CPT 88319 pays $131.93 in a non-facility setting and $131.93 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $115.44 in Arkansas to $153.20 in District of Columbia, a 33% spread.
National non-facility rate
$131.93
Office and other outpatient settings
Hospital and ASC settings
District of Columbia
Arkansas · 33% 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 | $153.20 | $153.20 | |
| California | $152.91 | $152.91 | |
| Washington | $148.17 | $148.17 | |
| Alaska | $147.55 | $147.55 | |
| New Jersey | $147.22 | $147.22 | |
| Hawaii | $147.07 | $147.07 | |
| Massachusetts | $146.30 | $146.30 | |
| New York | $146.25 | $146.25 | |
| Connecticut | $141.24 | $141.24 | |
| Colorado | $139.19 | $139.19 | |
| Oregon | $137.87 | $137.87 | |
| Maryland | $137.06 | $137.06 | |
| New Hampshire | $136.46 | $136.46 | |
| Rhode Island | $135.90 | $135.90 | |
| Minnesota | $134.52 | $134.52 | |
| Florida | $133.26 | $133.26 | |
| Puerto Rico | $133.17 | $133.17 | |
| Virgin Islands | $133.17 | $133.17 | |
| Montana | $131.93 | $131.93 | |
| Nevada | $131.88 | $131.88 | |
| Wyoming | $131.67 | $131.67 | |
| North Dakota | $131.34 | $131.34 | |
| South Dakota | $131.27 | $131.27 | |
| Delaware | $130.56 | $130.56 | |
| Vermont | $130.30 | $130.30 | |
| Texas | $130.20 | $130.20 | |
| Pennsylvania | $129.83 | $129.83 | |
| Virginia | $129.71 | $129.71 | |
| Illinois | $129.07 | $129.07 | |
| Arizona | $128.27 | $128.27 | |
| Georgia | $126.93 | $126.93 | |
| Maine | $126.51 | $126.51 | |
| Wisconsin | $126.47 | $126.47 | |
| Michigan | $125.41 | $125.41 | |
| Utah | $125.02 | $125.02 | |
| North Carolina | $123.96 | $123.96 | |
| South Carolina | $123.15 | $123.15 | |
| Indiana | $123.13 | $123.13 | |
| New Mexico | $122.71 | $122.71 | |
| Missouri | $122.57 | $122.57 | |
| Nebraska | $122.57 | $122.57 | |
| Idaho | $122.32 | $122.32 | |
| Louisiana | $122.10 | $122.10 | |
| Ohio | $122.06 | $122.06 | |
| Iowa | $121.68 | $121.68 | |
| Tennessee | $121.14 | $121.14 | |
| Kansas | $120.53 | $120.53 | |
| Oklahoma | $119.56 | $119.56 | |
| Kentucky | $119.24 | $119.24 | |
| West Virginia | $117.49 | $117.49 | |
| Alabama | $117.30 | $117.30 | |
| Mississippi | $115.89 | $115.89 | |
| Arkansas | $115.44 | $115.44 |
Medicare is the floor, not the market. See what UHC, Aetna, Cigna and BCBS actually pay — down to the TIN.
See negotiated rates