CPT 31255 pays $273.22 in a non-facility setting and $273.22 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $251.68 in Nebraska to $358.41 in Alaska, a 42% spread.
National non-facility rate
$273.22
Office and other outpatient settings
Hospital and ASC settings
Alaska
Nebraska · 42% 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 | $358.41 | $358.41 | |
| Florida | $299.34 | $299.34 | |
| New York | $298.71 | $298.71 | |
| Illinois | $296.85 | $296.85 | |
| District of Columbia | $296.84 | $296.84 | |
| New Jersey | $292.49 | $292.49 | |
| Connecticut | $287.22 | $287.22 | |
| Washington | $281.53 | $281.53 | |
| Massachusetts | $281.49 | $281.49 | |
| Michigan | $280.81 | $280.81 | |
| Maryland | $280.26 | $280.26 | |
| California | $278.11 | $278.11 | |
| West Virginia | $277.37 | $277.37 | |
| Georgia | $276.19 | $276.19 | |
| Rhode Island | $275.75 | $275.75 | |
| Pennsylvania | $275.60 | $275.60 | |
| New Mexico | $273.87 | $273.87 | |
| Puerto Rico | $273.45 | $273.45 | |
| Virgin Islands | $273.45 | $273.45 | |
| Colorado | $273.21 | $273.21 | |
| Montana | $273.16 | $273.16 | |
| New Hampshire | $272.19 | $272.19 | |
| Texas | $271.40 | $271.40 | |
| Delaware | $270.69 | $270.69 | |
| Oregon | $270.27 | $270.27 | |
| Hawaii | $269.70 | $269.70 | |
| Louisiana | $269.42 | $269.42 | |
| Nevada | $268.70 | $268.70 | |
| Ohio | $268.35 | $268.35 | |
| Missouri | $267.98 | $267.98 | |
| Arizona | $267.46 | $267.46 | |
| Utah | $266.92 | $266.92 | |
| Wyoming | $266.10 | $266.10 | |
| South Carolina | $264.67 | $264.67 | |
| Kentucky | $264.40 | $264.40 | |
| Virginia | $264.17 | $264.17 | |
| Oklahoma | $260.86 | $260.86 | |
| Maine | $260.39 | $260.39 | |
| North Carolina | $259.42 | $259.42 | |
| Vermont | $259.10 | $259.10 | |
| Mississippi | $257.95 | $257.95 | |
| North Dakota | $256.95 | $256.95 | |
| Minnesota | $255.63 | $255.63 | |
| Tennessee | $255.22 | $255.22 | |
| South Dakota | $255.03 | $255.03 | |
| Indiana | $254.87 | $254.87 | |
| Idaho | $254.11 | $254.11 | |
| Alabama | $254.03 | $254.03 | |
| Kansas | $254.02 | $254.02 | |
| Wisconsin | $251.81 | $251.81 | |
| Iowa | $251.74 | $251.74 | |
| Arkansas | $251.69 | $251.69 | |
| Nebraska | $251.68 | $251.68 |
Medicare is the floor, not the market. See what UHC, Aetna, Cigna and BCBS actually pay — down to the TIN.
See negotiated rates