CPT 99493 pays $144.96 in a non-facility setting and $89.51 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $132.57 in Arkansas to $181.76 in Alaska, a 37% spread.
National non-facility rate
$144.96
Office and other outpatient settings
Hospital and ASC settings
Alaska
Arkansas · 37% 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 | $181.76 | $122.71 | |
| District of Columbia | $161.97 | $96.65 | |
| California | $158.43 | $92.83 | |
| New York | $158.19 | $96.33 | |
| New Jersey | $157.92 | $95.49 | |
| Washington | $156.18 | $92.98 | |
| Massachusetts | $155.05 | $92.76 | |
| Connecticut | $152.84 | $93.13 | |
| Hawaii | $152.83 | $89.79 | |
| Florida | $149.63 | $94.00 | |
| Colorado | $149.35 | $90.36 | |
| Maryland | $149.26 | $91.46 | |
| Rhode Island | $148.13 | $90.85 | |
| Oregon | $148.06 | $89.64 | |
| New Hampshire | $147.32 | $89.60 | |
| Illinois | $147.04 | $93.46 | |
| Puerto Rico | $145.68 | $89.62 | |
| Virgin Islands | $145.68 | $89.62 | |
| Montana | $144.95 | $89.51 | |
| Pennsylvania | $144.43 | $90.12 | |
| Nevada | $144.25 | $88.75 | |
| Delaware | $143.97 | $89.19 | |
| Texas | $143.89 | $89.30 | |
| Minnesota | $143.75 | $86.70 | |
| Wyoming | $143.74 | $88.30 | |
| Georgia | $142.68 | $89.78 | |
| Michigan | $142.48 | $90.42 | |
| Virginia | $142.36 | $87.86 | |
| North Dakota | $142.18 | $86.74 | |
| Arizona | $142.06 | $88.33 | |
| Vermont | $141.93 | $87.04 | |
| South Dakota | $141.85 | $86.41 | |
| Utah | $140.17 | $88.06 | |
| Maine | $140.02 | $87.04 | |
| New Mexico | $139.94 | $89.10 | |
| Missouri | $138.97 | $88.09 | |
| Louisiana | $138.93 | $88.31 | |
| South Carolina | $138.80 | $87.57 | |
| Ohio | $138.75 | $88.13 | |
| Wisconsin | $138.71 | $85.59 | |
| North Carolina | $138.46 | $86.73 | |
| West Virginia | $137.57 | $89.39 | |
| Indiana | $137.31 | $85.92 | |
| Idaho | $136.75 | $85.74 | |
| Kentucky | $136.59 | $87.30 | |
| Nebraska | $136.52 | $85.35 | |
| Tennessee | $136.26 | $85.86 | |
| Oklahoma | $136.23 | $86.72 | |
| Iowa | $136.04 | $85.30 | |
| Kansas | $135.75 | $85.62 | |
| Alabama | $133.95 | $85.44 | |
| Mississippi | $133.76 | $86.02 | |
| Arkansas | $132.57 | $84.94 |
Medicare is the floor, not the market. See what UHC, Aetna, Cigna and BCBS actually pay — down to the TIN.
See negotiated rates