CPT 99454 pays $52.11 in a non-facility setting and $52.11 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $44.64 in Arkansas to $61.44 in California, a 38% spread.
National non-facility rate
$52.11
Office and other outpatient settings
Hospital and ASC settings
California
Arkansas · 38% 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 |
|---|---|---|---|
| California | $61.44 | $61.44 | |
| District of Columbia | $61.36 | $61.36 | |
| Washington | $59.28 | $59.28 | |
| Hawaii | $59.06 | $59.06 | |
| New Jersey | $58.66 | $58.66 | |
| Massachusetts | $58.45 | $58.45 | |
| New York | $58.21 | $58.21 | |
| Connecticut | $56.16 | $56.16 | |
| Colorado | $55.35 | $55.35 | |
| Alaska | $55.32 | $55.32 | |
| Oregon | $54.78 | $54.78 | |
| Maryland | $54.33 | $54.33 | |
| New Hampshire | $54.19 | $54.19 | |
| Rhode Island | $53.78 | $53.78 | |
| Minnesota | $53.37 | $53.37 | |
| Puerto Rico | $52.67 | $52.67 | |
| Virgin Islands | $52.67 | $52.67 | |
| Florida | $52.59 | $52.59 | |
| Montana | $52.10 | $52.10 | |
| Nevada | $52.10 | $52.10 | |
| Wyoming | $52.02 | $52.02 | |
| North Dakota | $51.91 | $51.91 | |
| South Dakota | $51.88 | $51.88 | |
| Delaware | $51.45 | $51.45 | |
| Vermont | $51.42 | $51.42 | |
| Texas | $51.28 | $51.28 | |
| Virginia | $51.13 | $51.13 | |
| Pennsylvania | $51.07 | $51.07 | |
| Illinois | $50.66 | $50.66 | |
| Arizona | $50.45 | $50.45 | |
| Georgia | $49.79 | $49.79 | |
| Wisconsin | $49.70 | $49.70 | |
| Maine | $49.68 | $49.68 | |
| Michigan | $49.08 | $49.08 | |
| Utah | $48.97 | $48.97 | |
| North Carolina | $48.52 | $48.52 | |
| Indiana | $48.15 | $48.15 | |
| South Carolina | $48.12 | $48.12 | |
| Nebraska | $47.91 | $47.91 | |
| New Mexico | $47.88 | $47.88 | |
| Missouri | $47.84 | $47.84 | |
| Idaho | $47.79 | $47.79 | |
| Louisiana | $47.62 | $47.62 | |
| Ohio | $47.60 | $47.60 | |
| Iowa | $47.50 | $47.50 | |
| Tennessee | $47.24 | $47.24 | |
| Kansas | $46.97 | $46.97 | |
| Oklahoma | $46.49 | $46.49 | |
| Kentucky | $46.33 | $46.33 | |
| Alabama | $45.49 | $45.49 | |
| West Virginia | $45.47 | $45.47 | |
| Mississippi | $44.82 | $44.82 | |
| Arkansas | $44.64 | $44.64 |
Medicare is the floor, not the market. See what UHC, Aetna, Cigna and BCBS actually pay — down to the TIN.
See negotiated rates