CPT 45390 pays $290.25 in a non-facility setting and $290.25 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $269.60 in Arkansas to $383.54 in Alaska, a 42% spread.
National non-facility rate
$290.25
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 | $383.54 | $383.54 | |
| District of Columbia | $316.11 | $316.11 | |
| New York | $315.69 | $315.69 | |
| New Jersey | $311.22 | $311.22 | |
| Florida | $311.05 | $311.05 | |
| Illinois | $308.30 | $308.30 | |
| Connecticut | $304.28 | $304.28 | |
| Washington | $301.92 | $301.92 | |
| Massachusetts | $301.33 | $301.33 | |
| California | $300.53 | $300.53 | |
| Maryland | $297.55 | $297.55 | |
| Michigan | $294.72 | $294.72 | |
| Rhode Island | $294.02 | $294.02 | |
| Colorado | $292.46 | $292.46 | |
| Pennsylvania | $292.05 | $292.05 | |
| Georgia | $291.51 | $291.51 | |
| Hawaii | $290.95 | $290.95 | |
| Puerto Rico | $290.72 | $290.72 | |
| Virgin Islands | $290.72 | $290.72 | |
| New Hampshire | $290.48 | $290.48 | |
| Montana | $290.21 | $290.21 | |
| West Virginia | $290.20 | $290.20 | |
| Oregon | $289.67 | $289.67 | |
| Texas | $288.68 | $288.68 | |
| New Mexico | $288.66 | $288.66 | |
| Delaware | $288.18 | $288.18 | |
| Nevada | $286.70 | $286.70 | |
| Louisiana | $285.03 | $285.03 | |
| Arizona | $284.90 | $284.90 | |
| Wyoming | $284.61 | $284.61 | |
| Ohio | $284.18 | $284.18 | |
| Missouri | $284.00 | $284.00 | |
| Utah | $283.73 | $283.73 | |
| Virginia | $282.65 | $282.65 | |
| South Carolina | $281.54 | $281.54 | |
| Kentucky | $280.44 | $280.44 | |
| Maine | $278.95 | $278.95 | |
| Vermont | $278.81 | $278.81 | |
| Oklahoma | $277.73 | $277.73 | |
| North Carolina | $277.60 | $277.60 | |
| North Dakota | $277.36 | $277.36 | |
| Minnesota | $277.05 | $277.05 | |
| South Dakota | $275.84 | $275.84 | |
| Mississippi | $274.61 | $274.61 | |
| Indiana | $273.85 | $273.85 | |
| Tennessee | $273.67 | $273.67 | |
| Idaho | $273.07 | $273.07 | |
| Kansas | $272.59 | $272.59 | |
| Wisconsin | $272.21 | $272.21 | |
| Alabama | $271.85 | $271.85 | |
| Nebraska | $271.22 | $271.22 | |
| Iowa | $271.06 | $271.06 | |
| Arkansas | $269.60 | $269.60 |
Medicare is the floor, not the market. See what UHC, Aetna, Cigna and BCBS actually pay — down to the TIN.
See negotiated rates