CPT 57461 pays $349.37 in a non-facility setting and $161.66 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $308.95 in Arkansas to $410.31 in Alaska, a 33% spread.
National non-facility rate
$349.37
Office and other outpatient settings
Hospital and ASC settings
Alaska
Arkansas · 33% 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 | $410.31 | $210.40 | |
| District of Columbia | $396.43 | $175.30 | |
| New York | $387.04 | $177.63 | |
| New Jersey | $384.21 | $172.85 | |
| California | $384.11 | $162.00 | |
| Washington | $379.15 | $165.15 | |
| Massachusetts | $376.31 | $165.42 | |
| Connecticut | $372.58 | $170.41 | |
| Hawaii | $370.77 | $157.34 | |
| Florida | $369.07 | $180.73 | |
| Maryland | $361.63 | $165.94 | |
| Illinois | $360.67 | $179.29 | |
| Colorado | $360.26 | $160.53 | |
| Rhode Island | $356.52 | $162.61 | |
| Oregon | $356.38 | $158.62 | |
| New Hampshire | $355.80 | $160.39 | |
| Puerto Rico | $351.47 | $161.69 | |
| Virgin Islands | $351.47 | $161.69 | |
| Montana | $349.33 | $161.62 | |
| Pennsylvania | $347.30 | $163.43 | |
| Nevada | $346.24 | $158.34 | |
| Delaware | $345.29 | $159.83 | |
| Texas | $345.19 | $160.38 | |
| Michigan | $344.26 | $167.99 | |
| Wyoming | $344.16 | $156.45 | |
| Georgia | $343.46 | $164.38 | |
| Minnesota | $341.58 | $148.42 | |
| Virginia | $339.78 | $155.26 | |
| Arizona | $339.74 | $157.84 | |
| North Dakota | $337.47 | $149.76 | |
| Vermont | $337.30 | $151.46 | |
| South Dakota | $336.07 | $148.35 | |
| New Mexico | $335.33 | $163.19 | |
| Utah | $334.26 | $157.81 | |
| Maine | $332.20 | $152.84 | |
| Louisiana | $331.37 | $159.99 | |
| Missouri | $331.13 | $158.87 | |
| Ohio | $330.59 | $159.21 | |
| South Carolina | $329.82 | $156.37 | |
| West Virginia | $329.48 | $166.36 | |
| North Carolina | $327.55 | $152.41 | |
| Wisconsin | $326.36 | $146.53 | |
| Kentucky | $323.50 | $156.62 | |
| Indiana | $323.18 | $149.17 | |
| Oklahoma | $321.60 | $153.97 | |
| Idaho | $321.39 | $148.69 | |
| Tennessee | $320.28 | $149.65 | |
| Nebraska | $320.14 | $146.88 | |
| Iowa | $318.78 | $147.02 | |
| Kansas | $318.53 | $148.83 | |
| Mississippi | $313.87 | $152.25 | |
| Alabama | $313.45 | $149.21 | |
| Arkansas | $308.95 | $147.70 |
Medicare is the floor, not the market. See what UHC, Aetna, Cigna and BCBS actually pay — down to the TIN.
See negotiated rates