# CPT 38745: Axillary lymphadenectomy, complete

Medicare CPT 38745 pays $840.03 in a non-facility setting and $840.03 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $746.08 in Arkansas to $1,032.53 in Alaska, a 38% spread.

Web page: https://www.med-reveal.com/rates/38745-cpt-fee-schedule
Section: Surgery and Procedures

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $840.03 |
| National facility | $840.03 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| Alaska | $1,032.53 | $1,032.53 |
| Florida | $948.77 | $948.77 |
| Illinois | $936.11 | $936.11 |
| New York | $934.13 | $934.13 |
| District of Columbia | $926.16 | $926.16 |
| New Jersey | $907.28 | $907.28 |
| Connecticut | $894.12 | $894.12 |
| Michigan | $869.70 | $869.70 |
| Massachusetts | $868.99 | $868.99 |
| Washington | $868.66 | $868.66 |
| Maryland | $866.40 | $866.40 |
| California | $854.41 | $854.41 |
| West Virginia | $853.16 | $853.16 |
| Georgia | $850.46 | $850.46 |
| Pennsylvania | $846.33 | $846.33 |
| Rhode Island | $845.37 | $845.37 |
| Puerto Rico | $841.34 | $841.34 |
| Virgin Islands | $841.34 | $841.34 |
| New Mexico | $840.14 | $840.14 |
| Montana | $839.80 | $839.80 |
| Colorado | $838.08 | $838.08 |
| New Hampshire | $837.05 | $837.05 |
| Texas | $830.16 | $830.16 |
| Hawaii | $829.70 | $829.70 |
| Delaware | $827.49 | $827.49 |
| Oregon | $826.85 | $826.85 |
| Louisiana | $821.50 | $821.50 |
| Nevada | $821.29 | $821.29 |
| Ohio | $817.06 | $817.06 |
| Missouri | $815.64 | $815.64 |
| Arizona | $815.12 | $815.12 |
| Utah | $811.94 | $811.94 |
| Wyoming | $810.42 | $810.42 |
| South Carolina | $802.08 | $802.08 |
| Virginia | $801.88 | $801.88 |
| Kentucky | $799.88 | $799.88 |
| Maine | $785.28 | $785.28 |
| Oklahoma | $785.26 | $785.26 |
| Vermont | $781.02 | $781.02 |
| North Carolina | $780.52 | $780.52 |
| North Dakota | $772.38 | $772.38 |
| Mississippi | $772.14 | $772.14 |
| Minnesota | $767.81 | $767.81 |
| South Dakota | $764.40 | $764.40 |
| Tennessee | $762.31 | $762.31 |
| Indiana | $761.45 | $761.45 |
| Idaho | $758.04 | $758.04 |
| Kansas | $757.18 | $757.18 |
| Alabama | $756.28 | $756.28 |
| Wisconsin | $749.68 | $749.68 |
| Nebraska | $748.05 | $748.05 |
| Iowa | $748.02 | $748.02 |
| Arkansas | $746.08 | $746.08 |

## 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 38745 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