CPT 90845 pays $109.22 in a non-facility setting and $88.18 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $104.66 in Arkansas to $150.50 in Alaska, a 44% spread.
National non-facility rate
$109.22
Office and other outpatient settings
Hospital and ASC settings
Alaska
Arkansas · 44% 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 |
|---|---|---|---|
| Alaska | $150.50 | $128.09 | |
| District of Columbia | $118.64 | $93.85 | |
| New Jersey | $116.95 | $93.26 | |
| New York | $116.71 | $93.23 | |
| California | $116.56 | $91.66 | |
| Washington | $115.35 | $91.36 | |
| Massachusetts | $114.72 | $91.08 | |
| Connecticut | $113.24 | $90.58 | |
| Hawaii | $112.46 | $88.53 | |
| Colorado | $111.66 | $89.28 | |
| Maryland | $111.54 | $89.61 | |
| Rhode Island | $111.51 | $89.78 | |
| Oregon | $110.98 | $88.81 | |
| Florida | $110.58 | $89.47 | |
| New Hampshire | $110.19 | $88.29 | |
| Illinois | $109.78 | $89.45 | |
| Puerto Rico | $109.51 | $88.23 | |
| Virgin Islands | $109.51 | $88.23 | |
| Pennsylvania | $109.47 | $88.86 | |
| Montana | $109.22 | $88.18 | |
| Delaware | $109.15 | $88.36 | |
| Texas | $109.14 | $88.42 | |
| Minnesota | $109.08 | $87.43 | |
| Nevada | $109.03 | $87.96 | |
| Wyoming | $108.87 | $87.83 | |
| North Dakota | $108.43 | $87.38 | |
| Virginia | $108.36 | $87.67 | |
| Georgia | $108.33 | $88.25 | |
| South Dakota | $108.33 | $87.29 | |
| Vermont | $108.28 | $87.45 | |
| Arizona | $108.17 | $87.78 | |
| Michigan | $108.07 | $88.32 | |
| Maine | $107.49 | $87.38 | |
| Utah | $107.42 | $87.64 | |
| New Mexico | $107.19 | $87.89 | |
| Wisconsin | $107.13 | $86.97 | |
| Missouri | $106.92 | $87.61 | |
| South Carolina | $106.91 | $87.47 | |
| North Carolina | $106.88 | $87.25 | |
| Louisiana | $106.87 | $87.66 | |
| Ohio | $106.82 | $87.61 | |
| Indiana | $106.51 | $87.00 | |
| Idaho | $106.30 | $86.94 | |
| Nebraska | $106.26 | $86.83 | |
| West Virginia | $106.17 | $87.88 | |
| Tennessee | $106.08 | $86.95 | |
| Iowa | $106.06 | $86.80 | |
| Kentucky | $106.03 | $87.32 | |
| Oklahoma | $105.96 | $87.17 | |
| Kansas | $105.90 | $86.87 | |
| Alabama | $105.18 | $86.76 | |
| Mississippi | $105.02 | $86.90 | |
| Arkansas | $104.66 | $86.59 |
Medicare is the floor, not the market. See what UHC, Aetna, Cigna and BCBS actually pay — down to the TIN.
See negotiated rates