CPT 99453 pays $21.71 in a non-facility setting and $21.71 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $18.42 in Arkansas to $25.53 in District of Columbia, a 39% spread.
National non-facility rate
$21.71
Office and other outpatient settings
Hospital and ASC settings
District of Columbia
Arkansas · 39% 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 |
|---|---|---|---|
| District of Columbia | $25.53 | $25.53 | |
| California | $25.26 | $25.26 | |
| Washington | $24.52 | $24.52 | |
| New Jersey | $24.42 | $24.42 | |
| New York | $24.38 | $24.38 | |
| Hawaii | $24.31 | $24.31 | |
| Massachusetts | $24.20 | $24.20 | |
| Connecticut | $23.47 | $23.47 | |
| Colorado | $22.91 | $22.91 | |
| Alaska | $22.78 | $22.78 | |
| Maryland | $22.66 | $22.66 | |
| Oregon | $22.65 | $22.65 | |
| New Hampshire | $22.49 | $22.49 | |
| Florida | $22.41 | $22.41 | |
| Rhode Island | $22.33 | $22.33 | |
| Puerto Rico | $21.93 | $21.93 | |
| Virgin Islands | $21.93 | $21.93 | |
| Minnesota | $21.85 | $21.85 | |
| Montana | $21.71 | $21.71 | |
| Nevada | $21.62 | $21.62 | |
| Illinois | $21.61 | $21.61 | |
| Wyoming | $21.54 | $21.54 | |
| Delaware | $21.39 | $21.39 | |
| Texas | $21.34 | $21.34 | |
| Pennsylvania | $21.33 | $21.33 | |
| North Dakota | $21.31 | $21.31 | |
| South Dakota | $21.27 | $21.27 | |
| Vermont | $21.17 | $21.17 | |
| Virginia | $21.16 | $21.16 | |
| Arizona | $20.96 | $20.96 | |
| Georgia | $20.87 | $20.87 | |
| Michigan | $20.70 | $20.70 | |
| Maine | $20.52 | $20.52 | |
| Utah | $20.38 | $20.38 | |
| Wisconsin | $20.36 | $20.36 | |
| New Mexico | $20.10 | $20.10 | |
| North Carolina | $20.06 | $20.06 | |
| South Carolina | $20.01 | $20.01 | |
| Missouri | $19.97 | $19.97 | |
| Louisiana | $19.91 | $19.91 | |
| Ohio | $19.89 | $19.89 | |
| Indiana | $19.83 | $19.83 | |
| Idaho | $19.68 | $19.68 | |
| Nebraska | $19.67 | $19.67 | |
| Iowa | $19.52 | $19.52 | |
| Tennessee | $19.49 | $19.49 | |
| Kansas | $19.36 | $19.36 | |
| Kentucky | $19.32 | $19.32 | |
| Oklahoma | $19.31 | $19.31 | |
| West Virginia | $19.24 | $19.24 | |
| Alabama | $18.79 | $18.79 | |
| Mississippi | $18.61 | $18.61 | |
| Arkansas | $18.42 | $18.42 |
Medicare is the floor, not the market. See what UHC, Aetna, Cigna and BCBS actually pay — down to the TIN.
See negotiated rates