CPT 38222 pays $177.02 in a non-facility setting and $62.46 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $157.16 in Arkansas to $206.64 in Alaska, a 31% spread.
National non-facility rate
$177.02
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 | $206.64 | $84.63 | |
| District of Columbia | $202.45 | $67.50 | |
| California | $199.79 | $64.23 | |
| New Jersey | $195.66 | $66.66 | |
| New York | $195.36 | $67.55 | |
| Washington | $195.21 | $64.61 | |
| Massachusetts | $193.23 | $64.52 | |
| Hawaii | $192.45 | $62.19 | |
| Connecticut | $188.57 | $65.18 | |
| Colorado | $184.69 | $62.80 | |
| Maryland | $183.32 | $63.89 | |
| Oregon | $182.94 | $62.24 | |
| New Hampshire | $181.64 | $62.38 | |
| Rhode Island | $181.60 | $63.25 | |
| Florida | $181.56 | $66.61 | |
| Puerto Rico | $178.34 | $62.52 | |
| Virgin Islands | $178.34 | $62.52 | |
| Minnesota | $177.62 | $59.73 | |
| Montana | $177.02 | $62.45 | |
| Illinois | $176.89 | $66.20 | |
| Nevada | $176.43 | $61.75 | |
| Wyoming | $175.90 | $61.33 | |
| Delaware | $175.31 | $62.12 | |
| Pennsylvania | $175.16 | $62.95 | |
| Texas | $175.02 | $62.23 | |
| North Dakota | $174.45 | $59.88 | |
| South Dakota | $174.14 | $59.58 | |
| Vermont | $173.62 | $60.20 | |
| Virginia | $173.61 | $60.99 | |
| Arizona | $172.50 | $61.48 | |
| Georgia | $172.16 | $62.86 | |
| Michigan | $171.11 | $63.54 | |
| Maine | $169.80 | $60.33 | |
| Utah | $169.03 | $61.34 | |
| Wisconsin | $168.73 | $58.98 | |
| New Mexico | $167.45 | $62.39 | |
| North Carolina | $167.02 | $60.13 | |
| South Carolina | $166.80 | $60.95 | |
| Missouri | $166.59 | $61.46 | |
| Louisiana | $166.27 | $61.68 | |
| Ohio | $166.10 | $61.51 | |
| Indiana | $165.60 | $59.40 | |
| Idaho | $164.66 | $59.26 | |
| Nebraska | $164.63 | $58.88 | |
| Iowa | $163.70 | $58.88 | |
| Tennessee | $163.56 | $59.42 | |
| Kansas | $162.78 | $59.22 | |
| Kentucky | $162.68 | $60.83 | |
| Oklahoma | $162.58 | $60.28 | |
| West Virginia | $162.40 | $62.84 | |
| Alabama | $159.40 | $59.16 | |
| Mississippi | $158.39 | $59.75 | |
| Arkansas | $157.16 | $58.75 |
Medicare is the floor, not the market. See what UHC, Aetna, Cigna and BCBS actually pay — down to the TIN.
See negotiated rates