CPT 31515 pays $229.46 in a non-facility setting and $101.54 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $202.41 in Arkansas to $265.49 in Alaska, a 31% spread.
National non-facility rate
$229.46
Office and other outpatient settings
Hospital and ASC settings
Alaska
Arkansas · 31% 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 | $265.49 | $129.25 | |
| District of Columbia | $262.45 | $111.76 | |
| California | $257.29 | $105.91 | |
| New York | $254.10 | $111.39 | |
| New Jersey | $253.62 | $109.58 | |
| Washington | $252.16 | $106.33 | |
| Massachusetts | $249.79 | $106.06 | |
| Hawaii | $248.00 | $102.55 | |
| Connecticut | $244.94 | $107.16 | |
| Colorado | $238.64 | $102.52 | |
| Florida | $238.23 | $109.87 | |
| Maryland | $237.79 | $104.42 | |
| Oregon | $236.20 | $101.43 | |
| New Hampshire | $235.02 | $101.85 | |
| Rhode Island | $234.99 | $102.84 | |
| Illinois | $232.11 | $108.51 | |
| Puerto Rico | $231.12 | $101.78 | |
| Virgin Islands | $231.12 | $101.78 | |
| Montana | $229.45 | $101.52 | |
| Nevada | $228.18 | $100.12 | |
| Minnesota | $228.05 | $96.41 | |
| Pennsylvania | $227.27 | $101.97 | |
| Wyoming | $227.21 | $99.28 | |
| Delaware | $226.94 | $100.55 | |
| Texas | $226.66 | $100.72 | |
| North Dakota | $224.31 | $96.38 | |
| Virginia | $224.16 | $98.41 | |
| Georgia | $223.81 | $101.77 | |
| South Dakota | $223.70 | $95.77 | |
| Vermont | $223.55 | $96.91 | |
| Arizona | $223.19 | $99.23 | |
| Michigan | $223.12 | $103.00 | |
| Maine | $219.01 | $96.78 | |
| Utah | $218.86 | $98.61 | |
| New Mexico | $217.76 | $100.46 | |
| Wisconsin | $216.65 | $94.10 | |
| Missouri | $215.99 | $98.60 | |
| South Carolina | $215.85 | $97.65 | |
| Louisiana | $215.78 | $98.98 | |
| North Carolina | $215.48 | $96.12 | |
| Ohio | $215.44 | $98.64 | |
| Indiana | $213.17 | $94.59 | |
| West Virginia | $211.99 | $100.82 | |
| Idaho | $211.93 | $94.24 | |
| Nebraska | $211.59 | $93.51 | |
| Kentucky | $210.74 | $97.02 | |
| Tennessee | $210.70 | $94.42 | |
| Iowa | $210.46 | $93.41 | |
| Oklahoma | $210.19 | $95.96 | |
| Kansas | $209.61 | $93.96 | |
| Alabama | $205.45 | $93.51 | |
| Mississippi | $204.68 | $94.54 | |
| Arkansas | $202.41 | $92.52 |
Medicare is the floor, not the market. See what UHC, Aetna, Cigna and BCBS actually pay — down to the TIN.
See negotiated rates