CPT 99469 pays $336.68 in a non-facility setting and $336.68 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $321.32 in Arkansas to $466.41 in Alaska, a 45% spread.
National non-facility rate
$336.68
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 | $466.41 | $466.41 | |
| District of Columbia | $362.48 | $362.48 | |
| New York | $361.31 | $361.31 | |
| New Jersey | $358.52 | $358.52 | |
| Florida | $352.04 | $352.04 | |
| Illinois | $350.41 | $350.41 | |
| Connecticut | $349.53 | $349.53 | |
| Washington | $349.23 | $349.23 | |
| California | $348.76 | $348.76 | |
| Massachusetts | $348.42 | $348.42 | |
| Maryland | $343.68 | $343.68 | |
| Rhode Island | $341.79 | $341.79 | |
| Michigan | $339.93 | $339.93 | |
| Colorado | $339.81 | $339.81 | |
| Pennsylvania | $339.09 | $339.09 | |
| Georgia | $337.76 | $337.76 | |
| Hawaii | $337.30 | $337.30 | |
| Oregon | $337.26 | $337.26 | |
| Puerto Rico | $337.03 | $337.03 | |
| Virgin Islands | $337.03 | $337.03 | |
| New Hampshire | $336.88 | $336.88 | |
| Montana | $336.65 | $336.65 | |
| West Virginia | $336.55 | $336.55 | |
| Texas | $336.18 | $336.18 | |
| Delaware | $335.75 | $335.75 | |
| New Mexico | $335.44 | $335.44 | |
| Nevada | $334.06 | $334.06 | |
| Louisiana | $332.76 | $332.76 | |
| Arizona | $332.71 | $332.71 | |
| Wyoming | $332.51 | $332.51 | |
| Ohio | $332.13 | $332.13 | |
| Missouri | $332.00 | $332.00 | |
| Utah | $331.82 | $331.82 | |
| Virginia | $331.05 | $331.05 | |
| South Carolina | $330.19 | $330.19 | |
| Kentucky | $329.35 | $329.35 | |
| Maine | $328.30 | $328.30 | |
| Vermont | $328.22 | $328.22 | |
| Oklahoma | $327.35 | $327.35 | |
| North Carolina | $327.29 | $327.29 | |
| North Dakota | $327.16 | $327.16 | |
| Minnesota | $326.95 | $326.95 | |
| South Dakota | $326.04 | $326.04 | |
| Mississippi | $325.02 | $325.02 | |
| Indiana | $324.51 | $324.51 | |
| Tennessee | $324.36 | $324.36 | |
| Idaho | $323.93 | $323.93 | |
| Kansas | $323.57 | $323.57 | |
| Wisconsin | $323.33 | $323.33 | |
| Alabama | $323.00 | $323.00 | |
| Nebraska | $322.57 | $322.57 | |
| Iowa | $322.44 | $322.44 | |
| Arkansas | $321.32 | $321.32 |
Medicare is the floor, not the market. See what UHC, Aetna, Cigna and BCBS actually pay — down to the TIN.
See negotiated rates