CPT 45381 pays $490.33 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 $432.71 in Arkansas to $565.40 in Alaska, a 31% spread.
National non-facility rate
$490.33
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 | $565.40 | $232.45 | |
| District of Columbia | $562.32 | $194.04 | |
| California | $554.11 | $184.18 | |
| New Jersey | $542.86 | $190.84 | |
| New York | $542.53 | $193.75 | |
| Washington | $541.47 | $185.07 | |
| Massachusetts | $535.94 | $184.70 | |
| Hawaii | $533.79 | $178.33 | |
| Connecticut | $523.34 | $186.63 | |
| Colorado | $511.71 | $179.07 | |
| Maryland | $508.24 | $182.32 | |
| Oregon | $506.65 | $177.30 | |
| Florida | $504.81 | $191.13 | |
| New Hampshire | $503.35 | $177.90 | |
| Rhode Island | $502.91 | $179.96 | |
| Puerto Rico | $494.08 | $178.01 | |
| Virgin Islands | $494.08 | $178.01 | |
| Illinois | $491.35 | $189.27 | |
| Minnesota | $490.90 | $169.20 | |
| Montana | $490.30 | $177.66 | |
| Nevada | $488.34 | $175.40 | |
| Wyoming | $486.68 | $174.05 | |
| Delaware | $485.16 | $176.28 | |
| Pennsylvania | $484.95 | $178.72 | |
| Texas | $484.38 | $176.59 | |
| North Dakota | $481.99 | $169.36 | |
| South Dakota | $481.01 | $168.38 | |
| Virginia | $480.07 | $172.76 | |
| Vermont | $479.79 | $170.29 | |
| Arizona | $477.13 | $174.19 | |
| Georgia | $476.68 | $178.43 | |
| Michigan | $474.06 | $180.50 | |
| Maine | $469.05 | $170.33 | |
| Utah | $467.27 | $173.40 | |
| Wisconsin | $465.48 | $165.98 | |
| New Mexico | $463.23 | $176.55 | |
| North Carolina | $461.11 | $169.43 | |
| South Carolina | $460.83 | $171.96 | |
| Missouri | $460.43 | $173.54 | |
| Louisiana | $459.63 | $174.20 | |
| Ohio | $459.08 | $173.65 | |
| Indiana | $456.81 | $167.00 | |
| Idaho | $454.10 | $166.48 | |
| Nebraska | $453.85 | $165.29 | |
| Iowa | $451.23 | $165.17 | |
| Tennessee | $451.03 | $166.85 | |
| West Virginia | $449.16 | $177.48 | |
| Kentucky | $449.13 | $171.20 | |
| Kansas | $448.77 | $166.15 | |
| Oklahoma | $448.63 | $169.45 | |
| Alabama | $439.19 | $165.63 | |
| Mississippi | $436.57 | $167.39 | |
| Arkansas | $432.71 | $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