CPT 45389 pays $253.18 in a non-facility setting and $253.18 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $234.88 in Arkansas to $333.92 in Alaska, a 42% spread.
National non-facility rate
$253.18
Office and other outpatient settings
Hospital and ASC settings
Alaska
Arkansas · 42% 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 | $333.92 | $333.92 | |
| District of Columbia | $275.82 | $275.82 | |
| New York | $275.53 | $275.53 | |
| Florida | $271.73 | $271.73 | |
| New Jersey | $271.52 | $271.52 | |
| Illinois | $269.29 | $269.29 | |
| Connecticut | $265.52 | $265.52 | |
| Washington | $263.31 | $263.31 | |
| Massachusetts | $262.81 | $262.81 | |
| California | $262.00 | $262.00 | |
| Maryland | $259.58 | $259.58 | |
| Michigan | $257.22 | $257.22 | |
| Rhode Island | $256.41 | $256.41 | |
| Colorado | $255.02 | $255.02 | |
| Pennsylvania | $254.76 | $254.76 | |
| Georgia | $254.34 | $254.34 | |
| Hawaii | $253.67 | $253.67 | |
| Puerto Rico | $253.58 | $253.58 | |
| Virgin Islands | $253.58 | $253.58 | |
| New Hampshire | $253.35 | $253.35 | |
| West Virginia | $253.26 | $253.26 | |
| Montana | $253.14 | $253.14 | |
| Oregon | $252.57 | $252.57 | |
| New Mexico | $251.83 | $251.83 | |
| Texas | $251.76 | $251.76 | |
| Delaware | $251.32 | $251.32 | |
| Nevada | $250.01 | $250.01 | |
| Louisiana | $248.60 | $248.60 | |
| Arizona | $248.43 | $248.43 | |
| Wyoming | $248.14 | $248.14 | |
| Ohio | $247.84 | $247.84 | |
| Missouri | $247.68 | $247.68 | |
| Utah | $247.42 | $247.42 | |
| Virginia | $246.41 | $246.41 | |
| South Carolina | $245.48 | $245.48 | |
| Kentucky | $244.52 | $244.52 | |
| Maine | $243.13 | $243.13 | |
| Vermont | $242.98 | $242.98 | |
| Oklahoma | $242.10 | $242.10 | |
| North Carolina | $241.96 | $241.96 | |
| North Dakota | $241.67 | $241.67 | |
| Minnesota | $241.37 | $241.37 | |
| South Dakota | $240.32 | $240.32 | |
| Mississippi | $239.35 | $239.35 | |
| Indiana | $238.61 | $238.61 | |
| Tennessee | $238.46 | $238.46 | |
| Idaho | $237.92 | $237.92 | |
| Kansas | $237.51 | $237.51 | |
| Wisconsin | $237.12 | $237.12 | |
| Alabama | $236.88 | $236.88 | |
| Nebraska | $236.27 | $236.27 | |
| Iowa | $236.13 | $236.13 | |
| Arkansas | $234.88 | $234.88 |
Medicare is the floor, not the market. See what UHC, Aetna, Cigna and BCBS actually pay — down to the TIN.
See negotiated rates