# CPT 38221: Diagnostic Bone Marrow Biopsies

Medicare 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.

Web page: https://www.med-reveal.com/rates/38221-cpt-fee-schedule
Section: Surgery and Procedures
Billed by: Hematology & Oncology

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $167.00 |
| National facility | $57.78 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| Alaska | $194.13 | $77.81 |
| District of Columbia | $191.32 | $62.65 |
| California | $189.10 | $59.86 |
| New Jersey | $184.78 | $61.80 |
| Washington | $184.57 | $60.05 |
| New York | $184.36 | $62.51 |
| Massachusetts | $182.64 | $59.93 |
| 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 | $166.40 | $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 |

## Related codes

- 10140: I&d Hematoma Seroma/fluid Collection — https://www.med-reveal.com/rates/10140-cpt-fee-schedule
- 11055: Paring/cutting Benign Hyperkeratotic Lesion 1 — https://www.med-reveal.com/rates/11055-cpt-fee-schedule
- 11056: Paring/cutting Benign Hyperkeratotic Lesion 2-4 — https://www.med-reveal.com/rates/11056-cpt-fee-schedule
- 11057: Paring/cutting Benign Hyperkeratotic Lesion >4 — https://www.med-reveal.com/rates/11057-cpt-fee-schedule
- 11403: Exc B9 Lesion Mrgn Xcp Sk Tg T/a/l 2.1-3.0 Cm — https://www.med-reveal.com/rates/11403-cpt-fee-schedule
- 11404: Exc B9 Lesion Mrgn Xcp Sk Tg T/a/l 3.1-4.0 Cm — https://www.med-reveal.com/rates/11404-cpt-fee-schedule
- 11406: Exc B9 Lesion Mrgn Xcp Sk Tg T/a/l >4.0 Cm — https://www.med-reveal.com/rates/11406-cpt-fee-schedule
- 11603: Excision Mal Lesion Trunk/arm/leg 2.1-3.0 Cm — https://www.med-reveal.com/rates/11603-cpt-fee-schedule

Commercial negotiated rates for 38221 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