CPT 55831 pays $774.90 in a non-facility setting and $774.90 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $714.29 in Arkansas to $1,011.93 in Alaska, a 42% spread.
National non-facility rate
$774.90
Office and other outpatient settings
Hospital and ASC settings
Alaska
Arkansas · 42% 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 | $1,011.93 | $1,011.93 | |
| New York | $846.13 | $846.13 | |
| District of Columbia | $845.50 | $845.50 | |
| Florida | $838.81 | $838.81 | |
| New Jersey | $831.78 | $831.78 | |
| Illinois | $830.78 | $830.78 | |
| Connecticut | $814.50 | $814.50 | |
| Washington | $804.82 | $804.82 | |
| Massachusetts | $803.63 | $803.63 | |
| California | $799.20 | $799.20 | |
| Maryland | $795.19 | $795.19 | |
| Michigan | $789.92 | $789.92 | |
| Rhode Island | $783.94 | $783.94 | |
| Pennsylvania | $779.98 | $779.98 | |
| Georgia | $779.59 | $779.59 | |
| Colorado | $779.17 | $779.17 | |
| West Virginia | $777.48 | $777.48 | |
| Puerto Rico | $776.10 | $776.10 | |
| Virgin Islands | $776.10 | $776.10 | |
| Montana | $774.77 | $774.77 | |
| New Hampshire | $774.75 | $774.75 | |
| Hawaii | $774.19 | $774.19 | |
| New Mexico | $771.72 | $771.72 | |
| Oregon | $771.20 | $771.20 | |
| Texas | $769.84 | $769.84 | |
| Delaware | $768.29 | $768.29 | |
| Nevada | $763.95 | $763.95 | |
| Louisiana | $760.63 | $760.63 | |
| Arizona | $759.08 | $759.08 | |
| Ohio | $758.03 | $758.03 | |
| Wyoming | $757.53 | $757.53 | |
| Missouri | $757.38 | $757.38 | |
| Utah | $756.08 | $756.08 | |
| Virginia | $751.86 | $751.86 | |
| South Carolina | $749.68 | $749.68 | |
| Kentucky | $747.01 | $747.01 | |
| Maine | $741.05 | $741.05 | |
| Vermont | $739.90 | $739.90 | |
| Oklahoma | $738.60 | $738.60 | |
| North Carolina | $737.38 | $737.38 | |
| North Dakota | $735.22 | $735.22 | |
| Minnesota | $733.67 | $733.67 | |
| South Dakota | $730.54 | $730.54 | |
| Mississippi | $729.66 | $729.66 | |
| Indiana | $725.96 | $725.96 | |
| Tennessee | $725.77 | $725.77 | |
| Idaho | $723.69 | $723.69 | |
| Kansas | $722.56 | $722.56 | |
| Alabama | $720.90 | $720.90 | |
| Wisconsin | $720.27 | $720.27 | |
| Nebraska | $717.94 | $717.94 | |
| Iowa | $717.61 | $717.61 | |
| Arkansas | $714.29 | $714.29 |
Medicare is the floor, not the market. See what UHC, Aetna, Cigna and BCBS actually pay — down to the TIN.
See negotiated rates