# CPT 38720: Cervical lymphadenectomy, complete

Medicare CPT 38720 pays $1,195.08 in a non-facility setting and $1,195.08 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $1,083.58 in Arkansas to $1,518.28 in Alaska, a 40% spread.

Web page: https://www.med-reveal.com/rates/38720-cpt-fee-schedule
Section: Surgery and Procedures

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $1,195.08 |
| National facility | $1,195.08 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| Alaska | $1,518.28 | $1,518.28 |
| Florida | $1,316.73 | $1,316.73 |
| New York | $1,315.54 | $1,315.54 |
| District of Columbia | $1,310.90 | $1,310.90 |
| Illinois | $1,301.60 | $1,301.60 |
| New Jersey | $1,286.88 | $1,286.88 |
| Connecticut | $1,263.29 | $1,263.29 |
| Washington | $1,240.18 | $1,240.18 |
| Massachusetts | $1,239.14 | $1,239.14 |
| Maryland | $1,229.24 | $1,229.24 |
| California | $1,227.16 | $1,227.16 |
| Michigan | $1,225.41 | $1,225.41 |
| Rhode Island | $1,206.57 | $1,206.57 |
| Georgia | $1,204.93 | $1,204.93 |
| West Virginia | $1,203.68 | $1,203.68 |
| Pennsylvania | $1,203.07 | $1,203.07 |
| Colorado | $1,198.39 | $1,198.39 |
| Puerto Rico | $1,197.06 | $1,197.06 |
| Virgin Islands | $1,197.06 | $1,197.06 |
| Montana | $1,194.83 | $1,194.83 |
| New Hampshire | $1,193.65 | $1,193.65 |
| New Mexico | $1,191.36 | $1,191.36 |
| Hawaii | $1,189.88 | $1,189.88 |
| Oregon | $1,184.51 | $1,184.51 |
| Texas | $1,184.49 | $1,184.49 |
| Delaware | $1,181.57 | $1,181.57 |
| Nevada | $1,174.19 | $1,174.19 |
| Louisiana | $1,170.35 | $1,170.35 |
| Arizona | $1,165.81 | $1,165.81 |
| Ohio | $1,165.39 | $1,165.39 |
| Missouri | $1,164.02 | $1,164.02 |
| Wyoming | $1,162.00 | $1,162.00 |
| Utah | $1,160.92 | $1,160.92 |
| Virginia | $1,151.67 | $1,151.67 |
| South Carolina | $1,149.16 | $1,149.16 |
| Kentucky | $1,145.08 | $1,145.08 |
| Maine | $1,131.85 | $1,131.85 |
| Oklahoma | $1,128.93 | $1,128.93 |
| Vermont | $1,128.69 | $1,128.69 |
| North Carolina | $1,125.49 | $1,125.49 |
| North Dakota | $1,119.49 | $1,119.49 |
| Minnesota | $1,115.73 | $1,115.73 |
| Mississippi | $1,112.80 | $1,112.80 |
| South Dakota | $1,110.59 | $1,110.59 |
| Tennessee | $1,104.04 | $1,104.04 |
| Indiana | $1,103.90 | $1,103.90 |
| Idaho | $1,099.78 | $1,099.78 |
| Kansas | $1,098.07 | $1,098.07 |
| Alabama | $1,095.72 | $1,095.72 |
| Wisconsin | $1,092.19 | $1,092.19 |
| Nebraska | $1,088.75 | $1,088.75 |
| Iowa | $1,088.34 | $1,088.34 |
| Arkansas | $1,083.58 | $1,083.58 |

## 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 38720 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