CPT 99478 pays $115.90 in a non-facility setting and $115.90 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $110.56 in Arkansas to $160.47 in Alaska, a 45% spread.
National non-facility rate
$115.90
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 | $160.47 | $160.47 | |
| District of Columbia | $124.77 | $124.77 | |
| New York | $124.42 | $124.42 | |
| New Jersey | $123.41 | $123.41 | |
| Florida | $121.34 | $121.34 | |
| Illinois | $120.78 | $120.78 | |
| Connecticut | $120.35 | $120.35 | |
| Washington | $120.17 | $120.17 | |
| California | $119.96 | $119.96 | |
| Massachusetts | $119.90 | $119.90 | |
| Maryland | $118.32 | $118.32 | |
| Rhode Island | $117.64 | $117.64 | |
| Michigan | $117.09 | $117.09 | |
| Colorado | $116.94 | $116.94 | |
| Pennsylvania | $116.74 | $116.74 | |
| Georgia | $116.31 | $116.31 | |
| Oregon | $116.05 | $116.05 | |
| Hawaii | $116.03 | $116.03 | |
| Puerto Rico | $116.02 | $116.02 | |
| Virgin Islands | $116.02 | $116.02 | |
| New Hampshire | $115.94 | $115.94 | |
| West Virginia | $115.94 | $115.94 | |
| Montana | $115.89 | $115.89 | |
| Texas | $115.72 | $115.72 | |
| Delaware | $115.57 | $115.57 | |
| New Mexico | $115.52 | $115.52 | |
| Nevada | $114.97 | $114.97 | |
| Louisiana | $114.57 | $114.57 | |
| Arizona | $114.51 | $114.51 | |
| Wyoming | $114.42 | $114.42 | |
| Ohio | $114.35 | $114.35 | |
| Missouri | $114.30 | $114.30 | |
| Utah | $114.22 | $114.22 | |
| Virginia | $113.92 | $113.92 | |
| South Carolina | $113.65 | $113.65 | |
| Kentucky | $113.38 | $113.38 | |
| Maine | $112.96 | $112.96 | |
| Vermont | $112.91 | $112.91 | |
| Oklahoma | $112.67 | $112.67 | |
| North Carolina | $112.62 | $112.62 | |
| North Dakota | $112.53 | $112.53 | |
| Minnesota | $112.44 | $112.44 | |
| South Dakota | $112.13 | $112.13 | |
| Mississippi | $111.87 | $111.87 | |
| Indiana | $111.64 | $111.64 | |
| Tennessee | $111.60 | $111.60 | |
| Idaho | $111.44 | $111.44 | |
| Kansas | $111.32 | $111.32 | |
| Wisconsin | $111.20 | $111.20 | |
| Alabama | $111.14 | $111.14 | |
| Nebraska | $110.95 | $110.95 | |
| Iowa | $110.92 | $110.92 | |
| Arkansas | $110.56 | $110.56 |
Medicare is the floor, not the market. See what UHC, Aetna, Cigna and BCBS actually pay — down to the TIN.
See negotiated rates