CPT 45378 pays $378.10 in a non-facility setting and $164.67 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $335.05 in Arkansas to $441.84 in Alaska, a 32% spread.
National non-facility rate
$378.10
Office and other outpatient settings
Hospital and ASC settings
Alaska
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 |
|---|---|---|---|
| Alaska | $441.84 | $214.53 | |
| District of Columbia | $431.34 | $179.92 | |
| California | $422.96 | $170.41 | |
| New York | $417.90 | $179.80 | |
| New Jersey | $417.23 | $176.91 | |
| Washington | $414.70 | $171.39 | |
| Massachusetts | $410.87 | $171.08 | |
| Hawaii | $407.70 | $165.03 | |
| Connecticut | $402.98 | $173.11 | |
| Colorado | $392.90 | $165.81 | |
| Florida | $391.92 | $177.78 | |
| Maryland | $391.51 | $169.01 | |
| Oregon | $388.97 | $164.12 | |
| Rhode Island | $387.16 | $166.68 | |
| New Hampshire | $386.97 | $164.79 | |
| Illinois | $382.23 | $176.00 | |
| Puerto Rico | $380.73 | $164.95 | |
| Virgin Islands | $380.73 | $164.95 | |
| Montana | $378.07 | $164.64 | |
| Nevada | $376.07 | $162.42 | |
| Minnesota | $375.94 | $156.32 | |
| Pennsylvania | $374.71 | $165.65 | |
| Wyoming | $374.54 | $161.11 | |
| Delaware | $374.15 | $163.28 | |
| Texas | $373.71 | $163.58 | |
| North Dakota | $369.96 | $156.53 | |
| Virginia | $369.68 | $159.88 | |
| Georgia | $369.07 | $165.46 | |
| South Dakota | $369.01 | $155.57 | |
| Vermont | $368.75 | $157.45 | |
| Arizona | $368.12 | $161.31 | |
| Michigan | $367.93 | $167.52 | |
| Maine | $361.49 | $157.56 | |
| Utah | $361.21 | $160.58 | |
| New Mexico | $359.42 | $163.70 | |
| Wisconsin | $357.78 | $153.31 | |
| Missouri | $356.63 | $160.77 | |
| South Carolina | $356.42 | $159.21 | |
| Louisiana | $356.28 | $161.42 | |
| North Carolina | $355.86 | $156.72 | |
| Ohio | $355.75 | $160.88 | |
| Indiana | $352.21 | $154.36 | |
| Idaho | $350.23 | $153.87 | |
| West Virginia | $350.18 | $164.71 | |
| Nebraska | $349.70 | $152.70 | |
| Kentucky | $348.28 | $158.53 | |
| Tennessee | $348.26 | $154.25 | |
| Iowa | $347.89 | $152.60 | |
| Oklahoma | $347.42 | $156.82 | |
| Kansas | $346.52 | $153.58 | |
| Alabama | $339.88 | $153.13 | |
| Mississippi | $338.64 | $154.87 | |
| Arkansas | $335.05 | $151.71 |
Medicare is the floor, not the market. See what UHC, Aetna, Cigna and BCBS actually pay — down to the TIN.
See negotiated rates