CPT 99471 pays $674.36 in a non-facility setting and $674.36 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $643.16 in Arkansas to $933.38 in Alaska, a 45% spread.
National non-facility rate
$674.36
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 | $933.38 | $933.38 | |
| District of Columbia | $726.07 | $726.07 | |
| New York | $723.99 | $723.99 | |
| New Jersey | $718.13 | $718.13 | |
| Florida | $706.03 | $706.03 | |
| Illinois | $702.73 | $702.73 | |
| Connecticut | $700.26 | $700.26 | |
| Washington | $699.26 | $699.26 | |
| California | $698.07 | $698.07 | |
| Massachusetts | $697.68 | $697.68 | |
| Maryland | $688.44 | $688.44 | |
| Rhode Island | $684.48 | $684.48 | |
| Michigan | $681.28 | $681.28 | |
| Colorado | $680.41 | $680.41 | |
| Pennsylvania | $679.24 | $679.24 | |
| Georgia | $676.72 | $676.72 | |
| Oregon | $675.25 | $675.25 | |
| Hawaii | $675.18 | $675.18 | |
| Puerto Rico | $675.05 | $675.05 | |
| Virgin Islands | $675.05 | $675.05 | |
| New Hampshire | $674.64 | $674.64 | |
| West Virginia | $674.53 | $674.53 | |
| Montana | $674.30 | $674.30 | |
| Texas | $673.28 | $673.28 | |
| Delaware | $672.40 | $672.40 | |
| New Mexico | $672.08 | $672.08 | |
| Nevada | $668.95 | $668.95 | |
| Louisiana | $666.56 | $666.56 | |
| Arizona | $666.27 | $666.27 | |
| Wyoming | $665.77 | $665.77 | |
| Ohio | $665.27 | $665.27 | |
| Missouri | $664.99 | $664.99 | |
| Utah | $664.54 | $664.54 | |
| Virginia | $662.81 | $662.81 | |
| South Carolina | $661.23 | $661.23 | |
| Kentucky | $659.62 | $659.62 | |
| Maine | $657.23 | $657.23 | |
| Vermont | $656.95 | $656.95 | |
| Oklahoma | $655.48 | $655.48 | |
| North Carolina | $655.22 | $655.22 | |
| North Dakota | $654.72 | $654.72 | |
| Minnesota | $654.20 | $654.20 | |
| South Dakota | $652.41 | $652.41 | |
| Mississippi | $650.78 | $650.78 | |
| Indiana | $649.52 | $649.52 | |
| Tennessee | $649.27 | $649.27 | |
| Idaho | $648.33 | $648.33 | |
| Kansas | $647.64 | $647.64 | |
| Wisconsin | $646.96 | $646.96 | |
| Alabama | $646.57 | $646.57 | |
| Nebraska | $645.52 | $645.52 | |
| Iowa | $645.28 | $645.28 | |
| Arkansas | $643.16 | $643.16 |
Medicare is the floor, not the market. See what UHC, Aetna, Cigna and BCBS actually pay — down to the TIN.
See negotiated rates