CPT 77078 pays $98.87 in a non-facility setting and $98.87 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $85.83 in Arkansas to $115.43 in District of Columbia, a 34% spread.
National non-facility rate
$98.87
Office and other outpatient settings
Hospital and ASC settings
District of Columbia
Arkansas · 34% 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 |
|---|---|---|---|
| District of Columbia | $115.43 | $115.43 | |
| California | $115.38 | $115.38 | |
| Washington | $111.60 | $111.60 | |
| Hawaii | $110.94 | $110.94 | |
| New Jersey | $110.70 | $110.70 | |
| Massachusetts | $110.13 | $110.13 | |
| New York | $109.91 | $109.91 | |
| Alaska | $108.44 | $108.44 | |
| Connecticut | $106.11 | $106.11 | |
| Colorado | $104.59 | $104.59 | |
| Oregon | $103.57 | $103.57 | |
| Maryland | $102.86 | $102.86 | |
| New Hampshire | $102.48 | $102.48 | |
| Rhode Island | $101.92 | $101.92 | |
| Minnesota | $101.01 | $101.01 | |
| Puerto Rico | $99.85 | $99.85 | |
| Virgin Islands | $99.85 | $99.85 | |
| Florida | $99.80 | $99.80 | |
| Montana | $98.87 | $98.87 | |
| Nevada | $98.85 | $98.85 | |
| Wyoming | $98.69 | $98.69 | |
| North Dakota | $98.47 | $98.47 | |
| South Dakota | $98.42 | $98.42 | |
| Delaware | $97.76 | $97.76 | |
| Vermont | $97.63 | $97.63 | |
| Texas | $97.47 | $97.47 | |
| Pennsylvania | $97.14 | $97.14 | |
| Virginia | $97.14 | $97.14 | |
| Illinois | $96.46 | $96.46 | |
| Arizona | $95.97 | $95.97 | |
| Georgia | $94.86 | $94.86 | |
| Wisconsin | $94.62 | $94.62 | |
| Maine | $94.60 | $94.60 | |
| Michigan | $93.64 | $93.64 | |
| Utah | $93.39 | $93.39 | |
| North Carolina | $92.58 | $92.58 | |
| Indiana | $91.94 | $91.94 | |
| South Carolina | $91.91 | $91.91 | |
| New Mexico | $91.52 | $91.52 | |
| Nebraska | $91.51 | $91.51 | |
| Missouri | $91.43 | $91.43 | |
| Idaho | $91.30 | $91.30 | |
| Louisiana | $91.05 | $91.05 | |
| Ohio | $91.03 | $91.03 | |
| Iowa | $90.80 | $90.80 | |
| Tennessee | $90.35 | $90.35 | |
| Kansas | $89.88 | $89.88 | |
| Oklahoma | $89.07 | $89.07 | |
| Kentucky | $88.80 | $88.80 | |
| West Virginia | $87.34 | $87.34 | |
| Alabama | $87.30 | $87.30 | |
| Mississippi | $86.16 | $86.16 | |
| Arkansas | $85.83 | $85.83 |
Medicare is the floor, not the market. See what UHC, Aetna, Cigna and BCBS actually pay — down to the TIN.
See negotiated rates