CPT 38525 pays $430.54 in a non-facility setting and $430.54 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $380.86 in Arkansas to $521.98 in Alaska, a 37% spread.
National non-facility rate
$430.54
Office and other outpatient settings
Hospital and ASC settings
Alaska
Arkansas · 37% 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 | $521.98 | $521.98 | |
| Florida | $482.00 | $482.00 | |
| New York | $479.15 | $479.15 | |
| District of Columbia | $477.71 | $477.71 | |
| Illinois | $474.61 | $474.61 | |
| New Jersey | $466.84 | $466.84 | |
| Connecticut | $458.90 | $458.90 | |
| Washington | $449.22 | $449.22 | |
| Massachusetts | $448.76 | $448.76 | |
| Maryland | $444.54 | $444.54 | |
| California | $444.10 | $444.10 | |
| Michigan | $442.24 | $442.24 | |
| Rhode Island | $434.23 | $434.23 | |
| Georgia | $433.72 | $433.72 | |
| Pennsylvania | $432.70 | $432.70 | |
| Colorado | $431.98 | $431.98 | |
| West Virginia | $431.79 | $431.79 | |
| Puerto Rico | $431.57 | $431.57 | |
| Virgin Islands | $431.57 | $431.57 | |
| Hawaii | $430.82 | $430.82 | |
| New Hampshire | $430.68 | $430.68 | |
| Montana | $430.43 | $430.43 | |
| New Mexico | $427.46 | $427.46 | |
| Oregon | $426.30 | $426.30 | |
| Texas | $425.27 | $425.27 | |
| Delaware | $424.15 | $424.15 | |
| Nevada | $421.72 | $421.72 | |
| Louisiana | $418.51 | $418.51 | |
| Arizona | $417.61 | $417.61 | |
| Wyoming | $416.56 | $416.56 | |
| Ohio | $416.41 | $416.41 | |
| Missouri | $415.92 | $415.92 | |
| Utah | $415.01 | $415.01 | |
| Virginia | $411.88 | $411.88 | |
| South Carolina | $409.75 | $409.75 | |
| Kentucky | $407.39 | $407.39 | |
| Maine | $403.01 | $403.01 | |
| Vermont | $402.30 | $402.30 | |
| Oklahoma | $400.64 | $400.64 | |
| North Carolina | $399.91 | $399.91 | |
| North Dakota | $398.59 | $398.59 | |
| Minnesota | $397.53 | $397.53 | |
| South Dakota | $394.83 | $394.83 | |
| Mississippi | $393.24 | $393.24 | |
| Indiana | $390.68 | $390.68 | |
| Tennessee | $390.41 | $390.41 | |
| Idaho | $388.81 | $388.81 | |
| Kansas | $387.80 | $387.80 | |
| Wisconsin | $386.30 | $386.30 | |
| Alabama | $386.28 | $386.28 | |
| Nebraska | $384.20 | $384.20 | |
| Iowa | $383.89 | $383.89 | |
| Arkansas | $380.86 | $380.86 |
Medicare is the floor, not the market. See what UHC, Aetna, Cigna and BCBS actually pay — down to the TIN.
See negotiated rates