CPT 99463 pays $94.86 in a non-facility setting and $94.86 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $90.02 in Arkansas to $129.74 in Alaska, a 44% spread.
National non-facility rate
$94.86
Office and other outpatient settings
Hospital and ASC settings
Alaska
Arkansas · 44% 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 | $129.74 | $129.74 | |
| District of Columbia | $102.64 | $102.64 | |
| New York | $102.03 | $102.03 | |
| New Jersey | $101.32 | $101.32 | |
| Florida | $99.03 | $99.03 | |
| California | $98.97 | $98.97 | |
| Washington | $98.90 | $98.90 | |
| Connecticut | $98.68 | $98.68 | |
| Massachusetts | $98.60 | $98.60 | |
| Illinois | $98.41 | $98.41 | |
| Maryland | $96.94 | $96.94 | |
| Rhode Island | $96.38 | $96.38 | |
| Colorado | $96.00 | $96.00 | |
| Hawaii | $95.68 | $95.68 | |
| Michigan | $95.45 | $95.45 | |
| Pennsylvania | $95.40 | $95.40 | |
| Oregon | $95.26 | $95.26 | |
| New Hampshire | $95.11 | $95.11 | |
| Puerto Rico | $95.01 | $95.01 | |
| Virgin Islands | $95.01 | $95.01 | |
| Georgia | $94.93 | $94.93 | |
| Montana | $94.85 | $94.85 | |
| Texas | $94.64 | $94.64 | |
| Delaware | $94.54 | $94.54 | |
| West Virginia | $94.19 | $94.19 | |
| Nevada | $94.15 | $94.15 | |
| New Mexico | $94.12 | $94.12 | |
| Wyoming | $93.73 | $93.73 | |
| Arizona | $93.63 | $93.63 | |
| Louisiana | $93.38 | $93.38 | |
| Utah | $93.25 | $93.25 | |
| Virginia | $93.25 | $93.25 | |
| Ohio | $93.21 | $93.21 | |
| Missouri | $93.20 | $93.20 | |
| South Carolina | $92.73 | $92.73 | |
| Vermont | $92.52 | $92.52 | |
| Maine | $92.37 | $92.37 | |
| Minnesota | $92.36 | $92.36 | |
| Kentucky | $92.34 | $92.34 | |
| North Dakota | $92.28 | $92.28 | |
| North Carolina | $91.99 | $91.99 | |
| South Dakota | $91.98 | $91.98 | |
| Oklahoma | $91.82 | $91.82 | |
| Indiana | $91.21 | $91.21 | |
| Tennessee | $91.09 | $91.09 | |
| Wisconsin | $91.04 | $91.04 | |
| Mississippi | $91.03 | $91.03 | |
| Idaho | $91.02 | $91.02 | |
| Kansas | $90.85 | $90.85 | |
| Nebraska | $90.67 | $90.67 | |
| Iowa | $90.59 | $90.59 | |
| Alabama | $90.55 | $90.55 | |
| Arkansas | $90.02 | $90.02 |
Medicare is the floor, not the market. See what UHC, Aetna, Cigna and BCBS actually pay — down to the TIN.
See negotiated rates