $36.88 | $30.94 | |
| Nevada | $36.81 | $30.79 | |
| Wyoming | $36.64 | $30.63 | |
| Arizona | $36.46 | $30.64 | |
| New Mexico | $36.41 | $30.90 | |
| Virginia | $36.38 | $30.47 | |
| Minnesota | $36.25 | $30.06 | |
| West Virginia | $36.22 | $31.00 | |
| Utah | $36.18 | $30.53 | |
| Vermont | $36.13 | $30.18 | |
| Louisiana | $36.11 | $30.62 | |
| North Dakota | $36.08 | $30.07 | |
| Missouri | $36.06 | $30.54 | |
| Ohio | $36.04 | $30.55 | |
| South Dakota | $35.97 | $29.95 | |
| Maine | $35.92 | $30.17 | |
| South Carolina | $35.91 | $30.36 | |
| North Carolina | $35.67 | $30.06 | |
| Kentucky | $35.60 | $30.25 | |
| Oklahoma | $35.42 | $30.05 | |
| Wisconsin | $35.41 | $29.65 | |
| Indiana | $35.34 | $29.77 | |
| Idaho | $35.23 | $29.70 | |
| Tennessee | $35.21 | $29.74 | |
| Nebraska | $35.11 | $29.56 | |
| Kansas | $35.09 | $29.66 | |
| Iowa | $35.05 | $29.54 | |
| Mississippi | $34.97 | $29.79 | |
| Alabama | $34.85 | $29.59 | |
| Arkansas | $34.57 | $29.41 |
Medicare is the floor, not the market. See what UHC, Aetna, Cigna and BCBS actually pay — down to the TIN.
See negotiated rates