CPT 99498 pays $78.16 in a non-facility setting and $63.46 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $72.70 in Arkansas to $102.03 in Alaska, a 40% spread.
National non-facility rate
$78.16
Office and other outpatient settings
Hospital and ASC settings
Alaska
Arkansas · 40% 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 | $102.03 | $86.38 | |
| District of Columbia | $86.08 | $68.76 | |
| New York | $84.74 | $68.34 | |
| New Jersey | $84.39 | $67.84 | |
| California | $83.66 | $66.27 | |
| Washington | $82.97 | $66.22 | |
| Massachusetts | $82.53 | $66.02 | |
| Connecticut | $81.91 | $66.08 | |
| Florida | $81.10 | $66.35 | |
| Hawaii | $80.78 | $64.07 | |
| Maryland | $80.21 | $64.88 | |
| Illinois | $80.10 | $65.90 | |
| Colorado | $79.88 | $64.24 | |
| Rhode Island | $79.66 | $64.48 | |
| Oregon | $79.22 | $63.74 | |
| New Hampshire | $78.95 | $63.65 | |
| Puerto Rico | $78.43 | $63.57 | |
| Virgin Islands | $78.43 | $63.57 | |
| Pennsylvania | $78.20 | $63.81 | |
| Montana | $78.15 | $63.46 | |
| Texas | $77.76 | $63.29 | |
| Delaware | $77.75 | $63.23 | |
| Nevada | $77.68 | $62.97 | |
| Michigan | $77.65 | $63.85 | |
| Georgia | $77.51 | $63.49 | |
| Wyoming | $77.38 | $62.68 | |
| Minnesota | $76.87 | $61.74 | |
| Arizona | $76.85 | $62.60 | |
| Virginia | $76.79 | $62.35 | |
| New Mexico | $76.41 | $62.93 | |
| Vermont | $76.39 | $61.84 | |
| North Dakota | $76.37 | $61.68 | |
| South Dakota | $76.16 | $61.47 | |
| Utah | $76.15 | $62.33 | |
| Louisiana | $75.83 | $62.41 | |
| Maine | $75.77 | $61.73 | |
| Missouri | $75.77 | $62.29 | |
| West Virginia | $75.73 | $62.96 | |
| Ohio | $75.71 | $62.29 | |
| South Carolina | $75.55 | $61.97 | |
| North Carolina | $75.17 | $61.46 | |
| Wisconsin | $74.89 | $60.81 | |
| Kentucky | $74.75 | $61.69 | |
| Indiana | $74.54 | $60.92 | |
| Oklahoma | $74.45 | $61.33 | |
| Idaho | $74.30 | $60.78 | |
| Tennessee | $74.18 | $60.82 | |
| Nebraska | $74.10 | $60.54 | |
| Kansas | $73.94 | $60.66 | |
| Iowa | $73.93 | $60.49 | |
| Mississippi | $73.43 | $60.77 | |
| Alabama | $73.30 | $60.45 | |
| Arkansas | $72.70 | $60.07 |
Medicare is the floor, not the market. See what UHC, Aetna, Cigna and BCBS actually pay — down to the TIN.
See negotiated rates