CPT 31525 pays $251.17 in a non-facility setting and $137.61 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $223.45 in Arkansas to $298.17 in Alaska, a 33% spread.
National non-facility rate
$251.17
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 | $298.17 | $177.23 | |
| District of Columbia | $284.46 | $150.68 | |
| New York | $277.48 | $150.79 | |
| California | $276.47 | $142.09 | |
| New Jersey | $275.90 | $148.03 | |
| Washington | $272.61 | $143.14 | |
| Massachusetts | $270.52 | $142.93 | |
| Connecticut | $267.33 | $145.02 | |
| Hawaii | $266.79 | $137.67 | |
| Florida | $263.70 | $149.76 | |
| Maryland | $259.77 | $141.38 | |
| Colorado | $259.21 | $138.38 | |
| Illinois | $257.87 | $148.14 | |
| Oregon | $256.53 | $136.89 | |
| Rhode Island | $256.48 | $139.17 | |
| New Hampshire | $255.86 | $137.64 | |
| Puerto Rico | $252.67 | $137.85 | |
| Virgin Islands | $252.67 | $137.85 | |
| Montana | $251.15 | $137.59 | |
| Pennsylvania | $249.68 | $138.45 | |
| Nevada | $249.21 | $135.53 | |
| Delaware | $248.48 | $136.28 | |
| Texas | $248.37 | $136.57 | |
| Wyoming | $247.87 | $134.31 | |
| Michigan | $247.02 | $140.38 | |
| Georgia | $246.76 | $138.42 | |
| Minnesota | $246.68 | $129.82 | |
| Virginia | $244.84 | $133.21 | |
| Arizona | $244.60 | $134.56 | |
| North Dakota | $243.64 | $130.07 | |
| Vermont | $243.37 | $130.95 | |
| South Dakota | $242.75 | $129.18 | |
| New Mexico | $241.03 | $136.89 | |
| Utah | $240.70 | $133.95 | |
| Maine | $239.63 | $131.12 | |
| Louisiana | $238.46 | $134.78 | |
| Missouri | $238.38 | $134.17 | |
| Ohio | $237.97 | $134.28 | |
| South Carolina | $237.64 | $132.71 | |
| West Virginia | $236.61 | $137.92 | |
| North Carolina | $236.34 | $130.39 | |
| Wisconsin | $235.97 | $127.17 | |
| Indiana | $233.48 | $128.21 | |
| Kentucky | $233.12 | $132.16 | |
| Idaho | $232.25 | $127.77 | |
| Oklahoma | $231.98 | $130.56 | |
| Nebraska | $231.50 | $126.68 | |
| Tennessee | $231.38 | $128.15 | |
| Iowa | $230.52 | $126.61 | |
| Kansas | $230.19 | $127.53 | |
| Mississippi | $226.60 | $128.82 | |
| Alabama | $226.54 | $127.18 | |
| Arkansas | $223.45 | $125.90 |
Medicare is the floor, not the market. See what UHC, Aetna, Cigna and BCBS actually pay — down to the TIN.
See negotiated rates