CPT 78454 pays $382.11 in a non-facility setting and $382.11 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $332.79 in Arkansas to $444.39 in District of Columbia, a 34% spread.
National non-facility rate
$382.11
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 | $444.39 | $444.39 | |
| California | $442.69 | $442.69 | |
| Washington | $429.21 | $429.21 | |
| New Jersey | $426.79 | $426.79 | |
| Hawaii | $425.85 | $425.85 | |
| New York | $424.43 | $424.43 | |
| Massachusetts | $423.83 | $423.83 | |
| Alaska | $423.57 | $423.57 | |
| Connecticut | $409.66 | $409.66 | |
| Colorado | $402.96 | $402.96 | |
| Oregon | $399.02 | $399.02 | |
| Maryland | $397.22 | $397.22 | |
| New Hampshire | $395.20 | $395.20 | |
| Rhode Island | $393.44 | $393.44 | |
| Minnesota | $388.49 | $388.49 | |
| Florida | $387.65 | $387.65 | |
| Puerto Rico | $385.71 | $385.71 | |
| Virgin Islands | $385.71 | $385.71 | |
| Montana | $382.10 | $382.10 | |
| Nevada | $381.66 | $381.66 | |
| Wyoming | $380.89 | $380.89 | |
| North Dakota | $379.33 | $379.33 | |
| South Dakota | $379.00 | $379.00 | |
| Delaware | $377.85 | $377.85 | |
| Texas | $376.84 | $376.84 | |
| Vermont | $376.46 | $376.46 | |
| Pennsylvania | $375.98 | $375.98 | |
| Illinois | $375.26 | $375.26 | |
| Virginia | $375.06 | $375.06 | |
| Arizona | $371.09 | $371.09 | |
| Georgia | $367.74 | $367.74 | |
| Maine | $365.51 | $365.51 | |
| Wisconsin | $364.86 | $364.86 | |
| Michigan | $363.66 | $363.66 | |
| Utah | $361.61 | $361.61 | |
| North Carolina | $358.06 | $358.06 | |
| South Carolina | $356.05 | $356.05 | |
| New Mexico | $355.35 | $355.35 | |
| Indiana | $355.34 | $355.34 | |
| Missouri | $354.56 | $354.56 | |
| Nebraska | $353.50 | $353.50 | |
| Louisiana | $353.30 | $353.30 | |
| Ohio | $353.11 | $353.11 | |
| Idaho | $352.95 | $352.95 | |
| Iowa | $350.92 | $350.92 | |
| Tennessee | $349.58 | $349.58 | |
| Kansas | $347.75 | $347.75 | |
| Oklahoma | $345.36 | $345.36 | |
| Kentucky | $344.67 | $344.67 | |
| West Virginia | $340.41 | $340.41 | |
| Alabama | $338.37 | $338.37 | |
| Mississippi | $334.51 | $334.51 | |
| Arkansas | $332.79 | $332.79 |
Medicare is the floor, not the market. See what UHC, Aetna, Cigna and BCBS actually pay — down to the TIN.
See negotiated rates