# CPT 58100: Endometrial biopsy

Medicare CPT 58100 pays $98.20 in a non-facility setting and $55.11 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $87.50 in Arkansas to $118.12 in Alaska, a 35% spread.

Web page: https://www.med-reveal.com/rates/58100-cpt-fee-schedule
Section: Surgery and Procedures
Billed by: Family Medicine, Obstetrics & Gynecology

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $98.20 |
| National facility | $55.11 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| Alaska | $118.12 | $72.23 |
| District of Columbia | $110.33 | $59.58 |
| New York | $108.57 | $60.50 |
| New Jersey | $107.33 | $58.82 |
| California | $105.89 | $54.90 |
| Washington | $105.21 | $56.09 |
| Florida | $105.01 | $61.78 |
| Massachusetts | $104.62 | $56.21 |
| Connecticut | $104.45 | $58.04 |
| Illinois | $102.98 | $61.35 |
| Hawaii | $102.34 | $53.35 |
| Maryland | $101.46 | $56.54 |
| Colorado | $100.45 | $54.60 |
| Rhode Island | $99.90 | $55.39 |
| New Hampshire | $99.44 | $54.59 |
| Oregon | $99.35 | $53.95 |
| Puerto Rico | $98.66 | $55.10 |
| Virgin Islands | $98.66 | $55.10 |
| Montana | $98.18 | $55.10 |
| Pennsylvania | $97.98 | $55.77 |
| Michigan | $97.90 | $57.44 |
| Georgia | $97.26 | $56.15 |
| Texas | $97.11 | $54.70 |
| Nevada | $97.08 | $53.95 |
| Delaware | $97.07 | $54.50 |
| Wyoming | $96.37 | $53.29 |
| Arizona | $95.58 | $53.83 |
| New Mexico | $95.31 | $55.80 |
| Virginia | $95.26 | $52.90 |
| Minnesota | $94.76 | $50.43 |
| West Virginia | $94.44 | $57.00 |
| Utah | $94.38 | $53.87 |
| Vermont | $94.22 | $51.56 |
| Louisiana | $94.03 | $54.69 |
| North Dakota | $94.03 | $50.95 |
| Missouri | $93.83 | $54.29 |
| Ohio | $93.75 | $54.41 |
| South Dakota | $93.54 | $50.45 |
| Maine | $93.28 | $52.11 |
| South Carolina | $93.21 | $53.40 |
| North Carolina | $92.20 | $52.00 |
| Kentucky | $91.86 | $53.55 |
| Wisconsin | $91.17 | $49.89 |
| Oklahoma | $91.09 | $52.62 |
| Indiana | $90.81 | $50.87 |
| Idaho | $90.36 | $50.72 |
| Tennessee | $90.24 | $51.07 |
| Nebraska | $89.85 | $50.08 |
| Kansas | $89.75 | $50.80 |
| Iowa | $89.57 | $50.14 |
| Mississippi | $89.17 | $52.07 |
| Alabama | $88.68 | $50.98 |
| Arkansas | $87.50 | $50.49 |

## Related codes

- 54150: Circumcision, using clamp/device, newborn — https://www.med-reveal.com/rates/54150-cpt-fee-schedule
- 54160: Circumcision, surgical excision, other than clamp, newborn — https://www.med-reveal.com/rates/54160-cpt-fee-schedule
- 54161: Circumcision, surgical excision, older than 28 days — https://www.med-reveal.com/rates/54161-cpt-fee-schedule
- 54405: Insertion of multi-component inflatable penile prosthesis — https://www.med-reveal.com/rates/54405-cpt-fee-schedule
- 54500: Biopsy of testis — https://www.med-reveal.com/rates/54500-cpt-fee-schedule
- 54520: Orchiectomy, simple — https://www.med-reveal.com/rates/54520-cpt-fee-schedule
- 54522: Orchiectomy, partial — https://www.med-reveal.com/rates/54522-cpt-fee-schedule
- 54600: Reduction of torsion of testis — https://www.med-reveal.com/rates/54600-cpt-fee-schedule

Commercial negotiated rates for 58100 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