CPT 45331 pays $322.99 in a non-facility setting and $66.80 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $281.06 in Arkansas to $375.58 in District of Columbia, a 34% spread.
National non-facility rate
$322.99
Office and other outpatient settings
Hospital and ASC settings
District of Columbia
Arkansas · 34% 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 |
|---|---|---|---|
| District of Columbia | $375.58 | $73.79 | |
| California | $373.72 | $70.58 | |
| Washington | $362.54 | $70.49 | |
| New Jersey | $360.72 | $72.25 | |
| Hawaii | $359.55 | $68.27 | |
| New York | $358.94 | $73.14 | |
| Massachusetts | $358.04 | $70.22 | |
| Alaska | $357.70 | $84.87 | |
| Connecticut | $346.37 | $70.45 | |
| Colorado | $340.41 | $67.83 | |
| Oregon | $337.04 | $67.15 | |
| Maryland | $335.78 | $68.71 | |
| New Hampshire | $333.93 | $67.24 | |
| Rhode Island | $332.47 | $67.83 | |
| Florida | $328.35 | $71.31 | |
| Minnesota | $327.85 | $64.24 | |
| Puerto Rico | $326.01 | $67.01 | |
| Virgin Islands | $326.01 | $67.01 | |
| Montana | $322.98 | $66.79 | |
| Nevada | $322.49 | $66.05 | |
| Wyoming | $321.77 | $65.59 | |
| North Dakota | $320.21 | $64.02 | |
| South Dakota | $319.88 | $63.70 | |
| Delaware | $319.32 | $66.21 | |
| Texas | $318.50 | $66.28 | |
| Illinois | $317.88 | $70.35 | |
| Pennsylvania | $317.88 | $66.94 | |
| Vermont | $317.86 | $64.24 | |
| Virginia | $316.83 | $65.00 | |
| Arizona | $313.60 | $65.35 | |
| Georgia | $311.02 | $66.62 | |
| Maine | $308.73 | $63.94 | |
| Wisconsin | $307.94 | $62.51 | |
| Michigan | $307.74 | $67.18 | |
| Utah | $305.64 | $64.82 | |
| North Carolina | $302.46 | $63.44 | |
| South Carolina | $300.91 | $64.20 | |
| New Mexico | $300.58 | $65.66 | |
| Indiana | $300.05 | $62.57 | |
| Missouri | $299.76 | $64.67 | |
| Louisiana | $298.74 | $64.84 | |
| Ohio | $298.56 | $64.66 | |
| Nebraska | $298.42 | $61.96 | |
| Idaho | $298.02 | $62.33 | |
| Iowa | $296.26 | $61.85 | |
| Tennessee | $295.23 | $62.36 | |
| Kansas | $293.67 | $62.08 | |
| Oklahoma | $291.85 | $63.08 | |
| Kentucky | $291.37 | $63.62 | |
| West Virginia | $288.16 | $65.54 | |
| Alabama | $285.80 | $61.64 | |
| Mississippi | $282.67 | $62.10 | |
| Arkansas | $281.06 | $61.00 |
Medicare is the floor, not the market. See what UHC, Aetna, Cigna and BCBS actually pay — down to the TIN.
See negotiated rates