CPT 99494 pays $61.46 in a non-facility setting and $36.07 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $55.96 in Arkansas to $76.34 in Alaska, a 36% spread.
National non-facility rate
$61.46
Office and other outpatient settings
Hospital and ASC settings
Alaska
Arkansas · 36% 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 | $76.34 | $49.30 | |
| District of Columbia | $68.87 | $38.97 | |
| California | $67.40 | $37.36 | |
| New York | $67.18 | $38.86 | |
| New Jersey | $67.07 | $38.49 | |
| Washington | $66.39 | $37.45 | |
| Massachusetts | $65.88 | $37.36 | |
| Hawaii | $65.01 | $36.14 | |
| Connecticut | $64.90 | $37.56 | |
| Florida | $63.46 | $37.99 | |
| Colorado | $63.40 | $36.39 | |
| Maryland | $63.33 | $36.87 | |
| Oregon | $62.84 | $36.10 | |
| Rhode Island | $62.82 | $36.60 | |
| New Hampshire | $62.52 | $36.10 | |
| Illinois | $62.30 | $37.77 | |
| Puerto Rico | $61.78 | $36.12 | |
| Virgin Islands | $61.78 | $36.12 | |
| Montana | $61.45 | $36.07 | |
| Pennsylvania | $61.19 | $36.32 | |
| Nevada | $61.16 | $35.74 | |
| Delaware | $61.01 | $35.93 | |
| Minnesota | $60.98 | $34.86 | |
| Texas | $60.97 | $35.98 | |
| Wyoming | $60.94 | $35.55 | |
| Georgia | $60.42 | $36.20 | |
| Michigan | $60.32 | $36.48 | |
| Virginia | $60.32 | $35.37 | |
| North Dakota | $60.27 | $34.88 | |
| Arizona | $60.18 | $35.58 | |
| Vermont | $60.15 | $35.02 | |
| South Dakota | $60.13 | $34.74 | |
| Utah | $59.33 | $35.47 | |
| Maine | $59.28 | $35.03 | |
| New Mexico | $59.20 | $35.92 | |
| Missouri | $58.79 | $35.49 | |
| Louisiana | $58.76 | $35.59 | |
| South Carolina | $58.72 | $35.26 | |
| Wisconsin | $58.72 | $34.41 | |
| Ohio | $58.68 | $35.51 | |
| North Carolina | $58.59 | $34.90 | |
| West Virginia | $58.12 | $36.06 | |
| Indiana | $58.09 | $34.56 | |
| Idaho | $57.84 | $34.48 | |
| Nebraska | $57.74 | $34.31 | |
| Kentucky | $57.73 | $35.16 | |
| Tennessee | $57.61 | $34.54 | |
| Oklahoma | $57.58 | $34.91 | |
| Iowa | $57.52 | $34.30 | |
| Kansas | $57.39 | $34.44 | |
| Alabama | $56.58 | $34.37 | |
| Mississippi | $56.48 | $34.62 | |
| Arkansas | $55.96 | $34.16 |
Medicare is the floor, not the market. See what UHC, Aetna, Cigna and BCBS actually pay — down to the TIN.
See negotiated rates