# CPT 21031: Excision of torus mandibularis

Medicare CPT 21031 pays $389.45 in a non-facility setting and $253.18 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $344.77 in Arkansas to $454.17 in Alaska, a 32% spread.

Web page: https://www.med-reveal.com/rates/21031-cpt-fee-schedule
Section: Surgery and Procedures

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $389.45 |
| National facility | $253.18 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| Alaska | $454.17 | $309.04 |
| District of Columbia | $444.51 | $283.97 |
| California | $435.77 | $274.52 |
| New York | $430.65 | $278.61 |
| New Jersey | $429.89 | $276.44 |
| Washington | $427.27 | $271.92 |
| Massachusetts | $423.32 | $270.21 |
| Hawaii | $420.06 | $265.12 |
| Connecticut | $415.22 | $268.45 |
| Colorado | $404.72 | $259.73 |
| Florida | $403.94 | $267.21 |
| Maryland | $403.34 | $261.27 |
| Oregon | $400.66 | $257.09 |
| Rhode Island | $398.78 | $258.00 |
| New Hampshire | $398.63 | $256.77 |
| Illinois | $393.88 | $262.21 |
| Puerto Rico | $392.18 | $254.41 |
| Virgin Islands | $392.18 | $254.41 |
| Montana | $389.43 | $253.15 |
| Nevada | $387.32 | $250.91 |
| Minnesota | $387.10 | $246.87 |
| Pennsylvania | $385.93 | $252.45 |
| Wyoming | $385.72 | $249.44 |
| Delaware | $385.33 | $250.69 |
| Texas | $384.88 | $250.72 |
| North Dakota | $380.92 | $244.65 |
| Virginia | $380.68 | $246.72 |
| Georgia | $380.13 | $250.13 |
| South Dakota | $379.92 | $243.64 |
| Vermont | $379.68 | $244.77 |
| Arizona | $379.09 | $247.04 |
| Michigan | $378.99 | $251.03 |
| Maine | $372.19 | $241.98 |
| Utah | $371.94 | $243.84 |
| New Mexico | $370.14 | $245.17 |
| Wisconsin | $368.28 | $237.73 |
| Missouri | $367.20 | $242.15 |
| South Carolina | $366.97 | $241.05 |
| Louisiana | $366.85 | $242.44 |
| North Carolina | $366.34 | $239.20 |
| Ohio | $366.29 | $241.87 |
| Indiana | $362.54 | $236.21 |
| West Virginia | $360.60 | $242.17 |
| Idaho | $360.48 | $235.11 |
| Nebraska | $359.92 | $234.14 |
| Kentucky | $358.54 | $237.39 |
| Tennessee | $358.46 | $234.58 |
| Iowa | $358.05 | $233.36 |
| Oklahoma | $357.62 | $235.93 |
| Kansas | $356.65 | $233.45 |
| Alabama | $349.78 | $230.54 |
| Mississippi | $348.52 | $231.18 |
| Arkansas | $344.77 | $227.70 |

## Related codes

- 21010: Arthrotomy, temporomandibular joint — https://www.med-reveal.com/rates/21010-cpt-fee-schedule
- 21032: Excision of maxillary torus palatinus — https://www.med-reveal.com/rates/21032-cpt-fee-schedule
- 21060: Meniscectomy, partial or complete, temporomandibular joint — https://www.med-reveal.com/rates/21060-cpt-fee-schedule
- 21085: Impression and custom preparation, oral surgical splint — https://www.med-reveal.com/rates/21085-cpt-fee-schedule
- 21421: Closed treatment of palatal/alveolar ridge fracture — https://www.med-reveal.com/rates/21421-cpt-fee-schedule
- 21422: Open treatment of palatal/alveolar ridge fracture — https://www.med-reveal.com/rates/21422-cpt-fee-schedule
- 21432: Percutaneous treatment of craniofacial separation — https://www.med-reveal.com/rates/21432-cpt-fee-schedule
- 21440: Closed treatment of mandibular/maxillary alveolar ridge fracture, dental splinting — https://www.med-reveal.com/rates/21440-cpt-fee-schedule

Commercial negotiated rates for 21031 by payer and state: https://www.med-reveal.com/solutions/rate-benchmarking

## Sources

- CMS Medicare fee schedules (2026 Q4): https://www.cms.gov/medicare/payment/fee-schedules