CPT 88331 pays $97.20 in a non-facility setting and $97.20 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $88.61 in Arkansas to $119.85 in Alaska, a 35% spread.
National non-facility rate
$97.20
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 | $119.85 | $119.85 | |
| District of Columbia | $109.63 | $109.63 | |
| California | $108.66 | $108.66 | |
| New Jersey | $106.51 | $106.51 | |
| Washington | $106.25 | $106.25 | |
| New York | $106.03 | $106.03 | |
| Massachusetts | $105.24 | $105.24 | |
| Hawaii | $104.65 | $104.65 | |
| Connecticut | $102.61 | $102.61 | |
| Colorado | $101.12 | $101.12 | |
| Oregon | $100.30 | $100.30 | |
| Maryland | $100.22 | $100.22 | |
| Rhode Island | $99.72 | $99.72 | |
| New Hampshire | $99.43 | $99.43 | |
| Florida | $98.34 | $98.34 | |
| Minnesota | $98.16 | $98.16 | |
| Puerto Rico | $97.81 | $97.81 | |
| Virgin Islands | $97.81 | $97.81 | |
| Montana | $97.19 | $97.19 | |
| Nevada | $97.09 | $97.09 | |
| Wyoming | $96.94 | $96.94 | |
| Delaware | $96.60 | $96.60 | |
| North Dakota | $96.60 | $96.60 | |
| South Dakota | $96.53 | $96.53 | |
| Texas | $96.45 | $96.45 | |
| Pennsylvania | $96.44 | $96.44 | |
| Illinois | $96.31 | $96.31 | |
| Vermont | $96.13 | $96.13 | |
| Virginia | $95.93 | $95.93 | |
| Arizona | $95.27 | $95.27 | |
| Georgia | $94.81 | $94.81 | |
| Maine | $94.27 | $94.27 | |
| Michigan | $94.10 | $94.10 | |
| Wisconsin | $94.09 | $94.09 | |
| Utah | $93.65 | $93.65 | |
| North Carolina | $92.99 | $92.99 | |
| South Carolina | $92.68 | $92.68 | |
| New Mexico | $92.63 | $92.63 | |
| Indiana | $92.49 | $92.49 | |
| Missouri | $92.45 | $92.45 | |
| Louisiana | $92.25 | $92.25 | |
| Ohio | $92.21 | $92.21 | |
| Nebraska | $92.15 | $92.15 | |
| Idaho | $92.07 | $92.07 | |
| Iowa | $91.71 | $91.71 | |
| Tennessee | $91.50 | $91.50 | |
| Kansas | $91.18 | $91.18 | |
| Oklahoma | $90.83 | $90.83 | |
| Kentucky | $90.73 | $90.73 | |
| West Virginia | $90.10 | $90.10 | |
| Alabama | $89.58 | $89.58 | |
| Mississippi | $88.95 | $88.95 | |
| Arkansas | $88.61 | $88.61 |
Medicare is the floor, not the market. See what UHC, Aetna, Cigna and BCBS actually pay — down to the TIN.
See negotiated rates