CPT 31231 pays $193.39 in a non-facility setting and $54.78 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $169.32 in Arkansas to $223.04 in District of Columbia, a 32% spread.
National non-facility rate
$193.39
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 | $223.04 | $59.75 | |
| California | $220.14 | $56.12 | |
| Alaska | $218.76 | $71.14 | |
| New Jersey | $214.86 | $58.78 | |
| Washington | $214.71 | $56.69 | |
| New York | $214.61 | $59.98 | |
| Massachusetts | $212.38 | $56.65 | |
| Hawaii | $212.01 | $54.40 | |
| Connecticut | $206.96 | $57.67 | |
| Colorado | $202.40 | $54.91 | |
| Maryland | $200.74 | $56.24 | |
| Oregon | $200.35 | $54.32 | |
| New Hampshire | $198.97 | $54.67 | |
| Florida | $198.96 | $59.88 | |
| Rhode Island | $198.52 | $55.33 | |
| Puerto Rico | $194.99 | $54.85 | |
| Virgin Islands | $194.99 | $54.85 | |
| Minnesota | $194.05 | $51.41 | |
| Montana | $193.38 | $54.77 | |
| Illinois | $193.24 | $59.31 | |
| Nevada | $192.65 | $53.90 | |
| Wyoming | $192.00 | $53.39 | |
| Delaware | $191.20 | $54.25 | |
| Pennsylvania | $190.96 | $55.19 | |
| Texas | $190.85 | $54.38 | |
| North Dakota | $190.22 | $51.60 | |
| South Dakota | $189.84 | $51.23 | |
| Vermont | $189.23 | $52.00 | |
| Virginia | $189.23 | $52.97 | |
| Arizona | $187.90 | $53.58 | |
| Georgia | $187.49 | $55.25 | |
| Michigan | $186.28 | $56.12 | |
| Maine | $184.62 | $52.17 | |
| Utah | $183.71 | $53.41 | |
| Wisconsin | $183.30 | $50.50 | |
| New Mexico | $181.82 | $54.72 | |
| North Carolina | $181.26 | $51.93 | |
| South Carolina | $181.01 | $52.94 | |
| Missouri | $180.77 | $53.57 | |
| Louisiana | $180.39 | $53.84 | |
| Ohio | $180.18 | $53.63 | |
| Indiana | $179.53 | $51.03 | |
| Idaho | $178.39 | $50.87 | |
| Nebraska | $178.34 | $50.40 | |
| Iowa | $177.22 | $50.39 | |
| Tennessee | $177.06 | $51.06 | |
| Kansas | $176.12 | $50.81 | |
| Kentucky | $176.03 | $52.80 | |
| Oklahoma | $175.90 | $52.12 | |
| West Virginia | $175.74 | $55.29 | |
| Alabama | $172.03 | $50.75 | |
| Mississippi | $170.83 | $51.48 | |
| Arkansas | $169.32 | $50.25 |
Medicare is the floor, not the market. See what UHC, Aetna, Cigna and BCBS actually pay — down to the TIN.
See negotiated rates