CPT 38500 pays $369.41 in a non-facility setting and $245.50 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $324.41 in Arkansas to $431.73 in Alaska, a 33% spread.
National non-facility rate
$369.41
Office and other outpatient settings
Hospital and ASC settings
Alaska
Arkansas · 33% 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 | $431.73 | $299.76 | |
| District of Columbia | $417.89 | $271.92 | |
| New York | $411.02 | $272.78 | |
| New Jersey | $405.45 | $265.91 | |
| California | $399.63 | $253.00 | |
| Florida | $398.59 | $274.26 | |
| Washington | $397.17 | $255.91 | |
| Massachusetts | $394.88 | $255.66 | |
| Connecticut | $394.81 | $261.35 | |
| Illinois | $389.95 | $270.21 | |
| Hawaii | $386.32 | $245.42 | |
| Maryland | $382.52 | $253.34 | |
| Colorado | $378.12 | $246.27 | |
| Rhode Island | $375.64 | $247.63 | |
| New Hampshire | $374.50 | $245.50 | |
| Oregon | $373.63 | $243.09 | |
| Puerto Rico | $371.34 | $246.06 | |
| Virgin Islands | $371.34 | $246.06 | |
| Montana | $369.35 | $245.44 | |
| Michigan | $368.50 | $252.14 | |
| Pennsylvania | $368.18 | $246.80 | |
| Georgia | $365.58 | $247.36 | |
| Nevada | $364.61 | $240.57 | |
| Texas | $364.61 | $242.61 | |
| Delaware | $364.41 | $241.98 | |
| Wyoming | $361.60 | $237.68 | |
| Arizona | $358.40 | $238.32 | |
| New Mexico | $357.55 | $243.92 | |
| Virginia | $356.91 | $235.10 | |
| Minnesota | $354.51 | $227.00 | |
| West Virginia | $354.10 | $246.42 | |
| Utah | $353.40 | $236.92 | |
| Vermont | $352.41 | $229.73 | |
| Louisiana | $352.05 | $238.92 | |
| North Dakota | $351.56 | $227.64 | |
| Missouri | $351.18 | $237.46 | |
| Ohio | $350.88 | $237.75 | |
| South Dakota | $349.45 | $225.54 | |
| Maine | $348.58 | $230.18 | |
| South Carolina | $348.51 | $234.01 | |
| North Carolina | $344.11 | $228.49 | |
| Kentucky | $342.91 | $232.75 | |
| Oklahoma | $339.62 | $228.96 | |
| Wisconsin | $339.55 | $220.84 | |
| Indiana | $338.21 | $223.34 | |
| Idaho | $336.31 | $222.31 | |
| Tennessee | $335.86 | $223.22 | |
| Nebraska | $334.10 | $219.73 | |
| Kansas | $333.79 | $221.77 | |
| Iowa | $332.95 | $219.56 | |
| Mississippi | $331.58 | $224.88 | |
| Alabama | $329.40 | $220.97 | |
| Arkansas | $324.41 | $217.97 |
Medicare is the floor, not the market. See what UHC, Aetna, Cigna and BCBS actually pay — down to the TIN.
See negotiated rates