CPT 31627 pays $1,155.34 in a non-facility setting and $85.17 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $999.32 in Arkansas to $1,353.20 in California, a 35% spread.
National non-facility rate
$1,155.34
Office and other outpatient settings
Hospital and ASC settings
California
Arkansas · 35% 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 |
|---|---|---|---|
| California | $1,353.20 | $86.90 | |
| District of Columbia | $1,352.48 | $91.82 | |
| Washington | $1,307.67 | $87.68 | |
| Hawaii | $1,300.97 | $84.19 | |
| New Jersey | $1,295.77 | $90.76 | |
| Massachusetts | $1,289.96 | $87.63 | |
| New York | $1,286.08 | $92.21 | |
| Alaska | $1,255.33 | $115.61 | |
| Connecticut | $1,241.47 | $88.91 | |
| Colorado | $1,224.00 | $85.35 | |
| Oregon | $1,211.98 | $84.56 | |
| Maryland | $1,202.75 | $87.10 | |
| New Hampshire | $1,198.93 | $84.89 | |
| Rhode Island | $1,191.61 | $86.13 | |
| Minnesota | $1,182.06 | $80.86 | |
| Puerto Rico | $1,167.16 | $85.22 | |
| Virgin Islands | $1,167.16 | $85.22 | |
| Florida | $1,165.27 | $91.54 | |
| Montana | $1,155.32 | $85.16 | |
| Nevada | $1,155.31 | $84.07 | |
| Wyoming | $1,153.60 | $83.44 | |
| North Dakota | $1,151.37 | $81.20 | |
| South Dakota | $1,150.90 | $80.74 | |
| Delaware | $1,141.99 | $84.66 | |
| Vermont | $1,141.20 | $81.74 | |
| Texas | $1,138.43 | $84.85 | |
| Virginia | $1,134.95 | $82.98 | |
| Pennsylvania | $1,134.17 | $85.95 | |
| Illinois | $1,125.08 | $91.03 | |
| Arizona | $1,120.79 | $83.80 | |
| Georgia | $1,106.91 | $85.97 | |
| Wisconsin | $1,105.21 | $79.99 | |
| Maine | $1,104.63 | $82.08 | |
| Michigan | $1,091.96 | $87.08 | |
| Utah | $1,089.64 | $83.69 | |
| North Carolina | $1,080.33 | $81.87 | |
| Indiana | $1,072.81 | $80.76 | |
| South Carolina | $1,071.99 | $83.15 | |
| Nebraska | $1,067.75 | $79.99 | |
| New Mexico | $1,066.75 | $85.41 | |
| Missouri | $1,066.02 | $83.97 | |
| Idaho | $1,065.13 | $80.58 | |
| Louisiana | $1,061.38 | $84.32 | |
| Ohio | $1,061.12 | $84.06 | |
| Iowa | $1,059.21 | $80.01 | |
| Tennessee | $1,053.64 | $80.86 | |
| Kansas | $1,048.01 | $80.58 | |
| Oklahoma | $1,037.91 | $82.25 | |
| Kentucky | $1,034.50 | $83.12 | |
| Alabama | $1,017.00 | $80.60 | |
| West Virginia | $1,016.27 | $86.30 | |
| Mississippi | $1,002.98 | $81.57 | |
| Arkansas | $999.32 | $80.05 |
Medicare is the floor, not the market. See what UHC, Aetna, Cigna and BCBS actually pay — down to the TIN.
See negotiated rates