CPT 45385 pays $500.01 in a non-facility setting and $223.45 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $444.65 in Arkansas to $588.56 in Alaska, a 32% spread.
National non-facility rate
$500.01
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 | $588.56 | $294.02 | |
| District of Columbia | $569.43 | $243.65 | |
| California | $558.77 | $231.52 | |
| New York | $551.81 | $243.28 | |
| New Jersey | $551.17 | $239.77 | |
| Washington | $547.87 | $232.59 | |
| Massachusetts | $542.84 | $232.13 | |
| Hawaii | $538.60 | $224.15 | |
| Connecticut | $532.29 | $234.43 | |
| Colorado | $519.45 | $225.19 | |
| Maryland | $517.46 | $229.15 | |
| Florida | $517.25 | $239.77 | |
| Oregon | $514.36 | $223.01 | |
| Rhode Island | $512.02 | $226.34 | |
| New Hampshire | $511.58 | $223.68 | |
| Illinois | $504.78 | $237.55 | |
| Puerto Rico | $503.43 | $223.83 | |
| Virgin Islands | $503.43 | $223.83 | |
| Montana | $499.98 | $223.42 | |
| Minnesota | $497.71 | $213.13 | |
| Nevada | $497.50 | $220.66 | |
| Pennsylvania | $495.68 | $224.79 | |
| Wyoming | $495.58 | $219.02 | |
| Delaware | $495.03 | $221.79 | |
| Texas | $494.44 | $222.17 | |
| North Dakota | $489.89 | $213.33 | |
| Virginia | $489.33 | $217.47 | |
| South Dakota | $488.70 | $212.14 | |
| Vermont | $488.26 | $214.46 | |
| Georgia | $488.22 | $224.38 | |
| Arizona | $487.20 | $219.22 | |
| Michigan | $486.58 | $226.89 | |
| Maine | $478.79 | $214.53 | |
| Utah | $478.23 | $218.27 | |
| New Mexico | $475.71 | $222.11 | |
| Wisconsin | $474.20 | $209.25 | |
| Missouri | $472.24 | $218.46 | |
| South Carolina | $472.07 | $216.53 | |
| Louisiana | $471.75 | $219.25 | |
| North Carolina | $471.48 | $213.45 | |
| Ohio | $471.09 | $218.59 | |
| Indiana | $466.87 | $210.50 | |
| Idaho | $464.31 | $209.88 | |
| Nebraska | $463.70 | $208.43 | |
| West Virginia | $463.60 | $223.27 | |
| Tennessee | $461.73 | $210.34 | |
| Kentucky | $461.49 | $215.63 | |
| Iowa | $461.35 | $208.30 | |
| Oklahoma | $460.47 | $213.51 | |
| Kansas | $459.50 | $209.49 | |
| Alabama | $450.87 | $208.88 | |
| Mississippi | $449.14 | $211.02 | |
| Arkansas | $444.65 | $207.09 |
Medicare is the floor, not the market. See what UHC, Aetna, Cigna and BCBS actually pay — down to the TIN.
See negotiated rates