CPT 99476 pays $306.29 in a non-facility setting and $306.29 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $288.57 in Arkansas to $414.83 in Alaska, a 44% spread.
National non-facility rate
$306.29
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 | $414.83 | $414.83 | |
| District of Columbia | $331.65 | $331.65 | |
| New York | $330.80 | $330.80 | |
| New Jersey | $327.28 | $327.28 | |
| Florida | $323.89 | $323.89 | |
| Illinois | $321.70 | $321.70 | |
| Connecticut | $319.46 | $319.46 | |
| Washington | $318.26 | $318.26 | |
| Massachusetts | $317.55 | $317.55 | |
| California | $317.40 | $317.40 | |
| Maryland | $313.30 | $313.30 | |
| Rhode Island | $310.65 | $310.65 | |
| Michigan | $309.96 | $309.96 | |
| Colorado | $308.97 | $308.97 | |
| Pennsylvania | $308.30 | $308.30 | |
| Georgia | $307.36 | $307.36 | |
| Hawaii | $307.11 | $307.11 | |
| Puerto Rico | $306.70 | $306.70 | |
| Virgin Islands | $306.70 | $306.70 | |
| New Hampshire | $306.55 | $306.55 | |
| Oregon | $306.35 | $306.35 | |
| Montana | $306.25 | $306.25 | |
| West Virginia | $306.02 | $306.02 | |
| Texas | $305.25 | $305.25 | |
| Delaware | $304.81 | $304.81 | |
| New Mexico | $304.79 | $304.79 | |
| Nevada | $303.28 | $303.28 | |
| Louisiana | $301.72 | $301.72 | |
| Arizona | $301.70 | $301.70 | |
| Wyoming | $301.51 | $301.51 | |
| Ohio | $301.00 | $301.00 | |
| Missouri | $300.86 | $300.86 | |
| Utah | $300.66 | $300.66 | |
| Virginia | $299.82 | $299.82 | |
| South Carolina | $298.78 | $298.78 | |
| Kentucky | $297.79 | $297.79 | |
| Maine | $296.65 | $296.65 | |
| Vermont | $296.59 | $296.59 | |
| Oklahoma | $295.51 | $295.51 | |
| North Carolina | $295.47 | $295.47 | |
| North Dakota | $295.37 | $295.37 | |
| Minnesota | $295.16 | $295.16 | |
| South Dakota | $294.09 | $294.09 | |
| Mississippi | $292.81 | $292.81 | |
| Indiana | $292.28 | $292.28 | |
| Tennessee | $292.10 | $292.10 | |
| Idaho | $291.61 | $291.61 | |
| Kansas | $291.18 | $291.18 | |
| Wisconsin | $290.95 | $290.95 | |
| Alabama | $290.51 | $290.51 | |
| Nebraska | $290.05 | $290.05 | |
| Iowa | $289.90 | $289.90 | |
| Arkansas | $288.57 | $288.57 |
Medicare is the floor, not the market. See what UHC, Aetna, Cigna and BCBS actually pay — down to the TIN.
See negotiated rates