CPT 67145

Proph Retinal Dtchmnt W/O Drg Photocoagulation

CPT 67145 pays $245.50 in a non-facility setting and $188.72 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $220.22 in Arkansas to $293.91 in Alaska, a 33% spread.

National non-facility rate

$245.50

Office and other outpatient settings

Facility rate
$188.72

Hospital and ASC settings

Highest state
$293.91

Alaska

Lowest state
$220.22

Arkansas · 33% spread

Medicare rate by state

53 Medicare jurisdictions, highest to lowest. State values average every locality in the jurisdiction at a 33.4009 conversion factor.

Non-facilityFacilityNational $245.50
CPT 67145 Medicare reimbursement rate by state, 33.4009 conversion factor, 2026 Physician Fee Schedule. National non-facility $245.50, national facility $188.72.
StateRate compared visuallyNon-facilityFacility
Alaska
$293.91$233.44
District of Columbia
$278.53$211.64
California
$274.04$206.86
New Jersey
$269.99$206.06
New York
$269.88$206.53
Washington
$268.57$203.84
Massachusetts
$266.11$202.31
Hawaii
$264.10$199.54
Connecticut
$260.59$199.43
Colorado
$255.03$194.61
Maryland
$253.73$194.54
Oregon
$252.67$192.85
Florida
$252.34$195.37
Rhode Island
$251.50$192.85
New Hampshire
$251.07$191.96
Puerto Rico
$247.12$189.71
Virgin Islands
$247.12$189.71
Illinois
$246.60$191.73
Montana
$245.48$188.70
Minnesota
$245.33$186.90
Nevada
$244.54$187.70
Wyoming
$243.76$186.98
Pennsylvania
$243.50$187.88
Delaware
$243.36$187.26
Texas
$243.05$187.15
North Dakota
$241.53$184.75
South Dakota
$241.06$184.28
Virginia
$240.88$185.06
Vermont
$240.63$184.42
Georgia
$239.74$185.57
Arizona
$239.69$184.67
Michigan
$238.68$185.37
Maine
$236.05$181.79
Utah
$235.44$182.06
Wisconsin
$234.31$179.91
New Mexico
$233.87$181.80
North Carolina
$232.61$179.63
South Carolina
$232.61$180.15
Missouri
$232.52$180.42
Louisiana
$232.21$180.37
Ohio
$231.95$180.11
Indiana
$230.65$178.02
Idaho
$229.47$177.23
Nebraska
$229.31$176.90
Iowa
$228.18$176.23
Tennessee
$228.18$176.56
West Virginia
$227.90$178.56
Kentucky
$227.58$177.10
Oklahoma
$227.28$176.58
Kansas
$227.18$175.85
Alabama
$223.06$173.37
Mississippi
$222.03$173.14
Arkansas
$220.22$171.44

Billed by 1 specialties

Commercial rates for 67145

Medicare is the floor, not the market. See what UHC, Aetna, Cigna and BCBS actually pay — down to the TIN.

See negotiated rates