CPT 93451 pays $851.39 in a non-facility setting and $851.39 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $737.87 in Arkansas to $992.04 in District of Columbia, a 34% spread.
National non-facility rate
$851.39
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 | $992.04 | $992.04 | |
| California | $986.57 | $986.57 | |
| Washington | $956.93 | $956.93 | |
| New Jersey | $952.06 | $952.06 | |
| Hawaii | $949.17 | $949.17 | |
| New York | $947.74 | $947.74 | |
| Massachusetts | $944.96 | $944.96 | |
| Alaska | $934.53 | $934.53 | |
| Connecticut | $914.22 | $914.22 | |
| Colorado | $897.72 | $897.72 | |
| Oregon | $888.65 | $888.65 | |
| Maryland | $885.69 | $885.69 | |
| New Hampshire | $880.67 | $880.67 | |
| Rhode Island | $876.38 | $876.38 | |
| Florida | $867.19 | $867.19 | |
| Minnesota | $863.46 | $863.46 | |
| Puerto Rico | $859.50 | $859.50 | |
| Virgin Islands | $859.50 | $859.50 | |
| Montana | $851.36 | $851.36 | |
| Nevada | $849.80 | $849.80 | |
| Wyoming | $847.74 | $847.74 | |
| North Dakota | $843.06 | $843.06 | |
| South Dakota | $842.07 | $842.07 | |
| Delaware | $841.29 | $841.29 | |
| Texas | $839.10 | $839.10 | |
| Illinois | $838.91 | $838.91 | |
| Pennsylvania | $837.57 | $837.57 | |
| Vermont | $836.89 | $836.89 | |
| Virginia | $834.40 | $834.40 | |
| Arizona | $825.91 | $825.91 | |
| Georgia | $819.45 | $819.45 | |
| Maine | $812.47 | $812.47 | |
| Michigan | $810.94 | $810.94 | |
| Wisconsin | $809.89 | $809.89 | |
| Utah | $804.55 | $804.55 | |
| North Carolina | $795.61 | $795.61 | |
| South Carolina | $791.76 | $791.76 | |
| New Mexico | $791.39 | $791.39 | |
| Indiana | $788.93 | $788.93 | |
| Missouri | $788.85 | $788.85 | |
| Louisiana | $786.20 | $786.20 | |
| Ohio | $785.65 | $785.65 | |
| Nebraska | $784.38 | $784.38 | |
| Idaho | $783.45 | $783.45 | |
| Iowa | $778.60 | $778.60 | |
| Tennessee | $776.02 | $776.02 | |
| Kansas | $771.77 | $771.77 | |
| Oklahoma | $767.28 | $767.28 | |
| Kentucky | $766.18 | $766.18 | |
| West Virginia | $758.29 | $758.29 | |
| Alabama | $750.69 | $750.69 | |
| Mississippi | $742.52 | $742.52 | |
| Arkansas | $737.87 | $737.87 |
Medicare is the floor, not the market. See what UHC, Aetna, Cigna and BCBS actually pay — down to the TIN.
See negotiated rates