CPT 51785 pays $392.46 in a non-facility setting and $392.46 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $338.28 in Arkansas to $455.04 in District of Columbia, a 35% spread.
National non-facility rate
$392.46
Office and other outpatient settings
Hospital and ASC settings
District of Columbia
Arkansas · 35% 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 | $455.04 | $455.04 | |
| California | $446.13 | $446.13 | |
| New York | $438.59 | $438.59 | |
| New Jersey | $437.46 | $437.46 | |
| Washington | $436.03 | $436.03 | |
| Massachusetts | $431.43 | $431.43 | |
| Alaska | $430.86 | $430.86 | |
| Hawaii | $429.90 | $429.90 | |
| Connecticut | $422.11 | $422.11 | |
| Colorado | $410.17 | $410.17 | |
| Florida | $409.67 | $409.67 | |
| Maryland | $408.27 | $408.27 | |
| Oregon | $405.57 | $405.57 | |
| New Hampshire | $403.68 | $403.68 | |
| Rhode Island | $402.31 | $402.31 | |
| Illinois | $397.16 | $397.16 | |
| Puerto Rico | $395.79 | $395.79 | |
| Virgin Islands | $395.79 | $395.79 | |
| Montana | $392.43 | $392.43 | |
| Nevada | $389.94 | $389.94 | |
| Minnesota | $389.91 | $389.91 | |
| Wyoming | $388.03 | $388.03 | |
| Pennsylvania | $387.41 | $387.41 | |
| Delaware | $387.08 | $387.08 | |
| Texas | $386.48 | $386.48 | |
| North Dakota | $382.34 | $382.34 | |
| Virginia | $381.92 | $381.92 | |
| South Dakota | $381.15 | $381.15 | |
| Georgia | $380.90 | $380.90 | |
| Vermont | $380.79 | $380.79 | |
| Arizona | $379.91 | $379.91 | |
| Michigan | $379.54 | $379.54 | |
| Maine | $371.61 | $371.61 | |
| Utah | $371.18 | $371.18 | |
| New Mexico | $368.85 | $368.85 | |
| Wisconsin | $367.00 | $367.00 | |
| Missouri | $365.38 | $365.38 | |
| South Carolina | $365.16 | $365.16 | |
| Louisiana | $364.93 | $364.93 | |
| North Carolina | $364.49 | $364.49 | |
| Ohio | $364.26 | $364.26 | |
| Indiana | $359.93 | $359.93 | |
| Idaho | $357.43 | $357.43 | |
| West Virginia | $357.14 | $357.14 | |
| Nebraska | $356.79 | $356.79 | |
| Tennessee | $354.94 | $354.94 | |
| Kentucky | $354.86 | $354.86 | |
| Iowa | $354.51 | $354.51 | |
| Oklahoma | $353.82 | $353.82 | |
| Kansas | $352.75 | $352.75 | |
| Alabama | $344.36 | $344.36 | |
| Mississippi | $342.75 | $342.75 | |
| Arkansas | $338.28 | $338.28 |
Medicare is the floor, not the market. See what UHC, Aetna, Cigna and BCBS actually pay — down to the TIN.
See negotiated rates