CPT 78453 pays $262.87 in a non-facility setting and $262.87 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $229.27 in Arkansas to $305.38 in District of Columbia, a 33% spread.
National non-facility rate
$262.87
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 | $305.38 | $305.38 | |
| California | $304.07 | $304.07 | |
| Washington | $294.94 | $294.94 | |
| New Jersey | $293.40 | $293.40 | |
| Hawaii | $292.53 | $292.53 | |
| Alaska | $292.47 | $292.47 | |
| New York | $291.83 | $291.83 | |
| Massachusetts | $291.28 | $291.28 | |
| Connecticut | $281.68 | $281.68 | |
| Colorado | $277.04 | $277.04 | |
| Oregon | $274.34 | $274.34 | |
| Maryland | $273.19 | $273.19 | |
| New Hampshire | $271.75 | $271.75 | |
| Rhode Island | $270.61 | $270.61 | |
| Minnesota | $267.09 | $267.09 | |
| Florida | $266.78 | $266.78 | |
| Puerto Rico | $265.31 | $265.31 | |
| Virgin Islands | $265.31 | $265.31 | |
| Montana | $262.86 | $262.86 | |
| Nevada | $262.53 | $262.53 | |
| Wyoming | $262.00 | $262.00 | |
| North Dakota | $260.88 | $260.88 | |
| South Dakota | $260.65 | $260.65 | |
| Delaware | $259.97 | $259.97 | |
| Texas | $259.29 | $259.29 | |
| Vermont | $258.95 | $258.95 | |
| Pennsylvania | $258.74 | $258.74 | |
| Illinois | $258.37 | $258.37 | |
| Virginia | $258.03 | $258.03 | |
| Arizona | $255.35 | $255.35 | |
| Georgia | $253.14 | $253.14 | |
| Maine | $251.53 | $251.53 | |
| Wisconsin | $251.03 | $251.03 | |
| Michigan | $250.39 | $250.39 | |
| Utah | $248.92 | $248.92 | |
| North Carolina | $246.46 | $246.46 | |
| South Carolina | $245.13 | $245.13 | |
| New Mexico | $244.71 | $244.71 | |
| Indiana | $244.59 | $244.59 | |
| Missouri | $244.14 | $244.14 | |
| Nebraska | $243.32 | $243.32 | |
| Louisiana | $243.29 | $243.29 | |
| Ohio | $243.16 | $243.16 | |
| Idaho | $242.96 | $242.96 | |
| Iowa | $241.57 | $241.57 | |
| Tennessee | $240.68 | $240.68 | |
| Kansas | $239.44 | $239.44 | |
| Oklahoma | $237.85 | $237.85 | |
| Kentucky | $237.41 | $237.41 | |
| West Virginia | $234.59 | $234.59 | |
| Alabama | $233.07 | $233.07 | |
| Mississippi | $230.47 | $230.47 | |
| Arkansas | $229.27 | $229.27 |
Medicare is the floor, not the market. See what UHC, Aetna, Cigna and BCBS actually pay — down to the TIN.
See negotiated rates