CPT 99485 pays $63.80 in a non-facility setting and $63.80 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $60.95 in Arkansas to $88.36 in Alaska, a 45% spread.
National non-facility rate
$63.80
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 | $88.36 | $88.36 | |
| District of Columbia | $68.77 | $68.77 | |
| New York | $68.41 | $68.41 | |
| New Jersey | $67.99 | $67.99 | |
| California | $66.39 | $66.39 | |
| Florida | $66.36 | $66.36 | |
| Washington | $66.35 | $66.35 | |
| Connecticut | $66.21 | $66.21 | |
| Massachusetts | $66.17 | $66.17 | |
| Illinois | $66.03 | $66.03 | |
| Maryland | $65.12 | $65.12 | |
| Rhode Island | $64.82 | $64.82 | |
| Colorado | $64.52 | $64.52 | |
| Michigan | $64.21 | $64.21 | |
| Pennsylvania | $64.21 | $64.21 | |
| Hawaii | $64.18 | $64.18 | |
| Oregon | $64.05 | $64.05 | |
| New Hampshire | $63.91 | $63.91 | |
| Georgia | $63.89 | $63.89 | |
| Puerto Rico | $63.88 | $63.88 | |
| Virgin Islands | $63.88 | $63.88 | |
| Montana | $63.79 | $63.79 | |
| Texas | $63.71 | $63.71 | |
| Delaware | $63.64 | $63.64 | |
| West Virginia | $63.50 | $63.50 | |
| New Mexico | $63.42 | $63.42 | |
| Nevada | $63.36 | $63.36 | |
| Wyoming | $63.10 | $63.10 | |
| Arizona | $63.07 | $63.07 | |
| Louisiana | $62.96 | $62.96 | |
| Ohio | $62.86 | $62.86 | |
| Utah | $62.86 | $62.86 | |
| Missouri | $62.85 | $62.85 | |
| Virginia | $62.82 | $62.82 | |
| South Carolina | $62.56 | $62.56 | |
| Vermont | $62.37 | $62.37 | |
| Kentucky | $62.35 | $62.35 | |
| Maine | $62.31 | $62.31 | |
| Minnesota | $62.23 | $62.23 | |
| North Dakota | $62.21 | $62.21 | |
| North Carolina | $62.09 | $62.09 | |
| Oklahoma | $62.02 | $62.02 | |
| South Dakota | $62.02 | $62.02 | |
| Indiana | $61.62 | $61.62 | |
| Mississippi | $61.57 | $61.57 | |
| Tennessee | $61.56 | $61.56 | |
| Idaho | $61.51 | $61.51 | |
| Wisconsin | $61.48 | $61.48 | |
| Kansas | $61.41 | $61.41 | |
| Nebraska | $61.28 | $61.28 | |
| Alabama | $61.26 | $61.26 | |
| Iowa | $61.25 | $61.25 | |
| Arkansas | $60.95 | $60.95 |
Medicare is the floor, not the market. See what UHC, Aetna, Cigna and BCBS actually pay — down to the TIN.
See negotiated rates