CPT 99480 pays $101.20 in a non-facility setting and $101.20 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $96.51 in Arkansas to $140.08 in Alaska, a 45% spread.
National non-facility rate
$101.20
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 | $140.08 | $140.08 | |
| District of Columbia | $108.95 | $108.95 | |
| New York | $108.66 | $108.66 | |
| New Jersey | $107.77 | $107.77 | |
| Florida | $106.00 | $106.00 | |
| Illinois | $105.51 | $105.51 | |
| Connecticut | $105.09 | $105.09 | |
| Washington | $104.92 | $104.92 | |
| California | $104.72 | $104.72 | |
| Massachusetts | $104.69 | $104.69 | |
| Maryland | $103.32 | $103.32 | |
| Rhode Island | $102.72 | $102.72 | |
| Michigan | $102.27 | $102.27 | |
| Colorado | $102.10 | $102.10 | |
| Pennsylvania | $101.94 | $101.94 | |
| Georgia | $101.57 | $101.57 | |
| Oregon | $101.32 | $101.32 | |
| Puerto Rico | $101.31 | $101.31 | |
| Virgin Islands | $101.31 | $101.31 | |
| Hawaii | $101.29 | $101.29 | |
| West Virginia | $101.26 | $101.26 | |
| New Hampshire | $101.24 | $101.24 | |
| Montana | $101.19 | $101.19 | |
| Texas | $101.04 | $101.04 | |
| Delaware | $100.91 | $100.91 | |
| New Mexico | $100.88 | $100.88 | |
| Nevada | $100.38 | $100.38 | |
| Louisiana | $100.05 | $100.05 | |
| Arizona | $99.99 | $99.99 | |
| Wyoming | $99.90 | $99.90 | |
| Ohio | $99.85 | $99.85 | |
| Missouri | $99.81 | $99.81 | |
| Utah | $99.73 | $99.73 | |
| Virginia | $99.46 | $99.46 | |
| South Carolina | $99.23 | $99.23 | |
| Kentucky | $99.00 | $99.00 | |
| Maine | $98.62 | $98.62 | |
| Vermont | $98.57 | $98.57 | |
| Oklahoma | $98.37 | $98.37 | |
| North Carolina | $98.32 | $98.32 | |
| North Dakota | $98.23 | $98.23 | |
| Minnesota | $98.14 | $98.14 | |
| South Dakota | $97.88 | $97.88 | |
| Mississippi | $97.67 | $97.67 | |
| Indiana | $97.46 | $97.46 | |
| Tennessee | $97.43 | $97.43 | |
| Idaho | $97.28 | $97.28 | |
| Kansas | $97.18 | $97.18 | |
| Wisconsin | $97.06 | $97.06 | |
| Alabama | $97.03 | $97.03 | |
| Nebraska | $96.85 | $96.85 | |
| Iowa | $96.82 | $96.82 | |
| Arkansas | $96.51 | $96.51 |
Medicare is the floor, not the market. See what UHC, Aetna, Cigna and BCBS actually pay — down to the TIN.
See negotiated rates