CPT 78452 pays $427.87 in a non-facility setting and $427.87 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $373.48 in Arkansas to $497.20 in District of Columbia, a 33% spread.
National non-facility rate
$427.87
Office and other outpatient settings
Hospital and ASC settings
District of Columbia
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 |
|---|---|---|---|
| District of Columbia | $497.20 | $497.20 | |
| California | $495.72 | $495.72 | |
| Washington | $480.52 | $480.52 | |
| New Jersey | $477.66 | $477.66 | |
| Hawaii | $476.83 | $476.83 | |
| Alaska | $476.40 | $476.40 | |
| New York | $474.79 | $474.79 | |
| Massachusetts | $474.48 | $474.48 | |
| Connecticut | $458.38 | $458.38 | |
| Colorado | $451.28 | $451.28 | |
| Oregon | $446.92 | $446.92 | |
| Maryland | $444.64 | $444.64 | |
| New Hampshire | $442.52 | $442.52 | |
| Rhode Island | $440.63 | $440.63 | |
| Minnesota | $435.56 | $435.56 | |
| Florida | $433.21 | $433.21 | |
| Puerto Rico | $431.88 | $431.88 | |
| Virgin Islands | $431.88 | $431.88 | |
| Montana | $427.86 | $427.86 | |
| Nevada | $427.51 | $427.51 | |
| Wyoming | $426.74 | $426.74 | |
| North Dakota | $425.29 | $425.29 | |
| South Dakota | $424.98 | $424.98 | |
| Delaware | $423.24 | $423.24 | |
| Texas | $422.10 | $422.10 | |
| Vermont | $422.01 | $422.01 | |
| Pennsylvania | $421.04 | $421.04 | |
| Virginia | $420.29 | $420.29 | |
| Illinois | $419.49 | $419.49 | |
| Arizona | $415.75 | $415.75 | |
| Georgia | $411.74 | $411.74 | |
| Maine | $409.75 | $409.75 | |
| Wisconsin | $409.29 | $409.29 | |
| Michigan | $407.02 | $407.02 | |
| Utah | $405.18 | $405.18 | |
| North Carolina | $401.46 | $401.46 | |
| South Carolina | $399.04 | $399.04 | |
| Indiana | $398.57 | $398.57 | |
| New Mexico | $397.97 | $397.97 | |
| Missouri | $397.27 | $397.27 | |
| Nebraska | $396.62 | $396.62 | |
| Idaho | $395.92 | $395.92 | |
| Louisiana | $395.81 | $395.81 | |
| Ohio | $395.65 | $395.65 | |
| Iowa | $393.73 | $393.73 | |
| Tennessee | $392.12 | $392.12 | |
| Kansas | $390.12 | $390.12 | |
| Oklahoma | $387.23 | $387.23 | |
| Kentucky | $386.34 | $386.34 | |
| West Virginia | $381.17 | $381.17 | |
| Alabama | $379.64 | $379.64 | |
| Mississippi | $375.20 | $375.20 | |
| Arkansas | $373.48 | $373.48 |
Medicare is the floor, not the market. See what UHC, Aetna, Cigna and BCBS actually pay — down to the TIN.
See negotiated rates