CPT 69631 pays $799.28 in a non-facility setting and $799.28 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $716.19 in Arkansas to $968.90 in Alaska, a 35% spread.
National non-facility rate
$799.28
Office and other outpatient settings
Hospital and ASC settings
Alaska
Arkansas · 35% 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 | $968.90 | $968.90 | |
| District of Columbia | $897.84 | $897.84 | |
| New York | $881.09 | $881.09 | |
| New Jersey | $873.52 | $873.52 | |
| California | $866.68 | $866.68 | |
| Washington | $858.79 | $858.79 | |
| Massachusetts | $853.43 | $853.43 | |
| Connecticut | $848.57 | $848.57 | |
| Florida | $846.23 | $846.23 | |
| Hawaii | $837.10 | $837.10 | |
| Illinois | $829.94 | $829.94 | |
| Maryland | $825.28 | $825.28 | |
| Colorado | $819.81 | $819.81 | |
| Rhode Island | $814.30 | $814.30 | |
| Oregon | $811.28 | $811.28 | |
| New Hampshire | $810.65 | $810.65 | |
| Puerto Rico | $803.22 | $803.22 | |
| Virgin Islands | $803.22 | $803.22 | |
| Montana | $799.19 | $799.19 | |
| Pennsylvania | $796.86 | $796.86 | |
| Michigan | $793.03 | $793.03 | |
| Nevada | $791.68 | $791.68 | |
| Texas | $791.09 | $791.09 | |
| Delaware | $790.98 | $790.98 | |
| Georgia | $789.73 | $789.73 | |
| Wyoming | $786.78 | $786.78 | |
| Arizona | $779.22 | $779.22 | |
| Virginia | $777.94 | $777.94 | |
| Minnesota | $777.71 | $777.71 | |
| New Mexico | $773.77 | $773.77 | |
| Vermont | $771.28 | $771.28 | |
| North Dakota | $770.71 | $770.71 | |
| Utah | $768.95 | $768.95 | |
| South Dakota | $767.35 | $767.35 | |
| Louisiana | $764.67 | $764.67 | |
| West Virginia | $764.49 | $764.49 | |
| Missouri | $763.63 | $763.63 | |
| Ohio | $762.79 | $762.79 | |
| Maine | $762.46 | $762.46 | |
| South Carolina | $759.86 | $759.86 | |
| North Carolina | $753.52 | $753.52 | |
| Wisconsin | $748.20 | $748.20 | |
| Kentucky | $748.15 | $748.15 | |
| Indiana | $743.62 | $743.62 | |
| Oklahoma | $743.21 | $743.21 | |
| Idaho | $740.03 | $740.03 | |
| Tennessee | $738.44 | $738.44 | |
| Nebraska | $736.73 | $736.73 | |
| Kansas | $734.74 | $734.74 | |
| Iowa | $734.25 | $734.25 | |
| Mississippi | $727.81 | $727.81 | |
| Alabama | $725.43 | $725.43 | |
| Arkansas | $716.19 | $716.19 |
Medicare is the floor, not the market. See what UHC, Aetna, Cigna and BCBS actually pay — down to the TIN.
See negotiated rates