CPT 93458 pays $1,010.04 in a non-facility setting and $1,010.04 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $880.36 in Arkansas to $1,164.76 in District of Columbia, a 32% spread.
National non-facility rate
$1,010.04
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 | $1,164.76 | $1,164.76 | |
| California | $1,144.08 | $1,144.08 | |
| Alaska | $1,135.63 | $1,135.63 | |
| New York | $1,123.58 | $1,123.58 | |
| New Jersey | $1,122.08 | $1,122.08 | |
| Washington | $1,118.41 | $1,118.41 | |
| Massachusetts | $1,106.89 | $1,106.89 | |
| Hawaii | $1,102.37 | $1,102.37 | |
| Connecticut | $1,082.44 | $1,082.44 | |
| Colorado | $1,054.52 | $1,054.52 | |
| Maryland | $1,048.91 | $1,048.91 | |
| Florida | $1,048.41 | $1,048.41 | |
| Oregon | $1,043.33 | $1,043.33 | |
| New Hampshire | $1,037.71 | $1,037.71 | |
| Rhode Island | $1,035.50 | $1,035.50 | |
| Illinois | $1,018.41 | $1,018.41 | |
| Puerto Rico | $1,018.17 | $1,018.17 | |
| Virgin Islands | $1,018.17 | $1,018.17 | |
| Montana | $1,009.97 | $1,009.97 | |
| Minnesota | $1,006.38 | $1,006.38 | |
| Nevada | $1,004.53 | $1,004.53 | |
| Wyoming | $1,000.23 | $1,000.23 | |
| Pennsylvania | $998.10 | $998.10 | |
| Delaware | $997.66 | $997.66 | |
| Texas | $996.12 | $996.12 | |
| North Dakota | $987.62 | $987.62 | |
| Virginia | $985.52 | $985.52 | |
| South Dakota | $984.98 | $984.98 | |
| Vermont | $983.50 | $983.50 | |
| Georgia | $981.40 | $981.40 | |
| Arizona | $980.12 | $980.12 | |
| Michigan | $977.24 | $977.24 | |
| Maine | $960.79 | $960.79 | |
| Utah | $958.80 | $958.80 | |
| New Mexico | $952.07 | $952.07 | |
| Wisconsin | $950.75 | $950.75 | |
| Missouri | $944.41 | $944.41 | |
| South Carolina | $944.35 | $944.35 | |
| North Carolina | $943.49 | $943.49 | |
| Louisiana | $943.09 | $943.09 | |
| Ohio | $941.62 | $941.62 | |
| Indiana | $932.98 | $932.98 | |
| Idaho | $926.96 | $926.96 | |
| Nebraska | $925.74 | $925.74 | |
| West Virginia | $922.83 | $922.83 | |
| Tennessee | $920.68 | $920.68 | |
| Iowa | $920.14 | $920.14 | |
| Kentucky | $919.15 | $919.15 | |
| Oklahoma | $917.10 | $917.10 | |
| Kansas | $915.49 | $915.49 | |
| Alabama | $894.92 | $894.92 | |
| Mississippi | $890.39 | $890.39 | |
| Arkansas | $880.36 | $880.36 |
Medicare is the floor, not the market. See what UHC, Aetna, Cigna and BCBS actually pay — down to the TIN.
See negotiated rates