CPT 99457 pays $51.77 in a non-facility setting and $26.39 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $46.88 in Arkansas to $63.31 in Alaska, a 35% spread.
National non-facility rate
$51.77
Office and other outpatient settings
Hospital and ASC settings
Alaska
Arkansas · 35% 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 | $63.31 | $36.28 | |
| District of Columbia | $58.37 | $28.47 | |
| California | $57.40 | $27.36 | |
| New Jersey | $56.72 | $28.14 | |
| New York | $56.69 | $28.37 | |
| Washington | $56.34 | $27.40 | |
| Massachusetts | $55.86 | $27.34 | |
| Hawaii | $55.33 | $26.46 | |
| Connecticut | $54.77 | $27.43 | |
| Colorado | $53.65 | $26.64 | |
| Maryland | $53.42 | $26.95 | |
| Oregon | $53.17 | $26.43 | |
| Florida | $53.14 | $27.67 | |
| Rhode Island | $53.01 | $26.78 | |
| New Hampshire | $52.84 | $26.41 | |
| Puerto Rico | $52.08 | $26.42 | |
| Virgin Islands | $52.08 | $26.42 | |
| Illinois | $52.05 | $27.52 | |
| Montana | $51.77 | $26.38 | |
| Minnesota | $51.70 | $25.58 | |
| Nevada | $51.58 | $26.17 | |
| Pennsylvania | $51.43 | $26.57 | |
| Wyoming | $51.42 | $26.04 | |
| Delaware | $51.38 | $26.30 | |
| Texas | $51.32 | $26.33 | |
| North Dakota | $50.98 | $25.59 | |
| South Dakota | $50.88 | $25.50 | |
| Virginia | $50.87 | $25.91 | |
| Vermont | $50.81 | $25.68 | |
| Georgia | $50.68 | $26.46 | |
| Arizona | $50.65 | $26.05 | |
| Michigan | $50.48 | $26.65 | |
| Maine | $49.93 | $25.68 | |
| Utah | $49.83 | $25.97 | |
| Wisconsin | $49.58 | $25.27 | |
| New Mexico | $49.54 | $26.27 | |
| South Carolina | $49.29 | $25.83 | |
| Missouri | $49.28 | $25.98 | |
| North Carolina | $49.28 | $25.59 | |
| Louisiana | $49.22 | $26.04 | |
| Ohio | $49.17 | $25.99 | |
| Indiana | $48.89 | $25.36 | |
| Idaho | $48.66 | $25.31 | |
| Nebraska | $48.63 | $25.20 | |
| Tennessee | $48.42 | $25.34 | |
| Iowa | $48.41 | $25.18 | |
| West Virginia | $48.41 | $26.35 | |
| Kentucky | $48.32 | $25.75 | |
| Oklahoma | $48.26 | $25.59 | |
| Kansas | $48.22 | $25.28 | |
| Alabama | $47.43 | $25.22 | |
| Mississippi | $47.24 | $25.39 | |
| Arkansas | $46.88 | $25.08 |
Medicare is the floor, not the market. See what UHC, Aetna, Cigna and BCBS actually pay — down to the TIN.
See negotiated rates