CPT 99468 pays $778.57 in a non-facility setting and $778.57 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $742.64 in Arkansas to $1,077.82 in Alaska, a 45% spread.
National non-facility rate
$778.57
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 | $1,077.82 | $1,077.82 | |
| District of Columbia | $838.23 | $838.23 | |
| New York | $835.82 | $835.82 | |
| New Jersey | $829.08 | $829.08 | |
| Florida | $815.03 | $815.03 | |
| Illinois | $811.24 | $811.24 | |
| Connecticut | $808.44 | $808.44 | |
| Washington | $807.31 | $807.31 | |
| California | $805.95 | $805.95 | |
| Massachusetts | $805.49 | $805.49 | |
| Maryland | $794.81 | $794.81 | |
| Rhode Island | $790.27 | $790.27 | |
| Michigan | $786.53 | $786.53 | |
| Colorado | $785.57 | $785.57 | |
| Pennsylvania | $784.21 | $784.21 | |
| Georgia | $781.28 | $781.28 | |
| Oregon | $779.61 | $779.61 | |
| Hawaii | $779.52 | $779.52 | |
| Puerto Rico | $779.37 | $779.37 | |
| Virgin Islands | $779.37 | $779.37 | |
| New Hampshire | $778.90 | $778.90 | |
| West Virginia | $778.75 | $778.75 | |
| Montana | $778.50 | $778.50 | |
| Texas | $777.34 | $777.34 | |
| Delaware | $776.33 | $776.33 | |
| New Mexico | $775.94 | $775.94 | |
| Nevada | $772.34 | $772.34 | |
| Louisiana | $769.58 | $769.58 | |
| Arizona | $769.25 | $769.25 | |
| Wyoming | $768.67 | $768.67 | |
| Ohio | $768.10 | $768.10 | |
| Missouri | $767.78 | $767.78 | |
| Utah | $767.26 | $767.26 | |
| Virginia | $765.27 | $765.27 | |
| South Carolina | $763.45 | $763.45 | |
| Kentucky | $761.58 | $761.58 | |
| Maine | $758.84 | $758.84 | |
| Vermont | $758.53 | $758.53 | |
| Oklahoma | $756.82 | $756.82 | |
| North Carolina | $756.53 | $756.53 | |
| North Dakota | $755.96 | $755.96 | |
| Minnesota | $755.36 | $755.36 | |
| South Dakota | $753.29 | $753.29 | |
| Mississippi | $751.41 | $751.41 | |
| Indiana | $749.96 | $749.96 | |
| Tennessee | $749.67 | $749.67 | |
| Idaho | $748.59 | $748.59 | |
| Kansas | $747.79 | $747.79 | |
| Wisconsin | $747.02 | $747.02 | |
| Alabama | $746.56 | $746.56 | |
| Nebraska | $745.35 | $745.35 | |
| Iowa | $745.08 | $745.08 | |
| Arkansas | $742.64 | $742.64 |
Medicare is the floor, not the market. See what UHC, Aetna, Cigna and BCBS actually pay — down to the TIN.
See negotiated rates