CPT 54530 pays $469.28 in a non-facility setting and $469.28 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $429.21 in Arkansas to $600.60 in Alaska, a 40% spread.
National non-facility rate
$469.28
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 | $600.60 | $600.60 | |
| District of Columbia | $516.24 | $516.24 | |
| New York | $513.79 | $513.79 | |
| New Jersey | $506.27 | $506.27 | |
| Florida | $504.90 | $504.90 | |
| Illinois | $498.74 | $498.74 | |
| Connecticut | $494.64 | $494.64 | |
| Washington | $492.07 | $492.07 | |
| California | $490.90 | $490.90 | |
| Massachusetts | $490.68 | $490.68 | |
| Maryland | $482.40 | $482.40 | |
| Rhode Island | $475.68 | $475.68 | |
| Hawaii | $475.14 | $475.14 | |
| Michigan | $474.84 | $474.84 | |
| Colorado | $474.50 | $474.50 | |
| Pennsylvania | $471.11 | $471.11 | |
| New Hampshire | $471.07 | $471.07 | |
| Puerto Rico | $470.45 | $470.45 | |
| Virgin Islands | $470.45 | $470.45 | |
| Georgia | $469.78 | $469.78 | |
| Oregon | $469.62 | $469.62 | |
| Montana | $469.21 | $469.21 | |
| Texas | $465.73 | $465.73 | |
| Delaware | $465.04 | $465.04 | |
| West Virginia | $464.74 | $464.74 | |
| New Mexico | $463.73 | $463.73 | |
| Nevada | $463.25 | $463.25 | |
| Wyoming | $459.64 | $459.64 | |
| Arizona | $459.09 | $459.09 | |
| Louisiana | $457.40 | $457.40 | |
| Utah | $456.10 | $456.10 | |
| Ohio | $455.95 | $455.95 | |
| Missouri | $455.80 | $455.80 | |
| Virginia | $455.72 | $455.72 | |
| South Carolina | $451.82 | $451.82 | |
| Vermont | $449.40 | $449.40 | |
| Kentucky | $448.74 | $448.74 | |
| Maine | $448.46 | $448.46 | |
| Minnesota | $447.72 | $447.72 | |
| North Dakota | $447.26 | $447.26 | |
| North Carolina | $445.40 | $445.40 | |
| South Dakota | $444.66 | $444.66 | |
| Oklahoma | $444.25 | $444.25 | |
| Indiana | $438.79 | $438.79 | |
| Tennessee | $437.86 | $437.86 | |
| Mississippi | $437.83 | $437.83 | |
| Idaho | $437.21 | $437.21 | |
| Wisconsin | $437.05 | $437.05 | |
| Kansas | $435.86 | $435.86 | |
| Nebraska | $434.16 | $434.16 | |
| Alabama | $433.61 | $433.61 | |
| Iowa | $433.61 | $433.61 | |
| Arkansas | $429.21 | $429.21 |
Medicare is the floor, not the market. See what UHC, Aetna, Cigna and BCBS actually pay — down to the TIN.
See negotiated rates