CPT 99472 pays $351.71 in a non-facility setting and $351.71 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $333.09 in Arkansas to $480.71 in Alaska, a 44% spread.
National non-facility rate
$351.71
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 | $480.71 | $480.71 | |
| District of Columbia | $379.96 | $379.96 | |
| New York | $378.90 | $378.90 | |
| New Jersey | $375.30 | $375.30 | |
| Florida | $370.27 | $370.27 | |
| Illinois | $368.08 | $368.08 | |
| Connecticut | $366.16 | $366.16 | |
| Washington | $365.20 | $365.20 | |
| California | $364.41 | $364.41 | |
| Massachusetts | $364.37 | $364.37 | |
| Maryland | $359.46 | $359.46 | |
| Rhode Island | $356.85 | $356.85 | |
| Michigan | $355.61 | $355.61 | |
| Colorado | $354.86 | $354.86 | |
| Pennsylvania | $354.11 | $354.11 | |
| Georgia | $352.91 | $352.91 | |
| Hawaii | $352.52 | $352.52 | |
| Puerto Rico | $352.14 | $352.14 | |
| Virgin Islands | $352.14 | $352.14 | |
| Oregon | $351.99 | $351.99 | |
| New Hampshire | $351.97 | $351.97 | |
| Montana | $351.67 | $351.67 | |
| West Virginia | $351.49 | $351.49 | |
| Texas | $350.79 | $350.79 | |
| Delaware | $350.30 | $350.30 | |
| New Mexico | $350.17 | $350.17 | |
| Nevada | $348.54 | $348.54 | |
| Louisiana | $346.93 | $346.93 | |
| Arizona | $346.89 | $346.89 | |
| Wyoming | $346.67 | $346.67 | |
| Ohio | $346.17 | $346.17 | |
| Missouri | $346.02 | $346.02 | |
| Utah | $345.81 | $345.81 | |
| Virginia | $344.90 | $344.90 | |
| South Carolina | $343.83 | $343.83 | |
| Kentucky | $342.80 | $342.80 | |
| Maine | $341.56 | $341.56 | |
| Vermont | $341.49 | $341.49 | |
| Oklahoma | $340.39 | $340.39 | |
| North Carolina | $340.33 | $340.33 | |
| North Dakota | $340.20 | $340.20 | |
| Minnesota | $339.97 | $339.97 | |
| South Dakota | $338.85 | $338.85 | |
| Mississippi | $337.56 | $337.56 | |
| Indiana | $336.97 | $336.97 | |
| Tennessee | $336.78 | $336.78 | |
| Idaho | $336.26 | $336.26 | |
| Kansas | $335.82 | $335.82 | |
| Wisconsin | $335.56 | $335.56 | |
| Alabama | $335.12 | $335.12 | |
| Nebraska | $334.62 | $334.62 | |
| Iowa | $334.47 | $334.47 | |
| Arkansas | $333.09 | $333.09 |
Medicare is the floor, not the market. See what UHC, Aetna, Cigna and BCBS actually pay — down to the TIN.
See negotiated rates