CPT 78451 pays $311.30 in a non-facility setting and $311.30 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $272.61 in Arkansas to $360.90 in District of Columbia, a 32% spread.
National non-facility rate
$311.30
Office and other outpatient settings
Hospital and ASC settings
District of Columbia
Arkansas · 32% 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 | $360.90 | $360.90 | |
| California | $359.56 | $359.56 | |
| Alaska | $349.43 | $349.43 | |
| Washington | $348.81 | $348.81 | |
| New Jersey | $347.02 | $347.02 | |
| Hawaii | $345.90 | $345.90 | |
| New York | $345.02 | $345.02 | |
| Massachusetts | $344.52 | $344.52 | |
| Connecticut | $333.14 | $333.14 | |
| Colorado | $327.93 | $327.93 | |
| Oregon | $324.80 | $324.80 | |
| Maryland | $323.31 | $323.31 | |
| New Hampshire | $321.66 | $321.66 | |
| Rhode Island | $320.47 | $320.47 | |
| Minnesota | $316.57 | $316.57 | |
| Florida | $315.33 | $315.33 | |
| Puerto Rico | $314.14 | $314.14 | |
| Virgin Islands | $314.14 | $314.14 | |
| Montana | $311.29 | $311.29 | |
| Nevada | $311.00 | $311.00 | |
| Wyoming | $310.43 | $310.43 | |
| North Dakota | $309.31 | $309.31 | |
| South Dakota | $309.08 | $309.08 | |
| Delaware | $308.03 | $308.03 | |
| Texas | $307.23 | $307.23 | |
| Vermont | $307.02 | $307.02 | |
| Pennsylvania | $306.54 | $306.54 | |
| Virginia | $305.85 | $305.85 | |
| Illinois | $305.63 | $305.63 | |
| Arizona | $302.67 | $302.67 | |
| Georgia | $299.93 | $299.93 | |
| Maine | $298.35 | $298.35 | |
| Wisconsin | $297.94 | $297.94 | |
| Michigan | $296.62 | $296.62 | |
| Utah | $295.18 | $295.18 | |
| North Carolina | $292.48 | $292.48 | |
| South Carolina | $290.82 | $290.82 | |
| Indiana | $290.39 | $290.39 | |
| New Mexico | $290.15 | $290.15 | |
| Missouri | $289.60 | $289.60 | |
| Nebraska | $288.98 | $288.98 | |
| Louisiana | $288.58 | $288.58 | |
| Idaho | $288.51 | $288.51 | |
| Ohio | $288.45 | $288.45 | |
| Iowa | $286.94 | $286.94 | |
| Tennessee | $285.83 | $285.83 | |
| Kansas | $284.40 | $284.40 | |
| Oklahoma | $282.42 | $282.42 | |
| Kentucky | $281.83 | $281.83 | |
| West Virginia | $278.30 | $278.30 | |
| Alabama | $276.99 | $276.99 | |
| Mississippi | $273.89 | $273.89 | |
| Arkansas | $272.61 | $272.61 |
Medicare is the floor, not the market. See what UHC, Aetna, Cigna and BCBS actually pay — down to the TIN.
See negotiated rates