CPT 31628 pays $408.49 in a non-facility setting and $158.65 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $363.40 in Arkansas to $479.65 in Alaska, a 32% spread.
National non-facility rate
$408.49
Office and other outpatient settings
Hospital and ASC settings
Alaska
Arkansas · 32% 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 | $479.65 | $213.57 | |
| District of Columbia | $466.16 | $171.85 | |
| California | $459.26 | $163.63 | |
| New Jersey | $450.87 | $169.56 | |
| New York | $450.52 | $171.80 | |
| Washington | $449.27 | $164.46 | |
| Massachusetts | $444.88 | $164.18 | |
| Hawaii | $442.47 | $158.41 | |
| Connecticut | $434.83 | $165.75 | |
| Colorado | $425.51 | $159.68 | |
| Maryland | $422.83 | $162.37 | |
| Oregon | $421.45 | $158.25 | |
| Florida | $419.87 | $169.20 | |
| Rhode Island | $418.80 | $160.72 | |
| New Hampshire | $418.67 | $158.59 | |
| Puerto Rico | $411.43 | $158.84 | |
| Virgin Islands | $411.43 | $158.84 | |
| Illinois | $409.42 | $168.02 | |
| Minnesota | $408.91 | $151.82 | |
| Montana | $408.47 | $158.63 | |
| Nevada | $406.93 | $156.85 | |
| Wyoming | $405.63 | $155.79 | |
| Delaware | $404.57 | $157.73 | |
| Pennsylvania | $404.51 | $159.80 | |
| Texas | $403.98 | $158.01 | |
| North Dakota | $401.95 | $152.11 | |
| South Dakota | $401.17 | $151.34 | |
| Virginia | $400.46 | $154.87 | |
| Vermont | $400.23 | $152.89 | |
| Arizona | $398.17 | $156.07 | |
| Georgia | $397.86 | $159.52 | |
| Michigan | $395.79 | $161.19 | |
| Maine | $391.83 | $153.11 | |
| Utah | $390.45 | $155.61 | |
| Wisconsin | $389.03 | $149.68 | |
| New Mexico | $387.31 | $158.21 | |
| North Carolina | $385.63 | $152.53 | |
| South Carolina | $385.41 | $154.56 | |
| Missouri | $385.11 | $155.84 | |
| Louisiana | $384.49 | $156.38 | |
| Ohio | $384.06 | $155.95 | |
| Indiana | $382.25 | $150.65 | |
| Idaho | $380.13 | $150.28 | |
| Nebraska | $379.93 | $149.33 | |
| Iowa | $377.88 | $149.28 | |
| Tennessee | $377.74 | $150.63 | |
| West Virginia | $376.31 | $159.20 | |
| Kentucky | $376.26 | $154.16 | |
| Kansas | $375.96 | $150.11 | |
| Oklahoma | $375.87 | $152.77 | |
| Alabama | $368.47 | $149.86 | |
| Mississippi | $366.43 | $151.32 | |
| Arkansas | $363.40 | $148.79 |
Medicare is the floor, not the market. See what UHC, Aetna, Cigna and BCBS actually pay — down to the TIN.
See negotiated rates