CPT 93455 pays $979.31 in a non-facility setting and $979.31 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $853.12 in Arkansas to $1,129.92 in District of Columbia, a 32% spread.
National non-facility rate
$979.31
Office and other outpatient settings
Hospital and ASC settings
District of Columbia
Arkansas · 32% 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 | $1,129.92 | $1,129.92 | |
| California | $1,110.27 | $1,110.27 | |
| Alaska | $1,099.40 | $1,099.40 | |
| New York | $1,089.57 | $1,089.57 | |
| New Jersey | $1,088.30 | $1,088.30 | |
| Washington | $1,085.06 | $1,085.06 | |
| Massachusetts | $1,073.79 | $1,073.79 | |
| Hawaii | $1,069.74 | $1,069.74 | |
| Connecticut | $1,049.70 | $1,049.70 | |
| Colorado | $1,022.82 | $1,022.82 | |
| Maryland | $1,017.11 | $1,017.11 | |
| Florida | $1,016.03 | $1,016.03 | |
| Oregon | $1,011.96 | $1,011.96 | |
| New Hampshire | $1,006.41 | $1,006.41 | |
| Rhode Island | $1,004.13 | $1,004.13 | |
| Puerto Rico | $987.25 | $987.25 | |
| Virgin Islands | $987.25 | $987.25 | |
| Illinois | $986.76 | $986.76 | |
| Montana | $979.24 | $979.24 | |
| Minnesota | $976.27 | $976.27 | |
| Nevada | $974.06 | $974.06 | |
| Wyoming | $969.94 | $969.94 | |
| Pennsylvania | $967.55 | $967.55 | |
| Delaware | $967.28 | $967.28 | |
| Texas | $965.75 | $965.75 | |
| North Dakota | $957.89 | $957.89 | |
| Virginia | $955.60 | $955.60 | |
| South Dakota | $955.36 | $955.36 | |
| Vermont | $953.79 | $953.79 | |
| Georgia | $951.20 | $951.20 | |
| Arizona | $950.22 | $950.22 | |
| Michigan | $946.99 | $946.99 | |
| Maine | $931.54 | $931.54 | |
| Utah | $929.38 | $929.38 | |
| New Mexico | $922.58 | $922.58 | |
| Wisconsin | $921.97 | $921.97 | |
| South Carolina | $915.32 | $915.32 | |
| Missouri | $915.28 | $915.28 | |
| North Carolina | $914.64 | $914.64 | |
| Louisiana | $913.94 | $913.94 | |
| Ohio | $912.54 | $912.54 | |
| Indiana | $904.50 | $904.50 | |
| Idaho | $898.63 | $898.63 | |
| Nebraska | $897.52 | $897.52 | |
| West Virginia | $893.87 | $893.87 | |
| Tennessee | $892.46 | $892.46 | |
| Iowa | $892.04 | $892.04 | |
| Kentucky | $890.68 | $890.68 | |
| Oklahoma | $888.78 | $888.78 | |
| Kansas | $887.42 | $887.42 | |
| Alabama | $867.30 | $867.30 | |
| Mississippi | $862.75 | $862.75 | |
| Arkansas | $853.12 | $853.12 |
Medicare is the floor, not the market. See what UHC, Aetna, Cigna and BCBS actually pay — down to the TIN.
See negotiated rates