# CPT 38100: Splenectomy, total

Medicare CPT 38100 pays $1,073.84 in a non-facility setting and $1,073.84 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $951.26 in Wisconsin to $1,338.16 in Alaska, a 41% spread.

Web page: https://www.med-reveal.com/rates/38100-cpt-fee-schedule
Section: Surgery and Procedures

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $1,073.84 |
| National facility | $1,073.84 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| Alaska | $1,338.16 | $1,338.16 |
| Florida | $1,226.54 | $1,226.54 |
| Illinois | $1,212.78 | $1,212.78 |
| New York | $1,193.68 | $1,193.68 |
| District of Columbia | $1,175.62 | $1,175.62 |
| New Jersey | $1,154.74 | $1,154.74 |
| Connecticut | $1,141.56 | $1,141.56 |
| Michigan | $1,122.28 | $1,122.28 |
| West Virginia | $1,106.67 | $1,106.67 |
| Maryland | $1,106.31 | $1,106.31 |
| Massachusetts | $1,101.09 | $1,101.09 |
| Washington | $1,098.83 | $1,098.83 |
| Georgia | $1,093.56 | $1,093.56 |
| Pennsylvania | $1,084.96 | $1,084.96 |
| New Mexico | $1,083.08 | $1,083.08 |
| Rhode Island | $1,077.76 | $1,077.76 |
| Puerto Rico | $1,074.48 | $1,074.48 |
| Virgin Islands | $1,074.48 | $1,074.48 |
| California | $1,074.02 | $1,074.02 |
| Montana | $1,073.52 | $1,073.52 |
| New Hampshire | $1,065.15 | $1,065.15 |
| Colorado | $1,064.09 | $1,064.09 |
| Texas | $1,061.65 | $1,061.65 |
| Delaware | $1,057.51 | $1,057.51 |
| Louisiana | $1,057.28 | $1,057.28 |
| Ohio | $1,051.03 | $1,051.03 |
| Oregon | $1,049.42 | $1,049.42 |
| Missouri | $1,048.53 | $1,048.53 |
| Nevada | $1,047.34 | $1,047.34 |
| Hawaii | $1,044.28 | $1,044.28 |
| Arizona | $1,042.17 | $1,042.17 |
| Utah | $1,040.87 | $1,040.87 |
| Wyoming | $1,032.15 | $1,032.15 |
| Kentucky | $1,029.48 | $1,029.48 |
| South Carolina | $1,028.75 | $1,028.75 |
| Virginia | $1,022.00 | $1,022.00 |
| Oklahoma | $1,008.46 | $1,008.46 |
| Maine | $1,001.64 | $1,001.64 |
| North Carolina | $997.41 | $997.41 |
| Mississippi | $993.51 | $993.51 |
| Vermont | $991.87 | $991.87 |
| North Dakota | $978.61 | $978.61 |
| Tennessee | $974.41 | $974.41 |
| Indiana | $971.22 | $971.22 |
| Alabama | $969.65 | $969.65 |
| Minnesota | $969.00 | $969.00 |
| Kansas | $967.74 | $967.74 |
| South Dakota | $967.38 | $967.38 |
| Idaho | $967.20 | $967.20 |
| Arkansas | $957.04 | $957.04 |
| Iowa | $953.63 | $953.63 |
| Nebraska | $952.80 | $952.80 |
| Wisconsin | $951.26 | $951.26 |

## Related codes

- 19000: Puncture aspiration of cyst of breast — https://www.med-reveal.com/rates/19000-cpt-fee-schedule
- 19020: Mastotomy with exploration or drainage of abscess — https://www.med-reveal.com/rates/19020-cpt-fee-schedule
- 19081: Biopsy, breast, with placement of localization device, stereotactic guidance, first lesion — https://www.med-reveal.com/rates/19081-cpt-fee-schedule
- 19083: Biopsy, breast, with placement of localization device, ultrasound guidance, first lesion — https://www.med-reveal.com/rates/19083-cpt-fee-schedule
- 19100: Biopsy of breast, percutaneous, needle core — https://www.med-reveal.com/rates/19100-cpt-fee-schedule
- 19120: Excision of cyst/fibroadenoma/lesion of breast — https://www.med-reveal.com/rates/19120-cpt-fee-schedule
- 19301: Mastectomy, partial (lumpectomy) — https://www.med-reveal.com/rates/19301-cpt-fee-schedule
- 19303: Mastectomy, simple, complete — https://www.med-reveal.com/rates/19303-cpt-fee-schedule

Commercial negotiated rates for 38100 by payer and state: https://www.med-reveal.com/solutions/rate-benchmarking

## Sources

- CMS Medicare fee schedules (2026 Q4): https://www.cms.gov/medicare/payment/fee-schedules