CPT 99486 pays $55.45 in a non-facility setting and $55.45 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $52.95 in Arkansas to $76.74 in Alaska, a 45% spread.
National non-facility rate
$55.45
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 | $76.74 | $76.74 | |
| District of Columbia | $59.78 | $59.78 | |
| New York | $59.46 | $59.46 | |
| New Jersey | $59.10 | $59.10 | |
| California | $57.71 | $57.71 | |
| Florida | $57.69 | $57.69 | |
| Washington | $57.68 | $57.68 | |
| Connecticut | $57.55 | $57.55 | |
| Massachusetts | $57.51 | $57.51 | |
| Illinois | $57.40 | $57.40 | |
| Maryland | $56.60 | $56.60 | |
| Rhode Island | $56.34 | $56.34 | |
| Colorado | $56.07 | $56.07 | |
| Michigan | $55.81 | $55.81 | |
| Pennsylvania | $55.80 | $55.80 | |
| Hawaii | $55.79 | $55.79 | |
| Oregon | $55.66 | $55.66 | |
| New Hampshire | $55.55 | $55.55 | |
| Georgia | $55.52 | $55.52 | |
| Puerto Rico | $55.52 | $55.52 | |
| Virgin Islands | $55.52 | $55.52 | |
| Montana | $55.44 | $55.44 | |
| Texas | $55.37 | $55.37 | |
| Delaware | $55.31 | $55.31 | |
| West Virginia | $55.18 | $55.18 | |
| New Mexico | $55.11 | $55.11 | |
| Nevada | $55.06 | $55.06 | |
| Wyoming | $54.84 | $54.84 | |
| Arizona | $54.81 | $54.81 | |
| Louisiana | $54.71 | $54.71 | |
| Utah | $54.63 | $54.63 | |
| Ohio | $54.62 | $54.62 | |
| Missouri | $54.61 | $54.61 | |
| Virginia | $54.59 | $54.59 | |
| South Carolina | $54.36 | $54.36 | |
| Vermont | $54.19 | $54.19 | |
| Kentucky | $54.17 | $54.17 | |
| Maine | $54.14 | $54.14 | |
| Minnesota | $54.08 | $54.08 | |
| North Dakota | $54.06 | $54.06 | |
| North Carolina | $53.95 | $53.95 | |
| Oklahoma | $53.89 | $53.89 | |
| South Dakota | $53.89 | $53.89 | |
| Indiana | $53.54 | $53.54 | |
| Mississippi | $53.49 | $53.49 | |
| Tennessee | $53.48 | $53.48 | |
| Idaho | $53.44 | $53.44 | |
| Wisconsin | $53.42 | $53.42 | |
| Kansas | $53.36 | $53.36 | |
| Nebraska | $53.25 | $53.25 | |
| Alabama | $53.22 | $53.22 | |
| Iowa | $53.21 | $53.21 | |
| Arkansas | $52.95 | $52.95 |
Medicare is the floor, not the market. See what UHC, Aetna, Cigna and BCBS actually pay — down to the TIN.
See negotiated rates