CPT 43631 pays $1,355.74 in a non-facility setting and $1,355.74 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $1,199.03 in Wisconsin to $1,685.71 in Alaska, a 41% spread.
National non-facility rate
$1,355.74
Office and other outpatient settings
Hospital and ASC settings
Alaska
Wisconsin · 41% 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 | $1,685.71 | $1,685.71 | |
| Florida | $1,551.06 | $1,551.06 | |
| Illinois | $1,533.47 | $1,533.47 | |
| New York | $1,508.06 | $1,508.06 | |
| District of Columbia | $1,484.75 | $1,484.75 | |
| New Jersey | $1,458.17 | $1,458.17 | |
| Connecticut | $1,441.91 | $1,441.91 | |
| Michigan | $1,417.82 | $1,417.82 | |
| West Virginia | $1,397.97 | $1,397.97 | |
| Maryland | $1,396.99 | $1,396.99 | |
| Massachusetts | $1,389.92 | $1,389.92 | |
| Washington | $1,386.95 | $1,386.95 | |
| Georgia | $1,381.03 | $1,381.03 | |
| Pennsylvania | $1,369.85 | $1,369.85 | |
| New Mexico | $1,367.72 | $1,367.72 | |
| Rhode Island | $1,360.39 | $1,360.39 | |
| Puerto Rico | $1,356.54 | $1,356.54 | |
| Virgin Islands | $1,356.54 | $1,356.54 | |
| Montana | $1,355.33 | $1,355.33 | |
| California | $1,355.07 | $1,355.07 | |
| New Hampshire | $1,344.55 | $1,344.55 | |
| Colorado | $1,342.96 | $1,342.96 | |
| Texas | $1,340.08 | $1,340.08 | |
| Delaware | $1,334.79 | $1,334.79 | |
| Louisiana | $1,334.72 | $1,334.72 | |
| Ohio | $1,326.73 | $1,326.73 | |
| Oregon | $1,324.28 | $1,324.28 | |
| Missouri | $1,323.52 | $1,323.52 | |
| Nevada | $1,321.85 | $1,321.85 | |
| Hawaii | $1,317.68 | $1,317.68 | |
| Arizona | $1,315.29 | $1,315.29 | |
| Utah | $1,313.68 | $1,313.68 | |
| Wyoming | $1,302.42 | $1,302.42 | |
| Kentucky | $1,299.20 | $1,299.20 | |
| South Carolina | $1,298.20 | $1,298.20 | |
| Virginia | $1,289.46 | $1,289.46 | |
| Oklahoma | $1,272.30 | $1,272.30 | |
| Maine | $1,263.46 | $1,263.46 | |
| North Carolina | $1,258.10 | $1,258.10 | |
| Mississippi | $1,253.24 | $1,253.24 | |
| Vermont | $1,250.91 | $1,250.91 | |
| North Dakota | $1,233.92 | $1,233.92 | |
| Tennessee | $1,228.72 | $1,228.72 | |
| Indiana | $1,224.61 | $1,224.61 | |
| Alabama | $1,222.69 | $1,222.69 | |
| Minnesota | $1,221.58 | $1,221.58 | |
| Kansas | $1,220.19 | $1,220.19 | |
| South Dakota | $1,219.57 | $1,219.57 | |
| Idaho | $1,219.47 | $1,219.47 | |
| Arkansas | $1,206.59 | $1,206.59 | |
| Iowa | $1,202.13 | $1,202.13 | |
| Nebraska | $1,201.05 | $1,201.05 | |
| Wisconsin | $1,199.03 | $1,199.03 |
Medicare is the floor, not the market. See what UHC, Aetna, Cigna and BCBS actually pay — down to the TIN.
See negotiated rates