CPT 45305 pays $198.40 in a non-facility setting and $69.14 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $173.40 in Arkansas to $228.64 in District of Columbia, a 32% spread.
National non-facility rate
$198.40
Office and other outpatient settings
Hospital and ASC settings
District of Columbia
Arkansas · 32% 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 |
|---|---|---|---|
| District of Columbia | $228.64 | $76.37 | |
| California | $224.97 | $72.01 | |
| Alaska | $224.14 | $86.47 | |
| New York | $220.42 | $76.21 | |
| New Jersey | $220.32 | $74.77 | |
| Washington | $219.77 | $72.42 | |
| Massachusetts | $217.48 | $72.25 | |
| Hawaii | $216.73 | $69.76 | |
| Connecticut | $212.43 | $73.22 | |
| Colorado | $207.26 | $69.73 | |
| Maryland | $205.96 | $71.21 | |
| Florida | $205.24 | $75.55 | |
| Oregon | $205.11 | $68.93 | |
| New Hampshire | $203.89 | $69.33 | |
| Rhode Island | $203.48 | $69.96 | |
| Puerto Rico | $200.00 | $69.32 | |
| Virgin Islands | $200.00 | $69.32 | |
| Illinois | $199.41 | $74.51 | |
| Montana | $198.39 | $69.13 | |
| Minnesota | $198.17 | $65.16 | |
| Nevada | $197.44 | $68.05 | |
| Wyoming | $196.66 | $67.40 | |
| Delaware | $196.06 | $68.35 | |
| Pennsylvania | $196.04 | $69.42 | |
| Texas | $195.74 | $68.48 | |
| North Dakota | $194.43 | $65.17 | |
| South Dakota | $193.97 | $64.70 | |
| Virginia | $193.81 | $66.75 | |
| Vermont | $193.56 | $65.59 | |
| Georgia | $192.67 | $69.36 | |
| Arizona | $192.66 | $67.40 | |
| Michigan | $191.71 | $70.33 | |
| Maine | $189.04 | $65.53 | |
| Utah | $188.46 | $66.96 | |
| Wisconsin | $187.30 | $63.47 | |
| New Mexico | $186.94 | $68.40 | |
| South Carolina | $185.67 | $66.23 | |
| North Carolina | $185.65 | $65.05 | |
| Missouri | $185.59 | $66.97 | |
| Louisiana | $185.29 | $67.27 | |
| Ohio | $185.03 | $67.01 | |
| Indiana | $183.70 | $63.88 | |
| Idaho | $182.54 | $63.62 | |
| Nebraska | $182.36 | $63.06 | |
| Tennessee | $181.27 | $63.77 | |
| Iowa | $181.26 | $62.98 | |
| West Virginia | $181.07 | $68.74 | |
| Kentucky | $180.70 | $65.79 | |
| Oklahoma | $180.40 | $64.97 | |
| Kansas | $180.27 | $63.42 | |
| Alabama | $176.21 | $63.11 | |
| Mississippi | $175.21 | $63.91 | |
| Arkansas | $173.40 | $62.37 |
Medicare is the floor, not the market. See what UHC, Aetna, Cigna and BCBS actually pay — down to the TIN.
See negotiated rates