# CPT 38500: Biopsy or excision of lymph node(s), superficial

Medicare 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.

Web page: https://www.med-reveal.com/rates/38500-cpt-fee-schedule
Section: Surgery and Procedures
Billed by: General Surgery

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $369.41 |
| National facility | $245.50 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| Alaska | $431.73 | $299.76 |
| District of Columbia | $417.89 | $271.92 |
| New York | $411.03 | $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 | $270.22 |
| 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 | $373.64 | $243.08 |
| 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 | $247.37 |
| Nevada | $364.61 | $240.57 |
| Texas | $364.61 | $242.62 |
| 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 | $348.59 | $230.19 |
| 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 |

## Related codes

- 19000: Puncture aspiration of cyst of breast — https://www.med-reveal.com/rates/19000-cpt-fee-schedule
- 19020: Mastotomy with exploration or drainage of abscess — https://www.med-reveal.com/rates/19020-cpt-fee-schedule
- 19081: Biopsy, breast, with placement of localization device, stereotactic guidance, first lesion — https://www.med-reveal.com/rates/19081-cpt-fee-schedule
- 19083: Biopsy, breast, with placement of localization device, ultrasound guidance, first lesion — https://www.med-reveal.com/rates/19083-cpt-fee-schedule
- 19100: Biopsy of breast, percutaneous, needle core — https://www.med-reveal.com/rates/19100-cpt-fee-schedule
- 19120: Excision of cyst/fibroadenoma/lesion of breast — https://www.med-reveal.com/rates/19120-cpt-fee-schedule
- 19301: Mastectomy, partial (lumpectomy) — https://www.med-reveal.com/rates/19301-cpt-fee-schedule
- 19303: Mastectomy, simple, complete — https://www.med-reveal.com/rates/19303-cpt-fee-schedule

Commercial negotiated rates for 38500 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