CPT 93931 pays $120.91 in a non-facility setting and $120.91 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $105.37 in Arkansas to $140.25 in District of Columbia, a 33% spread.
National non-facility rate
$120.91
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 | $140.25 | $140.25 | |
| California | $139.16 | $139.16 | |
| Washington | $135.24 | $135.24 | |
| New Jersey | $134.83 | $134.83 | |
| Alaska | $134.69 | $134.69 | |
| New York | $134.34 | $134.34 | |
| Hawaii | $133.93 | $133.93 | |
| Massachusetts | $133.63 | $133.63 | |
| Connecticut | $129.60 | $129.60 | |
| Colorado | $127.14 | $127.14 | |
| Oregon | $125.86 | $125.86 | |
| Maryland | $125.65 | $125.65 | |
| New Hampshire | $124.81 | $124.81 | |
| Rhode Island | $124.34 | $124.34 | |
| Florida | $123.47 | $123.47 | |
| Minnesota | $122.23 | $122.23 | |
| Puerto Rico | $122.00 | $122.00 | |
| Virgin Islands | $122.00 | $122.00 | |
| Montana | $120.91 | $120.91 | |
| Nevada | $120.62 | $120.62 | |
| Wyoming | $120.30 | $120.30 | |
| Illinois | $119.65 | $119.65 | |
| Delaware | $119.53 | $119.53 | |
| North Dakota | $119.52 | $119.52 | |
| South Dakota | $119.36 | $119.36 | |
| Texas | $119.25 | $119.25 | |
| Pennsylvania | $119.12 | $119.12 | |
| Vermont | $118.73 | $118.73 | |
| Virginia | $118.49 | $118.49 | |
| Arizona | $117.41 | $117.41 | |
| Georgia | $116.69 | $116.69 | |
| Michigan | $115.63 | $115.63 | |
| Maine | $115.49 | $115.49 | |
| Wisconsin | $115.00 | $115.00 | |
| Utah | $114.54 | $114.54 | |
| North Carolina | $113.22 | $113.22 | |
| New Mexico | $112.90 | $112.90 | |
| South Carolina | $112.79 | $112.79 | |
| Missouri | $112.46 | $112.46 | |
| Indiana | $112.25 | $112.25 | |
| Louisiana | $112.13 | $112.13 | |
| Ohio | $112.04 | $112.04 | |
| Nebraska | $111.59 | $111.59 | |
| Idaho | $111.50 | $111.50 | |
| Iowa | $110.81 | $110.81 | |
| Tennessee | $110.53 | $110.53 | |
| Kansas | $109.94 | $109.94 | |
| Oklahoma | $109.45 | $109.45 | |
| Kentucky | $109.37 | $109.37 | |
| West Virginia | $108.53 | $108.53 | |
| Alabama | $107.12 | $107.12 | |
| Mississippi | $106.09 | $106.09 | |
| Arkansas | $105.37 | $105.37 |
Medicare is the floor, not the market. See what UHC, Aetna, Cigna and BCBS actually pay — down to the TIN.
See negotiated rates