CPT 99460

1st Hosp/Birthing Center Care Per Day Nml Nb

CPT 99460 pays $80.83 in a non-facility setting and $80.83 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $77.10 in Arkansas to $111.92 in Alaska, a 45% spread.

National non-facility rate

$80.83

Office and other outpatient settings

Facility rate
$80.83

Hospital and ASC settings

Highest state
$111.92

Alaska

Lowest state
$77.10

Arkansas · 45% spread

Medicare rate by state

53 Medicare jurisdictions, highest to lowest. State values average every locality in the jurisdiction at a 33.4009 conversion factor.

Non-facilityFacilityNational $80.83
CPT 99460 Medicare reimbursement rate by state, 33.4009 conversion factor, 2026 Physician Fee Schedule. National non-facility $80.83, national facility $80.83.
StateRate compared visuallyNon-facilityFacility
Alaska
$111.92$111.92
District of Columbia
$87.01$87.01
New York
$86.78$86.78
New Jersey
$86.06$86.06
Florida
$84.67$84.67
Illinois
$84.28$84.28
Connecticut
$83.93$83.93
Washington
$83.78$83.78
California
$83.62$83.62
Massachusetts
$83.60$83.60
Maryland
$82.51$82.51
Rhode Island
$82.03$82.03
Michigan
$81.69$81.69
Colorado
$81.53$81.53
Pennsylvania
$81.42$81.42
Georgia
$81.13$81.13
Oregon
$80.91$80.91
Puerto Rico
$80.91$80.91
Virgin Islands
$80.91$80.91
West Virginia
$80.89$80.89
Hawaii
$80.88$80.88
New Hampshire
$80.85$80.85
Montana
$80.82$80.82
Texas
$80.70$80.70
Delaware
$80.59$80.59
New Mexico
$80.58$80.58
Nevada
$80.17$80.17
Louisiana
$79.91$79.91
Arizona
$79.86$79.86
Wyoming
$79.79$79.79
Ohio
$79.76$79.76
Missouri
$79.72$79.72
Utah
$79.66$79.66
Virginia
$79.44$79.44
South Carolina
$79.26$79.26
Kentucky
$79.08$79.08
Maine
$78.77$78.77
Vermont
$78.72$78.72
Oklahoma
$78.58$78.58
North Carolina
$78.53$78.53
North Dakota
$78.45$78.45
Minnesota
$78.38$78.38
South Dakota
$78.17$78.17
Mississippi
$78.02$78.02
Indiana
$77.84$77.84
Tennessee
$77.82$77.82
Idaho
$77.70$77.70
Kansas
$77.62$77.62
Wisconsin
$77.52$77.52
Alabama
$77.50$77.50
Nebraska
$77.36$77.36
Iowa
$77.33$77.33
Arkansas
$77.10$77.10

Billed by 2 specialties

Commercial rates for 99460

Medicare is the floor, not the market. See what UHC, Aetna, Cigna and BCBS actually pay — down to the TIN.

See negotiated rates