CPT 38230 pays $174.02 in a non-facility setting and $174.02 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $155.86 in Wisconsin to $222.51 in Alaska, a 43% spread.
National non-facility rate
$174.02
Office and other outpatient settings
Hospital and ASC settings
Alaska
Wisconsin · 43% 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 | $222.51 | $222.51 | |
| Florida | $196.90 | $196.90 | |
| Illinois | $195.11 | $195.11 | |
| New York | $192.24 | $192.24 | |
| District of Columbia | $189.31 | $189.31 | |
| New Jersey | $186.41 | $186.41 | |
| Connecticut | $184.12 | $184.12 | |
| Michigan | $181.62 | $181.62 | |
| West Virginia | $179.66 | $179.66 | |
| Maryland | $178.90 | $178.90 | |
| Massachusetts | $177.96 | $177.96 | |
| Washington | $177.58 | $177.58 | |
| Georgia | $177.26 | $177.26 | |
| Pennsylvania | $175.96 | $175.96 | |
| New Mexico | $175.86 | $175.86 | |
| Rhode Island | $174.78 | $174.78 | |
| Puerto Rico | $174.05 | $174.05 | |
| Virgin Islands | $174.05 | $174.05 | |
| Montana | $173.97 | $173.97 | |
| California | $173.70 | $173.70 | |
| New Hampshire | $172.49 | $172.49 | |
| Colorado | $172.43 | $172.43 | |
| Texas | $172.38 | $172.38 | |
| Louisiana | $172.01 | $172.01 | |
| Delaware | $171.73 | $171.73 | |
| Ohio | $171.07 | $171.07 | |
| Missouri | $170.67 | $170.67 | |
| Oregon | $170.21 | $170.21 | |
| Nevada | $170.04 | $170.04 | |
| Arizona | $169.44 | $169.44 | |
| Utah | $169.40 | $169.40 | |
| Hawaii | $168.84 | $168.84 | |
| Kentucky | $167.97 | $167.97 | |
| Wyoming | $167.77 | $167.77 | |
| South Carolina | $167.67 | $167.67 | |
| Virginia | $166.34 | $166.34 | |
| Oklahoma | $164.80 | $164.80 | |
| Maine | $163.43 | $163.43 | |
| North Carolina | $162.92 | $162.92 | |
| Mississippi | $162.73 | $162.73 | |
| Vermont | $161.78 | $161.78 | |
| North Dakota | $159.73 | $159.73 | |
| Tennessee | $159.60 | $159.60 | |
| Alabama | $159.07 | $159.07 | |
| Indiana | $159.02 | $159.02 | |
| Kansas | $158.63 | $158.63 | |
| Idaho | $158.46 | $158.46 | |
| Minnesota | $158.13 | $158.13 | |
| South Dakota | $158.05 | $158.05 | |
| Arkansas | $157.27 | $157.27 | |
| Iowa | $156.45 | $156.45 | |
| Nebraska | $156.28 | $156.28 | |
| Wisconsin | $155.86 | $155.86 |
Medicare is the floor, not the market. See what UHC, Aetna, Cigna and BCBS actually pay — down to the TIN.
See negotiated rates