CPT 31237 pays $266.54 in a non-facility setting and $138.28 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $236.67 in Arkansas to $314.42 in Alaska, a 33% spread.
National non-facility rate
$266.54
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 | $314.42 | $177.82 | |
| District of Columbia | $302.66 | $151.57 | |
| California | $294.96 | $143.19 | |
| New York | $294.58 | $151.49 | |
| New Jersey | $293.27 | $148.84 | |
| Washington | $290.31 | $144.10 | |
| Massachusetts | $287.94 | $143.84 | |
| Hawaii | $284.54 | $138.71 | |
| Connecticut | $283.87 | $145.74 | |
| Florida | $278.80 | $150.12 | |
| Maryland | $275.80 | $142.09 | |
| Colorado | $275.69 | $139.22 | |
| Oregon | $272.86 | $137.74 | |
| Rhode Island | $272.40 | $139.91 | |
| Illinois | $272.38 | $148.45 | |
| New Hampshire | $271.94 | $138.42 | |
| Puerto Rico | $268.22 | $138.55 | |
| Virgin Islands | $268.22 | $138.55 | |
| Montana | $266.51 | $138.26 | |
| Pennsylvania | $264.68 | $139.05 | |
| Nevada | $264.64 | $136.26 | |
| Delaware | $263.68 | $136.96 | |
| Texas | $263.50 | $137.23 | |
| Wyoming | $263.33 | $135.07 | |
| Minnesota | $262.75 | $130.77 | |
| Georgia | $261.31 | $138.95 | |
| Michigan | $261.25 | $140.81 | |
| Virginia | $260.03 | $133.95 | |
| Arizona | $259.51 | $135.23 | |
| North Dakota | $259.20 | $130.94 | |
| Vermont | $258.74 | $131.76 | |
| South Dakota | $258.33 | $130.07 | |
| Utah | $255.12 | $134.55 | |
| New Mexico | $254.97 | $137.35 | |
| Maine | $254.39 | $131.84 | |
| Missouri | $252.40 | $134.70 | |
| Louisiana | $252.39 | $135.29 | |
| Ohio | $251.91 | $134.80 | |
| South Carolina | $251.82 | $133.30 | |
| Wisconsin | $250.87 | $128.00 | |
| North Carolina | $250.73 | $131.07 | |
| West Virginia | $249.68 | $138.22 | |
| Indiana | $247.82 | $128.93 | |
| Kentucky | $246.69 | $132.67 | |
| Idaho | $246.48 | $128.48 | |
| Nebraska | $245.81 | $127.43 | |
| Oklahoma | $245.66 | $131.13 | |
| Tennessee | $245.41 | $128.82 | |
| Iowa | $244.69 | $127.34 | |
| Kansas | $244.15 | $128.21 | |
| Alabama | $240.01 | $127.78 | |
| Mississippi | $239.78 | $129.34 | |
| Arkansas | $236.67 | $126.49 |
Medicare is the floor, not the market. See what UHC, Aetna, Cigna and BCBS actually pay — down to the TIN.
See negotiated rates