CPT 38242 pays $105.88 in a non-facility setting and $105.88 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $99.04 in Arkansas to $140.29 in Alaska, a 42% spread.
National non-facility rate
$105.88
Office and other outpatient settings
Hospital and ASC settings
Alaska
Arkansas · 42% 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 | $140.29 | $140.29 | |
| District of Columbia | $115.89 | $115.89 | |
| New York | $114.57 | $114.57 | |
| New Jersey | $113.89 | $113.89 | |
| California | $112.14 | $112.14 | |
| Washington | $111.60 | $111.60 | |
| Massachusetts | $111.11 | $111.11 | |
| Connecticut | $110.73 | $110.73 | |
| Florida | $110.42 | $110.42 | |
| Illinois | $109.29 | $109.29 | |
| Maryland | $108.51 | $108.51 | |
| Hawaii | $108.35 | $108.35 | |
| Colorado | $107.76 | $107.76 | |
| Rhode Island | $107.75 | $107.75 | |
| Oregon | $106.87 | $106.87 | |
| New Hampshire | $106.62 | $106.62 | |
| Puerto Rico | $106.17 | $106.17 | |
| Virgin Islands | $106.17 | $106.17 | |
| Pennsylvania | $106.16 | $106.16 | |
| Montana | $105.87 | $105.87 | |
| Michigan | $105.81 | $105.81 | |
| Texas | $105.42 | $105.42 | |
| Georgia | $105.41 | $105.41 | |
| Delaware | $105.36 | $105.36 | |
| Nevada | $105.13 | $105.13 | |
| Wyoming | $104.67 | $104.67 | |
| Arizona | $104.20 | $104.20 | |
| New Mexico | $104.13 | $104.13 | |
| Virginia | $103.96 | $103.96 | |
| West Virginia | $103.65 | $103.65 | |
| Minnesota | $103.53 | $103.53 | |
| Utah | $103.46 | $103.46 | |
| Louisiana | $103.28 | $103.28 | |
| Vermont | $103.25 | $103.25 | |
| Missouri | $103.14 | $103.14 | |
| North Dakota | $103.10 | $103.10 | |
| Ohio | $103.10 | $103.10 | |
| South Dakota | $102.78 | $102.78 | |
| South Carolina | $102.72 | $102.72 | |
| Maine | $102.69 | $102.69 | |
| North Carolina | $102.02 | $102.02 | |
| Kentucky | $101.89 | $101.89 | |
| Oklahoma | $101.37 | $101.37 | |
| Wisconsin | $101.28 | $101.28 | |
| Indiana | $101.11 | $101.11 | |
| Idaho | $100.82 | $100.82 | |
| Tennessee | $100.77 | $100.77 | |
| Nebraska | $100.48 | $100.48 | |
| Kansas | $100.45 | $100.45 | |
| Iowa | $100.31 | $100.31 | |
| Mississippi | $100.16 | $100.16 | |
| Alabama | $99.80 | $99.80 | |
| Arkansas | $99.04 | $99.04 |
Medicare is the floor, not the market. See what UHC, Aetna, Cigna and BCBS actually pay — down to the TIN.
See negotiated rates