CPT 57454 pays $166.00 in a non-facility setting and $118.91 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $148.69 in Arkansas to $202.91 in Alaska, a 36% spread.
National non-facility rate
$166.00
Office and other outpatient settings
Hospital and ASC settings
Alaska
Arkansas · 36% 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 | $202.91 | $152.75 | |
| District of Columbia | $185.28 | $129.80 | |
| New York | $183.28 | $130.74 | |
| New Jersey | $180.69 | $127.66 | |
| Florida | $178.91 | $131.65 | |
| California | $176.68 | $120.96 | |
| Washington | $176.33 | $122.64 | |
| Connecticut | $176.24 | $125.52 | |
| Illinois | $175.85 | $130.34 | |
| Massachusetts | $175.56 | $122.65 | |
| Maryland | $171.29 | $122.19 | |
| Hawaii | $170.90 | $117.36 | |
| Colorado | $168.90 | $118.79 | |
| Rhode Island | $168.54 | $119.89 | |
| New Hampshire | $167.48 | $118.46 | |
| Oregon | $167.02 | $117.41 | |
| Michigan | $166.76 | $122.54 | |
| Puerto Rico | $166.65 | $119.03 | |
| Virgin Islands | $166.65 | $119.03 | |
| Pennsylvania | $166.03 | $119.90 | |
| Montana | $165.98 | $118.88 | |
| Georgia | $165.21 | $120.28 | |
| Texas | $164.28 | $117.91 | |
| Delaware | $164.11 | $117.58 | |
| Nevada | $163.85 | $116.71 | |
| Wyoming | $162.53 | $115.43 | |
| New Mexico | $162.31 | $119.13 | |
| Arizona | $161.70 | $116.06 | |
| West Virginia | $161.70 | $120.77 | |
| Virginia | $160.77 | $114.47 | |
| Utah | $160.03 | $115.76 | |
| Louisiana | $159.95 | $116.95 | |
| Missouri | $159.47 | $116.25 | |
| Ohio | $159.43 | $116.43 | |
| Minnesota | $158.82 | $110.36 | |
| Vermont | $158.63 | $112.01 | |
| South Carolina | $158.16 | $114.64 | |
| North Dakota | $158.07 | $110.97 | |
| Maine | $157.59 | $112.59 | |
| South Dakota | $157.13 | $110.04 | |
| Kentucky | $156.34 | $114.47 | |
| North Carolina | $156.03 | $112.09 | |
| Oklahoma | $154.80 | $112.75 | |
| Indiana | $153.53 | $109.87 | |
| Wisconsin | $153.53 | $108.41 | |
| Tennessee | $152.83 | $110.02 | |
| Idaho | $152.82 | $109.49 | |
| Kansas | $152.00 | $109.43 | |
| Mississippi | $151.84 | $111.29 | |
| Nebraska | $151.78 | $108.31 | |
| Iowa | $151.42 | $108.32 | |
| Alabama | $150.60 | $109.39 | |
| Arkansas | $148.69 | $108.24 |
Medicare is the floor, not the market. See what UHC, Aetna, Cigna and BCBS actually pay — down to the TIN.
See negotiated rates