CPT 99458 pays $41.42 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 $37.99 in Arkansas to $52.29 in Alaska, a 38% spread.
National non-facility rate
$41.42
Office and other outpatient settings
Hospital and ASC settings
Alaska
Arkansas · 38% 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 | $52.29 | $36.28 | |
| District of Columbia | $46.18 | $28.47 | |
| California | $45.15 | $27.36 | |
| New York | $45.14 | $28.37 | |
| New Jersey | $45.06 | $28.14 | |
| Washington | $44.54 | $27.40 | |
| Massachusetts | $44.22 | $27.34 | |
| Connecticut | $43.62 | $27.43 | |
| Hawaii | $43.55 | $26.46 | |
| Florida | $42.75 | $27.67 | |
| Colorado | $42.63 | $26.64 | |
| Maryland | $42.62 | $26.95 | |
| Rhode Island | $42.31 | $26.78 | |
| Oregon | $42.26 | $26.43 | |
| New Hampshire | $42.06 | $26.41 | |
| Illinois | $42.04 | $27.52 | |
| Puerto Rico | $41.61 | $26.42 | |
| Virgin Islands | $41.61 | $26.42 | |
| Montana | $41.41 | $26.38 | |
| Pennsylvania | $41.29 | $26.57 | |
| Nevada | $41.21 | $26.17 | |
| Delaware | $41.15 | $26.30 | |
| Texas | $41.13 | $26.33 | |
| Wyoming | $41.07 | $26.04 | |
| Minnesota | $41.05 | $25.58 | |
| Georgia | $40.80 | $26.46 | |
| Michigan | $40.76 | $26.65 | |
| Virginia | $40.69 | $25.91 | |
| North Dakota | $40.62 | $25.59 | |
| Arizona | $40.61 | $26.05 | |
| Vermont | $40.56 | $25.68 | |
| South Dakota | $40.53 | $25.50 | |
| Utah | $40.10 | $25.97 | |
| New Mexico | $40.05 | $26.27 | |
| Maine | $40.04 | $25.68 | |
| Louisiana | $39.77 | $26.04 | |
| Missouri | $39.77 | $25.98 | |
| South Carolina | $39.72 | $25.83 | |
| Ohio | $39.71 | $25.99 | |
| Wisconsin | $39.66 | $25.27 | |
| North Carolina | $39.61 | $25.59 | |
| West Virginia | $39.41 | $26.35 | |
| Indiana | $39.29 | $25.36 | |
| Idaho | $39.14 | $25.31 | |
| Kentucky | $39.12 | $25.75 | |
| Nebraska | $39.07 | $25.20 | |
| Oklahoma | $39.01 | $25.59 | |
| Tennessee | $39.01 | $25.34 | |
| Iowa | $38.94 | $25.18 | |
| Kansas | $38.86 | $25.28 | |
| Alabama | $38.37 | $25.22 | |
| Mississippi | $38.33 | $25.39 | |
| Arkansas | $37.99 | $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