CPT 99474 pays $18.37 in a non-facility setting and $8.02 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $16.51 in Arkansas to $22.01 in Alaska, a 33% spread.
National non-facility rate
$18.37
Office and other outpatient settings
Hospital and ASC settings
Alaska
Arkansas · 33% 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 | $22.01 | $10.98 | |
| District of Columbia | $20.87 | $8.68 | |
| California | $20.64 | $8.38 | |
| New Jersey | $20.22 | $8.56 | |
| New York | $20.17 | $8.61 | |
| Washington | $20.17 | $8.37 | |
| Massachusetts | $19.97 | $8.34 | |
| Hawaii | $19.88 | $8.10 | |
| Connecticut | $19.49 | $8.34 | |
| Colorado | $19.14 | $8.12 | |
| Maryland | $18.99 | $8.19 | |
| Oregon | $18.97 | $8.06 | |
| Rhode Island | $18.85 | $8.15 | |
| New Hampshire | $18.82 | $8.04 | |
| Florida | $18.73 | $8.34 | |
| Puerto Rico | $18.50 | $8.03 | |
| Virgin Islands | $18.50 | $8.03 | |
| Minnesota | $18.48 | $7.83 | |
| Montana | $18.37 | $8.02 | |
| Nevada | $18.33 | $7.96 | |
| Illinois | $18.29 | $8.29 | |
| Wyoming | $18.28 | $7.93 | |
| Delaware | $18.22 | $7.99 | |
| Pennsylvania | $18.20 | $8.06 | |
| Texas | $18.19 | $8.00 | |
| North Dakota | $18.17 | $7.82 | |
| South Dakota | $18.15 | $7.79 | |
| Vermont | $18.09 | $7.83 | |
| Virginia | $18.07 | $7.89 | |
| Arizona | $17.95 | $7.92 | |
| Georgia | $17.89 | $8.01 | |
| Michigan | $17.77 | $8.05 | |
| Maine | $17.71 | $7.82 | |
| Wisconsin | $17.63 | $7.71 | |
| Utah | $17.61 | $7.88 | |
| New Mexico | $17.44 | $7.94 | |
| North Carolina | $17.44 | $7.78 | |
| South Carolina | $17.41 | $7.84 | |
| Missouri | $17.38 | $7.87 | |
| Louisiana | $17.34 | $7.89 | |
| Ohio | $17.33 | $7.87 | |
| Indiana | $17.32 | $7.72 | |
| Nebraska | $17.24 | $7.68 | |
| Idaho | $17.23 | $7.71 | |
| Iowa | $17.15 | $7.67 | |
| Tennessee | $17.12 | $7.71 | |
| Kansas | $17.05 | $7.69 | |
| Kentucky | $17.01 | $7.80 | |
| Oklahoma | $17.01 | $7.76 | |
| West Virginia | $16.94 | $7.94 | |
| Alabama | $16.72 | $7.66 | |
| Mississippi | $16.61 | $7.70 | |
| Arkansas | $16.51 | $7.62 |
Medicare is the floor, not the market. See what UHC, Aetna, Cigna and BCBS actually pay — down to the TIN.
See negotiated rates