CPT 99477 pays $295.26 in a non-facility setting and $295.26 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $281.66 in Arkansas to $408.78 in Alaska, a 45% spread.
National non-facility rate
$295.26
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 | $408.78 | $408.78 | |
| District of Columbia | $317.90 | $317.90 | |
| New York | $316.96 | $316.96 | |
| New Jersey | $314.42 | $314.42 | |
| Florida | $309.02 | $309.02 | |
| Illinois | $307.58 | $307.58 | |
| Connecticut | $306.58 | $306.58 | |
| Washington | $306.19 | $306.19 | |
| California | $305.70 | $305.70 | |
| Massachusetts | $305.50 | $305.50 | |
| Maryland | $301.42 | $301.42 | |
| Rhode Island | $299.71 | $299.71 | |
| Michigan | $298.24 | $298.24 | |
| Colorado | $297.94 | $297.94 | |
| Pennsylvania | $297.39 | $297.39 | |
| Georgia | $296.27 | $296.27 | |
| Oregon | $295.68 | $295.68 | |
| Hawaii | $295.67 | $295.67 | |
| Puerto Rico | $295.57 | $295.57 | |
| Virgin Islands | $295.57 | $295.57 | |
| New Hampshire | $295.40 | $295.40 | |
| West Virginia | $295.28 | $295.28 | |
| Montana | $295.24 | $295.24 | |
| Texas | $294.80 | $294.80 | |
| Delaware | $294.42 | $294.42 | |
| New Mexico | $294.24 | $294.24 | |
| Nevada | $292.91 | $292.91 | |
| Louisiana | $291.84 | $291.84 | |
| Arizona | $291.74 | $291.74 | |
| Wyoming | $291.53 | $291.53 | |
| Ohio | $291.28 | $291.28 | |
| Missouri | $291.16 | $291.16 | |
| Utah | $290.97 | $290.97 | |
| Virginia | $290.24 | $290.24 | |
| South Carolina | $289.53 | $289.53 | |
| Kentucky | $288.82 | $288.82 | |
| Maine | $287.80 | $287.80 | |
| Vermont | $287.70 | $287.70 | |
| Oklahoma | $287.02 | $287.02 | |
| North Carolina | $286.92 | $286.92 | |
| North Dakota | $286.73 | $286.73 | |
| Minnesota | $286.52 | $286.52 | |
| South Dakota | $285.73 | $285.73 | |
| Mississippi | $284.97 | $284.97 | |
| Indiana | $284.44 | $284.44 | |
| Tennessee | $284.33 | $284.33 | |
| Idaho | $283.93 | $283.93 | |
| Kansas | $283.62 | $283.62 | |
| Wisconsin | $283.35 | $283.35 | |
| Alabama | $283.14 | $283.14 | |
| Nebraska | $282.70 | $282.70 | |
| Iowa | $282.60 | $282.60 | |
| Arkansas | $281.66 | $281.66 |
Medicare is the floor, not the market. See what UHC, Aetna, Cigna and BCBS actually pay — down to the TIN.
See negotiated rates