CPT 38221 pays $167.00 in a non-facility setting and $57.78 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $148.08 in Arkansas to $194.13 in Alaska, a 31% spread.
National non-facility rate
$167.00
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 | $194.13 | $77.81 | |
| District of Columbia | $191.32 | $62.65 | |
| California | $189.10 | $59.86 | |
| New Jersey | $184.78 | $61.79 | |
| Washington | $184.57 | $60.05 | |
| New York | $184.36 | $62.51 | |
| Massachusetts | $182.63 | $59.92 | |
| Hawaii | $182.11 | $57.93 | |
| Connecticut | $177.97 | $60.34 | |
| Colorado | $174.48 | $58.27 | |
| Maryland | $173.00 | $59.14 | |
| Oregon | $172.83 | $57.76 | |
| New Hampshire | $171.53 | $57.83 | |
| Rhode Island | $171.41 | $58.59 | |
| Florida | $170.89 | $61.30 | |
| Puerto Rico | $168.29 | $57.86 | |
| Virgin Islands | $168.29 | $57.86 | |
| Minnesota | $167.94 | $55.56 | |
| Montana | $167.00 | $57.78 | |
| Nevada | $166.51 | $57.18 | |
| Illinois | $166.39 | $60.86 | |
| Wyoming | $166.05 | $56.83 | |
| Delaware | $165.38 | $57.47 | |
| Pennsylvania | $165.14 | $58.16 | |
| Texas | $165.09 | $57.56 | |
| North Dakota | $164.82 | $55.60 | |
| South Dakota | $164.56 | $55.34 | |
| Vermont | $163.97 | $55.84 | |
| Virginia | $163.86 | $56.49 | |
| Arizona | $162.71 | $56.87 | |
| Georgia | $162.20 | $58.00 | |
| Michigan | $161.09 | $58.53 | |
| Maine | $160.22 | $55.86 | |
| Wisconsin | $159.36 | $54.72 | |
| Utah | $159.33 | $56.67 | |
| New Mexico | $157.65 | $57.50 | |
| North Carolina | $157.53 | $55.63 | |
| South Carolina | $157.21 | $56.29 | |
| Missouri | $156.94 | $56.71 | |
| Louisiana | $156.60 | $56.88 | |
| Ohio | $156.46 | $56.74 | |
| Indiana | $156.24 | $54.99 | |
| Nebraska | $155.36 | $54.55 | |
| Idaho | $155.34 | $54.86 | |
| Iowa | $154.45 | $54.52 | |
| Tennessee | $154.24 | $54.96 | |
| Kansas | $153.51 | $54.77 | |
| Kentucky | $153.20 | $56.10 | |
| Oklahoma | $153.18 | $55.64 | |
| West Virginia | $152.66 | $57.75 | |
| Alabama | $150.21 | $54.64 | |
| Mississippi | $149.15 | $55.11 | |
| Arkansas | $148.08 | $54.26 |
Medicare is the floor, not the market. See what UHC, Aetna, Cigna and BCBS actually pay — down to the TIN.
See negotiated rates