CPT 78468 pays $183.04 in a non-facility setting and $183.04 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $160.10 in Arkansas to $212.23 in District of Columbia, a 33% spread.
National non-facility rate
$183.04
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 | $212.23 | $212.23 | |
| California | $211.24 | $211.24 | |
| Alaska | $205.07 | $205.07 | |
| Washington | $205.01 | $205.01 | |
| New Jersey | $204.06 | $204.06 | |
| Hawaii | $203.24 | $203.24 | |
| New York | $202.99 | $202.99 | |
| Massachusetts | $202.51 | $202.51 | |
| Connecticut | $195.96 | $195.96 | |
| Colorado | $192.73 | $192.73 | |
| Oregon | $190.87 | $190.87 | |
| Maryland | $190.13 | $190.13 | |
| New Hampshire | $189.09 | $189.09 | |
| Rhode Island | $188.38 | $188.38 | |
| Minnesota | $185.88 | $185.88 | |
| Florida | $185.77 | $185.77 | |
| Puerto Rico | $184.70 | $184.70 | |
| Virgin Islands | $184.70 | $184.70 | |
| Montana | $183.03 | $183.03 | |
| Nevada | $182.80 | $182.80 | |
| Wyoming | $182.43 | $182.43 | |
| North Dakota | $181.65 | $181.65 | |
| South Dakota | $181.48 | $181.48 | |
| Delaware | $181.08 | $181.08 | |
| Texas | $180.62 | $180.62 | |
| Vermont | $180.34 | $180.34 | |
| Pennsylvania | $180.26 | $180.26 | |
| Illinois | $180.04 | $180.04 | |
| Virginia | $179.72 | $179.72 | |
| Arizona | $177.91 | $177.91 | |
| Georgia | $176.42 | $176.42 | |
| Maine | $175.28 | $175.28 | |
| Wisconsin | $174.92 | $174.92 | |
| Michigan | $174.56 | $174.56 | |
| Utah | $173.52 | $173.52 | |
| North Carolina | $171.83 | $171.83 | |
| South Carolina | $170.93 | $170.93 | |
| New Mexico | $170.67 | $170.67 | |
| Indiana | $170.55 | $170.55 | |
| Missouri | $170.27 | $170.27 | |
| Louisiana | $169.69 | $169.69 | |
| Nebraska | $169.67 | $169.67 | |
| Ohio | $169.60 | $169.60 | |
| Idaho | $169.43 | $169.43 | |
| Iowa | $168.48 | $168.48 | |
| Tennessee | $167.88 | $167.88 | |
| Kansas | $167.03 | $167.03 | |
| Oklahoma | $165.97 | $165.97 | |
| Kentucky | $165.67 | $165.67 | |
| West Virginia | $163.79 | $163.79 | |
| Alabama | $162.69 | $162.69 | |
| Mississippi | $160.93 | $160.93 | |
| Arkansas | $160.10 | $160.10 |
Medicare is the floor, not the market. See what UHC, Aetna, Cigna and BCBS actually pay — down to the TIN.
See negotiated rates