CPT 45380 pays $479.97 in a non-facility setting and $177.69 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $423.81 in Arkansas to $554.38 in Alaska, a 31% spread.
National non-facility rate
$479.97
Office and other outpatient settings
Hospital and ASC settings
Alaska
Arkansas · 31% 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 | $554.38 | $232.45 | |
| District of Columbia | $550.12 | $194.04 | |
| California | $541.86 | $184.18 | |
| New Jersey | $531.20 | $190.84 | |
| New York | $530.97 | $193.75 | |
| Washington | $529.67 | $185.07 | |
| Massachusetts | $524.31 | $184.70 | |
| Hawaii | $522.02 | $178.33 | |
| Connecticut | $512.19 | $186.63 | |
| Colorado | $500.69 | $179.07 | |
| Maryland | $497.44 | $182.32 | |
| Oregon | $495.75 | $177.30 | |
| Florida | $494.42 | $191.13 | |
| New Hampshire | $492.57 | $177.90 | |
| Rhode Island | $492.21 | $179.96 | |
| Puerto Rico | $483.61 | $178.01 | |
| Virgin Islands | $483.61 | $178.01 | |
| Illinois | $481.34 | $189.27 | |
| Minnesota | $480.25 | $169.20 | |
| Montana | $479.94 | $177.66 | |
| Nevada | $477.98 | $175.40 | |
| Wyoming | $476.32 | $174.05 | |
| Delaware | $474.93 | $176.28 | |
| Pennsylvania | $474.81 | $178.72 | |
| Texas | $474.18 | $176.59 | |
| North Dakota | $471.64 | $169.36 | |
| South Dakota | $470.66 | $168.38 | |
| Virginia | $469.90 | $172.76 | |
| Vermont | $469.54 | $170.29 | |
| Arizona | $467.10 | $174.19 | |
| Georgia | $466.80 | $178.43 | |
| Michigan | $464.33 | $180.50 | |
| Maine | $459.15 | $170.33 | |
| Utah | $457.54 | $173.40 | |
| Wisconsin | $455.56 | $165.98 | |
| New Mexico | $453.74 | $176.55 | |
| North Carolina | $451.45 | $169.43 | |
| South Carolina | $451.26 | $171.96 | |
| Missouri | $450.93 | $173.54 | |
| Louisiana | $450.18 | $174.20 | |
| Ohio | $449.63 | $173.65 | |
| Indiana | $447.21 | $167.00 | |
| Idaho | $444.57 | $166.48 | |
| Nebraska | $444.29 | $165.29 | |
| Iowa | $441.76 | $165.17 | |
| Tennessee | $441.62 | $166.85 | |
| West Virginia | $440.16 | $177.48 | |
| Kentucky | $439.92 | $171.20 | |
| Kansas | $439.41 | $166.15 | |
| Oklahoma | $439.39 | $169.45 | |
| Alabama | $430.13 | $165.63 | |
| Mississippi | $427.65 | $167.39 | |
| Arkansas | $423.81 | $164.15 |
Medicare is the floor, not the market. See what UHC, Aetna, Cigna and BCBS actually pay — down to the TIN.
See negotiated rates