CPT 13131 pays $384.44 in a non-facility setting and $204.08 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $342.44 in Arkansas to $454.94 in Alaska, a 33% spread.
National non-facility rate
$384.44
Office and other outpatient settings
Hospital and ASC settings
Alaska
Arkansas · 33% 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 | $454.94 | $262.85 | |
| District of Columbia | $436.87 | $224.40 | |
| California | $427.77 | $214.35 | |
| New York | $424.10 | $222.88 | |
| New Jersey | $423.20 | $220.11 | |
| Washington | $420.03 | $214.42 | |
| Massachusetts | $416.35 | $213.71 | |
| Hawaii | $412.44 | $207.37 | |
| Connecticut | $409.03 | $214.77 | |
| Florida | $398.87 | $217.90 | |
| Colorado | $398.66 | $206.75 | |
| Maryland | $397.70 | $209.67 | |
| Oregon | $394.74 | $204.73 | |
| Rhode Island | $393.40 | $207.09 | |
| New Hampshire | $392.84 | $205.08 | |
| Illinois | $389.57 | $215.29 | |
| Puerto Rico | $386.96 | $204.61 | |
| Virgin Islands | $386.96 | $204.61 | |
| Montana | $384.42 | $204.05 | |
| Nevada | $382.29 | $201.75 | |
| Minnesota | $381.54 | $195.94 | |
| Pennsylvania | $381.44 | $204.77 | |
| Wyoming | $380.71 | $200.35 | |
| Delaware | $380.62 | $202.42 | |
| Texas | $380.24 | $202.67 | |
| Georgia | $376.02 | $203.95 | |
| Virginia | $376.00 | $198.70 | |
| North Dakota | $375.91 | $195.55 | |
| Michigan | $375.14 | $205.78 | |
| South Dakota | $374.91 | $194.54 | |
| Vermont | $374.86 | $196.30 | |
| Arizona | $374.67 | $199.90 | |
| Utah | $368.07 | $198.53 | |
| Maine | $368.02 | $195.68 | |
| New Mexico | $366.71 | $201.31 | |
| Wisconsin | $364.07 | $191.28 | |
| Missouri | $363.76 | $198.24 | |
| Louisiana | $363.50 | $198.83 | |
| South Carolina | $363.40 | $196.75 | |
| Ohio | $362.94 | $198.27 | |
| North Carolina | $362.61 | $194.33 | |
| Indiana | $358.92 | $191.72 | |
| West Virginia | $358.08 | $201.34 | |
| Idaho | $357.00 | $191.06 | |
| Nebraska | $356.38 | $189.90 | |
| Kentucky | $355.64 | $195.30 | |
| Tennessee | $355.18 | $191.23 | |
| Iowa | $354.66 | $189.63 | |
| Oklahoma | $354.65 | $193.59 | |
| Kansas | $353.46 | $190.41 | |
| Alabama | $347.15 | $189.33 | |
| Mississippi | $346.15 | $190.86 | |
| Arkansas | $342.44 | $187.51 |
Medicare is the floor, not the market. See what UHC, Aetna, Cigna and BCBS actually pay — down to the TIN.
See negotiated rates