CPT 99475 pays $473.96 in a non-facility setting and $473.96 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $452.30 in Arkansas to $656.55 in Alaska, a 45% spread.
National non-facility rate
$473.96
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 | $656.55 | $656.55 | |
| District of Columbia | $510.25 | $510.25 | |
| New York | $508.66 | $508.66 | |
| New Jersey | $504.70 | $504.70 | |
| Florida | $495.71 | $495.71 | |
| Illinois | $493.42 | $493.42 | |
| Connecticut | $492.06 | $492.06 | |
| Washington | $491.57 | $491.57 | |
| California | $490.86 | $490.86 | |
| Massachusetts | $490.44 | $490.44 | |
| Maryland | $483.81 | $483.81 | |
| Rhode Island | $481.14 | $481.14 | |
| Michigan | $478.61 | $478.61 | |
| Colorado | $478.32 | $478.32 | |
| Pennsylvania | $477.36 | $477.36 | |
| Georgia | $475.51 | $475.51 | |
| Hawaii | $474.74 | $474.74 | |
| Oregon | $474.72 | $474.72 | |
| Puerto Rico | $474.45 | $474.45 | |
| Virgin Islands | $474.45 | $474.45 | |
| New Hampshire | $474.21 | $474.21 | |
| Montana | $473.91 | $473.91 | |
| West Virginia | $473.86 | $473.86 | |
| Texas | $473.24 | $473.24 | |
| Delaware | $472.64 | $472.64 | |
| New Mexico | $472.26 | $472.26 | |
| Nevada | $470.24 | $470.24 | |
| Louisiana | $468.46 | $468.46 | |
| Arizona | $468.35 | $468.35 | |
| Wyoming | $468.05 | $468.05 | |
| Ohio | $467.57 | $467.57 | |
| Missouri | $467.39 | $467.39 | |
| Utah | $467.11 | $467.11 | |
| Virginia | $466.00 | $466.00 | |
| South Carolina | $464.81 | $464.81 | |
| Kentucky | $463.65 | $463.65 | |
| Maine | $462.12 | $462.12 | |
| Vermont | $461.98 | $461.98 | |
| Oklahoma | $460.82 | $460.82 | |
| North Carolina | $460.70 | $460.70 | |
| North Dakota | $460.47 | $460.47 | |
| Minnesota | $460.16 | $460.16 | |
| South Dakota | $458.88 | $458.88 | |
| Mississippi | $457.54 | $457.54 | |
| Indiana | $456.77 | $456.77 | |
| Tennessee | $456.57 | $456.57 | |
| Idaho | $455.95 | $455.95 | |
| Kansas | $455.45 | $455.45 | |
| Wisconsin | $455.07 | $455.07 | |
| Alabama | $454.67 | $454.67 | |
| Nebraska | $454.02 | $454.02 | |
| Iowa | $453.85 | $453.85 | |
| Arkansas | $452.30 | $452.30 |
Medicare is the floor, not the market. See what UHC, Aetna, Cigna and BCBS actually pay — down to the TIN.
See negotiated rates