CPT 67031 pays $389.79 in a non-facility setting and $305.62 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $351.34 in Arkansas to $472.46 in Alaska, a 34% spread.
National non-facility rate
$389.79
Office and other outpatient settings
Hospital and ASC settings
Alaska
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 |
|---|---|---|---|
| Alaska | $472.46 | $382.82 | |
| District of Columbia | $440.35 | $341.20 | |
| California | $432.26 | $332.67 | |
| New York | $427.77 | $333.87 | |
| New Jersey | $427.54 | $332.77 | |
| Washington | $424.45 | $328.50 | |
| Massachusetts | $420.82 | $326.25 | |
| Hawaii | $416.72 | $321.01 | |
| Connecticut | $413.06 | $322.40 | |
| Colorado | $403.85 | $314.30 | |
| Maryland | $402.47 | $314.72 | |
| Florida | $401.63 | $317.18 | |
| Oregon | $400.16 | $311.48 | |
| Rhode Island | $398.96 | $312.02 | |
| New Hampshire | $397.86 | $310.24 | |
| Illinois | $393.10 | $311.77 | |
| Puerto Rico | $392.17 | $307.07 | |
| Virgin Islands | $392.17 | $307.07 | |
| Montana | $389.77 | $305.59 | |
| Minnesota | $388.30 | $301.69 | |
| Nevada | $388.07 | $303.81 | |
| Pennsylvania | $387.14 | $304.70 | |
| Wyoming | $386.75 | $302.58 | |
| Delaware | $386.55 | $303.39 | |
| Texas | $386.15 | $303.29 | |
| North Dakota | $382.84 | $298.67 | |
| Virginia | $382.40 | $299.66 | |
| South Dakota | $382.03 | $297.86 | |
| Vermont | $381.69 | $298.36 | |
| Georgia | $381.61 | $301.31 | |
| Arizona | $380.90 | $299.34 | |
| Michigan | $380.37 | $301.34 | |
| Maine | $375.08 | $294.65 | |
| Utah | $374.65 | $295.53 | |
| New Mexico | $372.84 | $295.66 | |
| Wisconsin | $371.94 | $291.30 | |
| Missouri | $370.47 | $293.23 | |
| South Carolina | $370.37 | $292.59 | |
| Louisiana | $370.11 | $293.27 | |
| North Carolina | $369.99 | $291.46 | |
| Ohio | $369.66 | $292.81 | |
| Indiana | $366.81 | $288.78 | |
| Idaho | $365.03 | $287.59 | |
| Nebraska | $364.62 | $286.93 | |
| West Virginia | $364.37 | $291.23 | |
| Tennessee | $363.22 | $286.71 | |
| Kentucky | $362.99 | $288.16 | |
| Iowa | $362.98 | $285.96 | |
| Oklahoma | $362.31 | $287.14 | |
| Kansas | $361.67 | $285.58 | |
| Alabama | $355.66 | $282.01 | |
| Mississippi | $354.42 | $281.95 | |
| Arkansas | $351.34 | $279.04 |
Medicare is the floor, not the market. See what UHC, Aetna, Cigna and BCBS actually pay — down to the TIN.
See negotiated rates