CPT 31623

Brnchsc Brushing/Protected Brushings

CPT 31623 pays $302.95 in a non-facility setting and $119.24 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $269.53 in Arkansas to $355.71 in Alaska, a 32% spread.

National non-facility rate

$302.95

Office and other outpatient settings

Facility rate
$119.24

Hospital and ASC settings

Highest state
$355.71

Alaska

Lowest state
$269.53

Arkansas · 32% spread

Medicare rate by state

53 Medicare jurisdictions, highest to lowest. State values average every locality in the jurisdiction at a 33.4009 conversion factor.

Non-facilityFacilityNational $302.95
CPT 31623 Medicare reimbursement rate by state, 33.4009 conversion factor, 2026 Physician Fee Schedule. National non-facility $302.95, national facility $119.24.
StateRate compared visuallyNon-facilityFacility
Alaska
$355.71$160.07
District of Columbia
$345.75$129.34
California
$340.72$123.35
New Jersey
$334.40$127.55
New York
$334.09$129.15
Washington
$333.27$123.84
Massachusetts
$329.99$123.60
Hawaii
$328.26$119.39
Connecticut
$322.47$124.62
Colorado
$315.62$120.16
Maryland
$313.58$122.07
Oregon
$312.62$119.08
Florida
$311.23$126.92
Rhode Island
$310.62$120.85
New Hampshire
$310.53$119.29
Puerto Rico
$305.13$119.40
Virgin Islands
$305.13$119.40
Illinois
$303.48$125.98
Minnesota
$303.38$114.34
Montana
$302.93$119.23
Nevada
$301.82$117.93
Wyoming
$300.86$117.16
Delaware
$300.05$118.55
Pennsylvania
$299.98$120.04
Texas
$299.60$118.74
North Dakota
$298.18$114.48
South Dakota
$297.62$113.92
Virginia
$297.03$116.45
Vermont
$296.89$115.02
Arizona
$295.30$117.29
Georgia
$295.02$119.76
Michigan
$293.44$120.94
Maine
$290.63$115.10
Utah
$289.56$116.88
Wisconsin
$288.60$112.61
New Mexico
$287.18$118.72
North Carolina
$286.02$114.62
South Carolina
$285.83$116.08
Missouri
$285.58$117.00
Louisiana
$285.10$117.38
Ohio
$284.79$117.07
Indiana
$283.54$113.24
Idaho
$281.97$112.96
Nebraska
$281.83$112.27
Iowa
$280.31$112.22
Tennessee
$280.18$113.19
Kentucky
$279.02$115.71
West Virginia
$278.97$119.33
Kansas
$278.87$112.80
Oklahoma
$278.75$114.70
Alabama
$273.29$112.55
Mississippi
$271.74$113.57
Arkansas
$269.53$111.73

Billed by 1 specialties

Commercial rates for 31623

Medicare is the floor, not the market. See what UHC, Aetna, Cigna and BCBS actually pay — down to the TIN.

See negotiated rates