CPT 54400 pays $484.98 in a non-facility setting and $484.98 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $445.49 in Arkansas to $626.65 in Alaska, a 41% spread.
National non-facility rate
$484.98
Office and other outpatient settings
Hospital and ASC settings
Alaska
Arkansas · 41% 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 | $626.65 | $626.65 | |
| District of Columbia | $531.78 | $531.78 | |
| New York | $530.05 | $530.05 | |
| New Jersey | $522.17 | $522.17 | |
| Florida | $521.84 | $521.84 | |
| Illinois | $516.02 | $516.02 | |
| Connecticut | $510.41 | $510.41 | |
| Washington | $507.00 | $507.00 | |
| Massachusetts | $505.75 | $505.75 | |
| California | $505.22 | $505.22 | |
| Maryland | $498.13 | $498.13 | |
| Michigan | $491.61 | $491.61 | |
| Rhode Island | $491.39 | $491.39 | |
| Colorado | $489.62 | $489.62 | |
| Hawaii | $489.08 | $489.08 | |
| Pennsylvania | $487.29 | $487.29 | |
| New Hampshire | $486.25 | $486.25 | |
| Georgia | $486.17 | $486.17 | |
| Puerto Rico | $486.03 | $486.03 | |
| Virgin Islands | $486.03 | $486.03 | |
| Montana | $484.90 | $484.90 | |
| Oregon | $484.67 | $484.67 | |
| West Virginia | $482.15 | $482.15 | |
| Texas | $481.60 | $481.60 | |
| Delaware | $480.82 | $480.82 | |
| New Mexico | $480.42 | $480.42 | |
| Nevada | $478.71 | $478.71 | |
| Wyoming | $474.99 | $474.99 | |
| Arizona | $474.86 | $474.86 | |
| Louisiana | $473.91 | $473.91 | |
| Ohio | $472.42 | $472.42 | |
| Missouri | $472.20 | $472.20 | |
| Utah | $472.19 | $472.19 | |
| Virginia | $471.17 | $471.17 | |
| South Carolina | $467.97 | $467.97 | |
| Kentucky | $465.29 | $465.29 | |
| Vermont | $464.53 | $464.53 | |
| Maine | $464.05 | $464.05 | |
| Minnesota | $462.23 | $462.23 | |
| North Dakota | $462.16 | $462.16 | |
| North Carolina | $461.20 | $461.20 | |
| Oklahoma | $460.58 | $460.58 | |
| South Dakota | $459.48 | $459.48 | |
| Indiana | $454.44 | $454.44 | |
| Mississippi | $454.39 | $454.39 | |
| Tennessee | $453.73 | $453.73 | |
| Idaho | $452.90 | $452.90 | |
| Wisconsin | $452.19 | $452.19 | |
| Kansas | $451.72 | $451.72 | |
| Alabama | $449.81 | $449.81 | |
| Nebraska | $449.70 | $449.70 | |
| Iowa | $449.24 | $449.24 | |
| Arkansas | $445.49 | $445.49 |
Medicare is the floor, not the market. See what UHC, Aetna, Cigna and BCBS actually pay — down to the TIN.
See negotiated rates