CPT 99461 pays $93.86 in a non-facility setting and $53.11 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $85.75 in Arkansas to $117.06 in Alaska, a 37% spread.
National non-facility rate
$93.86
Office and other outpatient settings
Hospital and ASC settings
Alaska
Arkansas · 37% 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 | $117.06 | $73.66 | |
| District of Columbia | $105.19 | $57.19 | |
| California | $103.35 | $55.14 | |
| New Jersey | $102.45 | $56.56 | |
| New York | $102.41 | $56.95 | |
| Washington | $101.61 | $55.16 | |
| Massachusetts | $100.80 | $55.01 | |
| Hawaii | $99.64 | $53.31 | |
| Connecticut | $99.00 | $55.11 | |
| Colorado | $97.01 | $53.66 | |
| Maryland | $96.69 | $54.20 | |
| Florida | $96.23 | $55.35 | |
| Oregon | $96.19 | $53.26 | |
| Rhode Island | $96.03 | $53.94 | |
| New Hampshire | $95.59 | $53.17 | |
| Illinois | $94.47 | $55.09 | |
| Puerto Rico | $94.37 | $53.17 | |
| Virgin Islands | $94.37 | $53.17 | |
| Montana | $93.85 | $53.10 | |
| Minnesota | $93.64 | $51.71 | |
| Nevada | $93.52 | $52.73 | |
| Pennsylvania | $93.38 | $53.47 | |
| Wyoming | $93.25 | $52.50 | |
| Delaware | $93.24 | $52.98 | |
| Texas | $93.16 | $53.04 | |
| North Dakota | $92.47 | $51.72 | |
| Virginia | $92.33 | $52.27 | |
| South Dakota | $92.30 | $51.55 | |
| Vermont | $92.21 | $51.87 | |
| Georgia | $92.11 | $53.23 | |
| Arizona | $91.99 | $52.50 | |
| Michigan | $91.79 | $53.53 | |
| Maine | $90.78 | $51.85 | |
| Utah | $90.65 | $52.35 | |
| New Mexico | $90.22 | $52.86 | |
| Wisconsin | $90.16 | $51.12 | |
| Missouri | $89.75 | $52.36 | |
| South Carolina | $89.75 | $52.10 | |
| North Carolina | $89.70 | $51.68 | |
| Louisiana | $89.67 | $52.46 | |
| Ohio | $89.57 | $52.37 | |
| Indiana | $89.05 | $51.27 | |
| Idaho | $88.67 | $51.18 | |
| Nebraska | $88.60 | $50.98 | |
| West Virginia | $88.39 | $52.98 | |
| Tennessee | $88.28 | $51.23 | |
| Iowa | $88.24 | $50.96 | |
| Kentucky | $88.17 | $51.94 | |
| Oklahoma | $88.05 | $51.66 | |
| Kansas | $87.95 | $51.11 | |
| Alabama | $86.66 | $51.01 | |
| Mississippi | $86.38 | $51.29 | |
| Arkansas | $85.75 | $50.75 |
Medicare is the floor, not the market. See what UHC, Aetna, Cigna and BCBS actually pay — down to the TIN.
See negotiated rates