CPT 31254 pays $436.55 in a non-facility setting and $205.75 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $387.69 in Arkansas to $515.07 in Alaska, a 33% spread.
National non-facility rate
$436.55
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 | $515.07 | $269.26 | |
| District of Columbia | $495.72 | $223.84 | |
| California | $483.23 | $210.13 | |
| New York | $482.43 | $224.95 | |
| New Jersey | $480.33 | $220.45 | |
| Washington | $475.56 | $212.44 | |
| Massachusetts | $471.65 | $212.35 | |
| Hawaii | $466.14 | $203.72 | |
| Connecticut | $464.91 | $216.34 | |
| Florida | $456.45 | $224.88 | |
| Maryland | $451.71 | $211.10 | |
| Colorado | $451.59 | $206.02 | |
| Oregon | $446.97 | $203.82 | |
| Rhode Island | $446.18 | $207.77 | |
| Illinois | $445.93 | $222.91 | |
| New Hampshire | $445.42 | $205.16 | |
| Puerto Rico | $439.30 | $205.96 | |
| Virgin Islands | $439.30 | $205.96 | |
| Montana | $436.51 | $205.71 | |
| Pennsylvania | $433.49 | $207.42 | |
| Nevada | $433.48 | $202.45 | |
| Delaware | $431.89 | $203.86 | |
| Texas | $431.59 | $204.36 | |
| Wyoming | $431.34 | $200.54 | |
| Minnesota | $430.49 | $193.00 | |
| Georgia | $427.93 | $207.74 | |
| Michigan | $427.79 | $211.06 | |
| Virginia | $425.94 | $199.06 | |
| Arizona | $425.06 | $201.41 | |
| North Dakota | $424.65 | $193.85 | |
| Vermont | $423.87 | $195.38 | |
| South Dakota | $423.24 | $192.44 | |
| Utah | $417.85 | $200.90 | |
| New Mexico | $417.54 | $205.90 | |
| Maine | $416.71 | $196.18 | |
| Missouri | $413.38 | $201.59 | |
| Louisiana | $413.34 | $202.62 | |
| Ohio | $412.56 | $201.84 | |
| South Carolina | $412.45 | $199.19 | |
| Wisconsin | $411.02 | $189.92 | |
| North Carolina | $410.72 | $195.38 | |
| West Virginia | $408.83 | $208.26 | |
| Indiana | $405.99 | $192.04 | |
| Kentucky | $404.04 | $198.86 | |
| Idaho | $403.78 | $191.45 | |
| Nebraska | $402.71 | $189.68 | |
| Oklahoma | $402.38 | $196.28 | |
| Tennessee | $402.01 | $192.22 | |
| Iowa | $400.87 | $189.69 | |
| Kansas | $399.96 | $191.32 | |
| Alabama | $393.16 | $191.21 | |
| Mississippi | $392.74 | $194.02 | |
| Arkansas | $387.69 | $189.44 |
Medicare is the floor, not the market. See what UHC, Aetna, Cigna and BCBS actually pay — down to the TIN.
See negotiated rates