CPT 99492 pays $160.32 in a non-facility setting and $82.17 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $144.96 in Arkansas to $195.66 in Alaska, a 35% spread.
National non-facility rate
$160.32
Office and other outpatient settings
Hospital and ASC settings
Alaska
Arkansas · 35% 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 | $195.66 | $112.42 | |
| District of Columbia | $180.77 | $88.70 | |
| California | $177.45 | $84.97 | |
| New York | $175.72 | $88.52 | |
| New Jersey | $175.64 | $87.64 | |
| Washington | $174.32 | $85.22 | |
| Massachusetts | $172.85 | $85.04 | |
| Hawaii | $171.08 | $82.21 | |
| Connecticut | $169.71 | $85.54 | |
| Colorado | $166.00 | $82.84 | |
| Maryland | $165.45 | $83.97 | |
| Florida | $165.06 | $86.64 | |
| Oregon | $164.50 | $82.16 | |
| Rhode Island | $164.08 | $83.34 | |
| New Hampshire | $163.55 | $82.18 | |
| Illinois | $161.67 | $86.15 | |
| Puerto Rico | $161.28 | $82.26 | |
| Virgin Islands | $161.28 | $82.26 | |
| Montana | $160.31 | $82.16 | |
| Minnesota | $159.73 | $79.30 | |
| Nevada | $159.64 | $81.40 | |
| Pennsylvania | $159.31 | $82.75 | |
| Wyoming | $159.11 | $80.95 | |
| Delaware | $159.05 | $81.83 | |
| Texas | $158.90 | $81.95 | |
| North Dakota | $157.55 | $79.39 | |
| Virginia | $157.37 | $80.54 | |
| South Dakota | $157.22 | $79.06 | |
| Vermont | $157.09 | $79.71 | |
| Georgia | $157.07 | $82.50 | |
| Arizona | $156.77 | $81.04 | |
| Michigan | $156.57 | $83.18 | |
| Maine | $154.45 | $79.77 | |
| Utah | $154.28 | $80.81 | |
| New Mexico | $153.56 | $81.89 | |
| Wisconsin | $153.19 | $78.31 | |
| Missouri | $152.61 | $80.88 | |
| South Carolina | $152.57 | $80.35 | |
| Louisiana | $152.47 | $81.11 | |
| North Carolina | $152.41 | $79.49 | |
| Ohio | $152.28 | $80.93 | |
| Indiana | $151.14 | $78.69 | |
| Idaho | $150.43 | $78.53 | |
| Nebraska | $150.27 | $78.13 | |
| West Virginia | $150.18 | $82.26 | |
| Tennessee | $149.71 | $78.66 | |
| Kentucky | $149.62 | $80.14 | |
| Iowa | $149.61 | $78.10 | |
| Oklahoma | $149.35 | $79.55 | |
| Kansas | $149.09 | $78.44 | |
| Alabama | $146.69 | $78.30 | |
| Mississippi | $146.20 | $78.90 | |
| Arkansas | $144.96 | $77.83 |
Medicare is the floor, not the market. See what UHC, Aetna, Cigna and BCBS actually pay — down to the TIN.
See negotiated rates