CPT 54401 pays $617.58 in a non-facility setting and $617.58 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $563.39 in Arkansas to $783.14 in Alaska, a 39% spread.
National non-facility rate
$617.58
Office and other outpatient settings
Hospital and ASC settings
Alaska
Arkansas · 39% 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 | $783.14 | $783.14 | |
| District of Columbia | $682.51 | $682.51 | |
| New York | $676.46 | $676.46 | |
| New Jersey | $668.16 | $668.16 | |
| Florida | $659.78 | $659.78 | |
| California | $652.59 | $652.59 | |
| Washington | $651.79 | $651.79 | |
| Connecticut | $651.57 | $651.57 | |
| Illinois | $650.74 | $650.74 | |
| Massachusetts | $649.30 | $649.30 | |
| Maryland | $635.33 | $635.33 | |
| Hawaii | $631.19 | $631.19 | |
| Colorado | $627.04 | $627.04 | |
| Rhode Island | $627.03 | $627.03 | |
| New Hampshire | $621.70 | $621.70 | |
| Michigan | $621.15 | $621.15 | |
| Oregon | $620.71 | $620.71 | |
| Puerto Rico | $619.50 | $619.50 | |
| Virgin Islands | $619.50 | $619.50 | |
| Pennsylvania | $618.87 | $618.87 | |
| Montana | $617.50 | $617.50 | |
| Georgia | $615.94 | $615.94 | |
| Texas | $612.72 | $612.72 | |
| Delaware | $612.06 | $612.06 | |
| Nevada | $610.51 | $610.51 | |
| New Mexico | $606.97 | $606.97 | |
| Wyoming | $606.21 | $606.21 | |
| West Virginia | $605.81 | $605.81 | |
| Arizona | $604.03 | $604.03 | |
| Virginia | $600.74 | $600.74 | |
| Louisiana | $599.30 | $599.30 | |
| Utah | $599.09 | $599.09 | |
| Missouri | $597.65 | $597.65 | |
| Ohio | $597.59 | $597.59 | |
| Vermont | $593.63 | $593.63 | |
| Minnesota | $593.56 | $593.56 | |
| South Carolina | $593.25 | $593.25 | |
| North Dakota | $591.59 | $591.59 | |
| Maine | $590.84 | $590.84 | |
| South Dakota | $588.53 | $588.53 | |
| Kentucky | $587.91 | $587.91 | |
| North Carolina | $586.12 | $586.12 | |
| Oklahoma | $582.81 | $582.81 | |
| Indiana | $578.02 | $578.02 | |
| Wisconsin | $577.48 | $577.48 | |
| Tennessee | $576.05 | $576.05 | |
| Idaho | $575.82 | $575.82 | |
| Mississippi | $573.66 | $573.66 | |
| Kansas | $573.43 | $573.43 | |
| Nebraska | $572.36 | $572.36 | |
| Iowa | $571.32 | $571.32 | |
| Alabama | $569.37 | $569.37 | |
| Arkansas | $563.39 | $563.39 |
Medicare is the floor, not the market. See what UHC, Aetna, Cigna and BCBS actually pay — down to the TIN.
See negotiated rates