CPT 54161 pays $181.03 in a non-facility setting and $181.03 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $165.94 in Arkansas to $232.66 in Alaska, a 40% spread.
National non-facility rate
$181.03
Office and other outpatient settings
Hospital and ASC settings
Alaska
Arkansas · 40% 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 | $232.66 | $232.66 | |
| District of Columbia | $198.93 | $198.93 | |
| New York | $198.00 | $198.00 | |
| New Jersey | $195.17 | $195.17 | |
| Florida | $194.51 | $194.51 | |
| Illinois | $192.21 | $192.21 | |
| Connecticut | $190.67 | $190.67 | |
| Washington | $189.71 | $189.71 | |
| California | $189.26 | $189.26 | |
| Massachusetts | $189.18 | $189.18 | |
| Maryland | $186.03 | $186.03 | |
| Rhode Island | $183.51 | $183.51 | |
| Hawaii | $183.18 | $183.18 | |
| Michigan | $183.16 | $183.16 | |
| Colorado | $183.02 | $183.02 | |
| Pennsylvania | $181.77 | $181.77 | |
| New Hampshire | $181.69 | $181.69 | |
| Puerto Rico | $181.47 | $181.47 | |
| Virgin Islands | $181.47 | $181.47 | |
| Georgia | $181.25 | $181.25 | |
| Oregon | $181.16 | $181.16 | |
| Montana | $181.00 | $181.00 | |
| Texas | $179.72 | $179.72 | |
| Delaware | $179.45 | $179.45 | |
| West Virginia | $179.38 | $179.38 | |
| New Mexico | $178.97 | $178.97 | |
| Nevada | $178.75 | $178.75 | |
| Wyoming | $177.39 | $177.39 | |
| Arizona | $177.19 | $177.19 | |
| Louisiana | $176.58 | $176.58 | |
| Utah | $176.07 | $176.07 | |
| Ohio | $176.03 | $176.03 | |
| Missouri | $175.97 | $175.97 | |
| Virginia | $175.91 | $175.91 | |
| South Carolina | $174.46 | $174.46 | |
| Vermont | $173.52 | $173.52 | |
| Kentucky | $173.32 | $173.32 | |
| Maine | $173.18 | $173.18 | |
| Minnesota | $172.86 | $172.86 | |
| North Dakota | $172.70 | $172.70 | |
| North Carolina | $172.03 | $172.03 | |
| South Dakota | $171.72 | $171.72 | |
| Oklahoma | $171.61 | $171.61 | |
| Indiana | $169.53 | $169.53 | |
| Mississippi | $169.20 | $169.20 | |
| Tennessee | $169.19 | $169.19 | |
| Idaho | $168.94 | $168.94 | |
| Wisconsin | $168.86 | $168.86 | |
| Kansas | $168.43 | $168.43 | |
| Nebraska | $167.78 | $167.78 | |
| Alabama | $167.60 | $167.60 | |
| Iowa | $167.58 | $167.58 | |
| Arkansas | $165.94 | $165.94 |
Medicare is the floor, not the market. See what UHC, Aetna, Cigna and BCBS actually pay — down to the TIN.
See negotiated rates