CPT 45386 pays $670.36 in a non-facility setting and $187.38 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $588.11 in Arkansas to $773.48 in District of Columbia, a 32% spread.
National non-facility rate
$670.36
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 | $773.48 | $204.54 | |
| California | $765.67 | $194.18 | |
| Alaska | $759.84 | $245.47 | |
| Washington | $745.71 | $195.12 | |
| New Jersey | $745.02 | $201.19 | |
| New York | $743.05 | $204.24 | |
| Massachusetts | $737.35 | $194.73 | |
| Hawaii | $737.15 | $188.01 | |
| Connecticut | $716.92 | $196.76 | |
| Colorado | $702.71 | $188.82 | |
| Oregon | $695.78 | $186.96 | |
| Maryland | $695.73 | $192.23 | |
| New Hampshire | $690.36 | $187.58 | |
| Rhode Island | $688.68 | $189.77 | |
| Florida | $686.04 | $201.46 | |
| Puerto Rico | $676.00 | $187.71 | |
| Virgin Islands | $676.00 | $187.71 | |
| Minnesota | $675.46 | $178.48 | |
| Montana | $670.33 | $187.35 | |
| Nevada | $668.43 | $184.97 | |
| Wyoming | $666.54 | $183.56 | |
| Illinois | $666.19 | $199.52 | |
| Delaware | $663.09 | $185.91 | |
| Texas | $661.73 | $186.24 | |
| North Dakota | $661.63 | $178.65 | |
| Pennsylvania | $661.56 | $188.48 | |
| South Dakota | $660.60 | $177.62 | |
| Vermont | $657.77 | $179.62 | |
| Virginia | $656.98 | $182.21 | |
| Arizona | $651.72 | $183.72 | |
| Georgia | $648.92 | $188.16 | |
| Michigan | $643.85 | $190.33 | |
| Maine | $641.16 | $179.68 | |
| Wisconsin | $637.81 | $175.12 | |
| Utah | $636.89 | $182.89 | |
| North Carolina | $629.36 | $178.74 | |
| New Mexico | $629.09 | $186.20 | |
| South Carolina | $627.66 | $181.39 | |
| Missouri | $626.26 | $183.05 | |
| Louisiana | $624.70 | $183.74 | |
| Ohio | $624.12 | $183.17 | |
| Indiana | $623.91 | $176.19 | |
| Nebraska | $620.19 | $174.41 | |
| Idaho | $619.99 | $175.65 | |
| Iowa | $616.21 | $174.29 | |
| Tennessee | $615.07 | $176.05 | |
| Kansas | $611.92 | $175.31 | |
| Oklahoma | $610.08 | $178.78 | |
| Kentucky | $609.97 | $180.61 | |
| West Virginia | $606.90 | $187.19 | |
| Alabama | $597.38 | $174.78 | |
| Mississippi | $592.47 | $176.63 | |
| Arkansas | $588.11 | $173.23 |
Medicare is the floor, not the market. See what UHC, Aetna, Cigna and BCBS actually pay — down to the TIN.
See negotiated rates