CPT 38220 pays $167.67 in a non-facility setting and $55.45 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $148.51 in Arkansas to $194.03 in Alaska, a 31% spread.
National non-facility rate
$167.67
Office and other outpatient settings
Hospital and ASC settings
Alaska
Arkansas · 31% 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 | $194.03 | $74.50 | |
| District of Columbia | $192.48 | $60.27 | |
| California | $190.71 | $57.92 | |
| Washington | $185.85 | $57.91 | |
| New Jersey | $185.76 | $59.39 | |
| New York | $185.12 | $59.92 | |
| Massachusetts | $183.83 | $57.74 | |
| Hawaii | $183.61 | $56.01 | |
| Connecticut | $178.76 | $57.89 | |
| Colorado | $175.52 | $56.11 | |
| Oregon | $173.87 | $55.64 | |
| Maryland | $173.75 | $56.75 | |
| New Hampshire | $172.45 | $55.62 | |
| Rhode Island | $172.23 | $56.30 | |
| Florida | $170.94 | $58.34 | |
| Minnesota | $169.20 | $53.72 | |
| Puerto Rico | $169.01 | $55.55 | |
| Virgin Islands | $169.01 | $55.55 | |
| Montana | $167.67 | $55.44 | |
| Nevada | $167.30 | $54.96 | |
| Wyoming | $166.89 | $54.66 | |
| Illinois | $166.31 | $57.87 | |
| Delaware | $166.06 | $55.18 | |
| North Dakota | $165.89 | $53.66 | |
| Texas | $165.73 | $55.24 | |
| South Dakota | $165.68 | $53.45 | |
| Pennsylvania | $165.66 | $55.73 | |
| Vermont | $164.93 | $53.83 | |
| Virginia | $164.65 | $54.33 | |
| Arizona | $163.35 | $54.60 | |
| Georgia | $162.54 | $55.48 | |
| Michigan | $161.24 | $55.86 | |
| Maine | $160.96 | $53.73 | |
| Wisconsin | $160.32 | $52.80 | |
| Utah | $159.83 | $54.34 | |
| North Carolina | $158.17 | $53.47 | |
| New Mexico | $157.85 | $54.94 | |
| South Carolina | $157.68 | $53.98 | |
| Missouri | $157.29 | $54.30 | |
| Indiana | $156.96 | $52.93 | |
| Louisiana | $156.89 | $54.42 | |
| Ohio | $156.77 | $54.31 | |
| Nebraska | $156.13 | $52.55 | |
| Idaho | $156.04 | $52.79 | |
| Iowa | $155.18 | $52.50 | |
| Tennessee | $154.85 | $52.84 | |
| Kansas | $154.13 | $52.67 | |
| Oklahoma | $153.56 | $53.35 | |
| Kentucky | $153.48 | $53.71 | |
| West Virginia | $152.52 | $54.99 | |
| Alabama | $150.67 | $52.47 | |
| Mississippi | $149.43 | $52.80 | |
| Arkansas | $148.51 | $52.10 |
Medicare is the floor, not the market. See what UHC, Aetna, Cigna and BCBS actually pay — down to the TIN.
See negotiated rates