CPT 99465 pays $123.58 in a non-facility setting and $123.58 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $117.89 in Arkansas to $171.10 in Alaska, a 45% spread.
National non-facility rate
$123.58
Office and other outpatient settings
Hospital and ASC settings
Alaska
Arkansas · 45% 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 | $171.10 | $171.10 | |
| District of Columbia | $133.06 | $133.06 | |
| New York | $132.66 | $132.66 | |
| New Jersey | $131.60 | $131.60 | |
| Florida | $129.34 | $129.34 | |
| Illinois | $128.74 | $128.74 | |
| Connecticut | $128.32 | $128.32 | |
| Washington | $128.16 | $128.16 | |
| California | $127.95 | $127.95 | |
| Massachusetts | $127.87 | $127.87 | |
| Maryland | $126.16 | $126.16 | |
| Rhode Island | $125.44 | $125.44 | |
| Michigan | $124.83 | $124.83 | |
| Colorado | $124.70 | $124.70 | |
| Pennsylvania | $124.47 | $124.47 | |
| Georgia | $124.01 | $124.01 | |
| Oregon | $123.76 | $123.76 | |
| Hawaii | $123.75 | $123.75 | |
| Puerto Rico | $123.71 | $123.71 | |
| Virgin Islands | $123.71 | $123.71 | |
| New Hampshire | $123.64 | $123.64 | |
| West Virginia | $123.59 | $123.59 | |
| Montana | $123.57 | $123.57 | |
| Texas | $123.39 | $123.39 | |
| Delaware | $123.23 | $123.23 | |
| New Mexico | $123.16 | $123.16 | |
| Nevada | $122.60 | $122.60 | |
| Louisiana | $122.15 | $122.15 | |
| Arizona | $122.11 | $122.11 | |
| Wyoming | $122.02 | $122.02 | |
| Ohio | $121.92 | $121.92 | |
| Missouri | $121.87 | $121.87 | |
| Utah | $121.79 | $121.79 | |
| Virginia | $121.48 | $121.48 | |
| South Carolina | $121.18 | $121.18 | |
| Kentucky | $120.88 | $120.88 | |
| Maine | $120.46 | $120.46 | |
| Vermont | $120.42 | $120.42 | |
| Oklahoma | $120.13 | $120.13 | |
| North Carolina | $120.09 | $120.09 | |
| North Dakota | $120.01 | $120.01 | |
| Minnesota | $119.92 | $119.92 | |
| South Dakota | $119.59 | $119.59 | |
| Mississippi | $119.27 | $119.27 | |
| Indiana | $119.05 | $119.05 | |
| Tennessee | $119.01 | $119.01 | |
| Idaho | $118.84 | $118.84 | |
| Kansas | $118.71 | $118.71 | |
| Wisconsin | $118.60 | $118.60 | |
| Alabama | $118.51 | $118.51 | |
| Nebraska | $118.33 | $118.33 | |
| Iowa | $118.28 | $118.28 | |
| Arkansas | $117.89 | $117.89 |
Medicare is the floor, not the market. See what UHC, Aetna, Cigna and BCBS actually pay — down to the TIN.
See negotiated rates