CPT 78466 pays $158.99 in a non-facility setting and $158.99 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $138.92 in Arkansas to $184.36 in District of Columbia, a 33% spread.
National non-facility rate
$158.99
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 | $184.36 | $184.36 | |
| California | $183.33 | $183.33 | |
| Washington | $178.00 | $178.00 | |
| Alaska | $177.86 | $177.86 | |
| New Jersey | $177.25 | $177.25 | |
| New York | $176.41 | $176.41 | |
| Hawaii | $176.40 | $176.40 | |
| Massachusetts | $175.84 | $175.84 | |
| Connecticut | $170.27 | $170.27 | |
| Colorado | $167.34 | $167.34 | |
| Oregon | $165.70 | $165.70 | |
| Maryland | $165.17 | $165.17 | |
| New Hampshire | $164.20 | $164.20 | |
| Rhode Island | $163.59 | $163.59 | |
| Florida | $161.65 | $161.65 | |
| Minnesota | $161.24 | $161.24 | |
| Puerto Rico | $160.43 | $160.43 | |
| Virgin Islands | $160.43 | $160.43 | |
| Montana | $158.98 | $158.98 | |
| Nevada | $158.73 | $158.73 | |
| Wyoming | $158.38 | $158.38 | |
| North Dakota | $157.60 | $157.60 | |
| South Dakota | $157.44 | $157.44 | |
| Delaware | $157.25 | $157.25 | |
| Texas | $156.86 | $156.86 | |
| Illinois | $156.66 | $156.66 | |
| Pennsylvania | $156.60 | $156.60 | |
| Vermont | $156.49 | $156.49 | |
| Virginia | $156.02 | $156.02 | |
| Arizona | $154.49 | $154.49 | |
| Georgia | $153.30 | $153.30 | |
| Maine | $152.14 | $152.14 | |
| Michigan | $151.75 | $151.75 | |
| Wisconsin | $151.73 | $151.73 | |
| Utah | $150.69 | $150.69 | |
| North Carolina | $149.15 | $149.15 | |
| South Carolina | $148.43 | $148.43 | |
| New Mexico | $148.31 | $148.31 | |
| Indiana | $147.98 | $147.98 | |
| Missouri | $147.90 | $147.90 | |
| Louisiana | $147.42 | $147.42 | |
| Ohio | $147.33 | $147.33 | |
| Nebraska | $147.20 | $147.20 | |
| Idaho | $147.01 | $147.01 | |
| Iowa | $146.17 | $146.17 | |
| Tennessee | $145.69 | $145.69 | |
| Kansas | $144.94 | $144.94 | |
| Oklahoma | $144.10 | $144.10 | |
| Kentucky | $143.89 | $143.89 | |
| West Virginia | $142.41 | $142.41 | |
| Alabama | $141.19 | $141.19 | |
| Mississippi | $139.71 | $139.71 | |
| Arkansas | $138.92 | $138.92 |
Medicare is the floor, not the market. See what UHC, Aetna, Cigna and BCBS actually pay — down to the TIN.
See negotiated rates