CPT 99473 pays $15.36 in a non-facility setting and $15.36 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $13.08 in Arkansas to $18.08 in District of Columbia, a 38% spread.
National non-facility rate
$15.36
Office and other outpatient settings
Hospital and ASC settings
District of Columbia
Arkansas · 38% 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 |
|---|---|---|---|
| District of Columbia | $18.08 | $18.08 | |
| California | $17.97 | $17.97 | |
| Washington | $17.40 | $17.40 | |
| New Jersey | $17.29 | $17.29 | |
| Hawaii | $17.28 | $17.28 | |
| New York | $17.22 | $17.22 | |
| Massachusetts | $17.17 | $17.17 | |
| Connecticut | $16.59 | $16.59 | |
| Colorado | $16.25 | $16.25 | |
| Alaska | $16.19 | $16.19 | |
| Oregon | $16.08 | $16.08 | |
| Maryland | $16.03 | $16.03 | |
| New Hampshire | $15.94 | $15.94 | |
| Rhode Island | $15.82 | $15.82 | |
| Florida | $15.73 | $15.73 | |
| Minnesota | $15.57 | $15.57 | |
| Puerto Rico | $15.52 | $15.52 | |
| Virgin Islands | $15.52 | $15.52 | |
| Montana | $15.36 | $15.36 | |
| Nevada | $15.32 | $15.32 | |
| Wyoming | $15.28 | $15.28 | |
| North Dakota | $15.17 | $15.17 | |
| Illinois | $15.16 | $15.16 | |
| Delaware | $15.15 | $15.15 | |
| South Dakota | $15.14 | $15.14 | |
| Texas | $15.11 | $15.11 | |
| Pennsylvania | $15.08 | $15.08 | |
| Vermont | $15.05 | $15.05 | |
| Virginia | $15.01 | $15.01 | |
| Arizona | $14.85 | $14.85 | |
| Georgia | $14.74 | $14.74 | |
| Michigan | $14.58 | $14.58 | |
| Maine | $14.57 | $14.57 | |
| Wisconsin | $14.50 | $14.50 | |
| Utah | $14.43 | $14.43 | |
| North Carolina | $14.24 | $14.24 | |
| New Mexico | $14.18 | $14.18 | |
| South Carolina | $14.17 | $14.17 | |
| Missouri | $14.12 | $14.12 | |
| Indiana | $14.10 | $14.10 | |
| Louisiana | $14.07 | $14.07 | |
| Ohio | $14.06 | $14.06 | |
| Nebraska | $14.00 | $14.00 | |
| Idaho | $13.99 | $13.99 | |
| Iowa | $13.89 | $13.89 | |
| Tennessee | $13.84 | $13.84 | |
| Kansas | $13.76 | $13.76 | |
| Oklahoma | $13.68 | $13.68 | |
| Kentucky | $13.67 | $13.67 | |
| West Virginia | $13.54 | $13.54 | |
| Alabama | $13.34 | $13.34 | |
| Mississippi | $13.19 | $13.19 | |
| Arkansas | $13.08 | $13.08 |
Medicare is the floor, not the market. See what UHC, Aetna, Cigna and BCBS actually pay — down to the TIN.
See negotiated rates