CPT 54405 pays $728.81 in a non-facility setting and $728.81 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $671.82 in Arkansas to $950.67 in Alaska, a 42% spread.
National non-facility rate
$728.81
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 | $950.67 | $950.67 | |
| District of Columbia | $795.94 | $795.94 | |
| New York | $795.63 | $795.63 | |
| Florida | $787.01 | $787.01 | |
| New Jersey | $782.76 | $782.76 | |
| Illinois | $779.26 | $779.26 | |
| Connecticut | $766.05 | $766.05 | |
| Washington | $758.19 | $758.19 | |
| Massachusetts | $756.86 | $756.86 | |
| California | $753.68 | $753.68 | |
| Maryland | $747.96 | $747.96 | |
| Michigan | $741.68 | $741.68 | |
| Rhode Island | $737.67 | $737.67 | |
| Colorado | $733.65 | $733.65 | |
| Pennsylvania | $733.26 | $733.26 | |
| Georgia | $732.49 | $732.49 | |
| Puerto Rico | $730.04 | $730.04 | |
| Virgin Islands | $730.04 | $730.04 | |
| Hawaii | $729.94 | $729.94 | |
| West Virginia | $729.45 | $729.45 | |
| New Hampshire | $729.21 | $729.21 | |
| Montana | $728.69 | $728.69 | |
| Oregon | $726.22 | $726.22 | |
| New Mexico | $724.84 | $724.84 | |
| Texas | $724.06 | $724.06 | |
| Delaware | $722.69 | $722.69 | |
| Nevada | $718.85 | $718.85 | |
| Louisiana | $714.69 | $714.69 | |
| Arizona | $714.01 | $714.01 | |
| Wyoming | $713.00 | $713.00 | |
| Ohio | $712.32 | $712.32 | |
| Missouri | $711.80 | $711.80 | |
| Utah | $710.90 | $710.90 | |
| Virginia | $707.62 | $707.62 | |
| South Carolina | $704.86 | $704.86 | |
| Kentucky | $701.99 | $701.99 | |
| Maine | $697.42 | $697.42 | |
| Vermont | $696.83 | $696.83 | |
| Oklahoma | $694.38 | $694.38 | |
| North Carolina | $693.79 | $693.79 | |
| North Dakota | $692.70 | $692.70 | |
| Minnesota | $691.67 | $691.67 | |
| South Dakota | $688.44 | $688.44 | |
| Mississippi | $685.83 | $685.83 | |
| Indiana | $683.32 | $683.32 | |
| Tennessee | $682.91 | $682.91 | |
| Idaho | $681.17 | $681.17 | |
| Kansas | $679.93 | $679.93 | |
| Wisconsin | $678.55 | $678.55 | |
| Alabama | $678.04 | $678.04 | |
| Nebraska | $675.98 | $675.98 | |
| Iowa | $675.57 | $675.57 | |
| Arkansas | $671.82 | $671.82 |
Medicare is the floor, not the market. See what UHC, Aetna, Cigna and BCBS actually pay — down to the TIN.
See negotiated rates