CPT 31238 pays $260.19 in a non-facility setting and $144.29 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $231.60 in Arkansas to $309.20 in Alaska, a 34% spread.
National non-facility rate
$260.19
Office and other outpatient settings
Hospital and ASC settings
Alaska
Arkansas · 34% 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 | $309.20 | $185.77 | |
| District of Columbia | $294.60 | $158.07 | |
| New York | $287.37 | $158.07 | |
| California | $286.38 | $149.24 | |
| New Jersey | $285.77 | $155.26 | |
| Washington | $282.37 | $150.24 | |
| Massachusetts | $280.21 | $149.99 | |
| Connecticut | $276.88 | $152.05 | |
| Hawaii | $276.35 | $144.57 | |
| Florida | $273.05 | $156.76 | |
| Maryland | $269.08 | $148.25 | |
| Colorado | $268.52 | $145.20 | |
| Illinois | $267.04 | $155.05 | |
| Oregon | $265.76 | $143.66 | |
| Rhode Island | $265.69 | $145.97 | |
| New Hampshire | $265.04 | $144.39 | |
| Puerto Rico | $261.74 | $144.56 | |
| Virgin Islands | $261.74 | $144.56 | |
| Montana | $260.17 | $144.27 | |
| Pennsylvania | $258.66 | $145.13 | |
| Nevada | $258.18 | $142.16 | |
| Delaware | $257.43 | $142.92 | |
| Texas | $257.31 | $143.20 | |
| Wyoming | $256.81 | $140.91 | |
| Michigan | $255.86 | $147.03 | |
| Georgia | $255.62 | $145.05 | |
| Minnesota | $255.60 | $136.34 | |
| Virginia | $253.68 | $139.75 | |
| Arizona | $253.42 | $141.11 | |
| North Dakota | $252.46 | $136.55 | |
| Vermont | $252.18 | $137.44 | |
| South Dakota | $251.54 | $135.64 | |
| New Mexico | $249.70 | $143.42 | |
| Utah | $249.39 | $140.44 | |
| Maine | $248.30 | $137.55 | |
| Louisiana | $247.06 | $141.24 | |
| Missouri | $246.98 | $140.62 | |
| Ohio | $246.55 | $140.73 | |
| South Carolina | $246.23 | $139.14 | |
| West Virginia | $245.11 | $144.39 | |
| North Carolina | $244.91 | $136.77 | |
| Wisconsin | $244.54 | $133.51 | |
| Indiana | $241.96 | $134.52 | |
| Kentucky | $241.55 | $138.51 | |
| Idaho | $240.69 | $134.06 | |
| Oklahoma | $240.38 | $136.88 | |
| Nebraska | $239.93 | $132.95 | |
| Tennessee | $239.79 | $134.43 | |
| Iowa | $238.91 | $132.86 | |
| Kansas | $238.57 | $133.79 | |
| Mississippi | $234.83 | $135.04 | |
| Alabama | $234.79 | $133.38 | |
| Arkansas | $231.60 | $132.04 |
Medicare is the floor, not the market. See what UHC, Aetna, Cigna and BCBS actually pay — down to the TIN.
See negotiated rates