CPT 67938 pays $252.18 in a non-facility setting and $100.20 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $222.29 in Arkansas to $291.34 in District of Columbia, a 31% spread.
National non-facility rate
$252.18
Office and other outpatient settings
Hospital and ASC settings
District of Columbia
Arkansas · 31% 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 |
|---|---|---|---|
| District of Columbia | $291.34 | $112.32 | |
| California | $290.46 | $110.63 | |
| Alaska | $287.15 | $125.30 | |
| Washington | $281.89 | $108.64 | |
| New Jersey | $280.50 | $109.38 | |
| Hawaii | $279.43 | $106.63 | |
| New York | $278.74 | $109.20 | |
| Massachusetts | $278.48 | $107.73 | |
| Connecticut | $269.29 | $105.61 | |
| Colorado | $265.40 | $103.70 | |
| Oregon | $262.96 | $102.85 | |
| Maryland | $261.63 | $103.20 | |
| New Hampshire | $260.33 | $102.13 | |
| Rhode Island | $259.58 | $102.60 | |
| Minnesota | $256.71 | $100.33 | |
| Florida | $254.76 | $102.28 | |
| Puerto Rico | $254.40 | $100.76 | |
| Virgin Islands | $254.40 | $100.76 | |
| Montana | $252.17 | $100.20 | |
| Nevada | $252.05 | $99.92 | |
| Wyoming | $251.66 | $99.68 | |
| North Dakota | $250.99 | $99.01 | |
| South Dakota | $250.85 | $98.87 | |
| Delaware | $249.74 | $99.59 | |
| Vermont | $249.14 | $98.68 | |
| Texas | $249.10 | $99.48 | |
| Pennsylvania | $248.52 | $99.66 | |
| Virginia | $248.10 | $98.71 | |
| Illinois | $247.24 | $100.39 | |
| Arizona | $245.53 | $98.27 | |
| Georgia | $243.20 | $98.22 | |
| Maine | $242.30 | $97.09 | |
| Wisconsin | $242.18 | $96.59 | |
| Michigan | $240.48 | $97.78 | |
| Utah | $239.67 | $96.81 | |
| North Carolina | $237.71 | $95.92 | |
| South Carolina | $236.29 | $95.87 | |
| Indiana | $236.18 | $95.30 | |
| New Mexico | $235.56 | $96.20 | |
| Missouri | $235.26 | $95.80 | |
| Nebraska | $235.14 | $94.87 | |
| Idaho | $234.71 | $94.90 | |
| Louisiana | $234.43 | $95.68 | |
| Ohio | $234.35 | $95.60 | |
| Iowa | $233.54 | $94.48 | |
| Tennessee | $232.59 | $94.44 | |
| Kansas | $231.49 | $94.11 | |
| Oklahoma | $229.79 | $94.07 | |
| Kentucky | $229.24 | $94.14 | |
| West Virginia | $226.17 | $94.11 | |
| Alabama | $225.67 | $92.69 | |
| Mississippi | $223.15 | $92.30 | |
| Arkansas | $222.29 | $91.74 |
Medicare is the floor, not the market. See what UHC, Aetna, Cigna and BCBS actually pay — down to the TIN.
See negotiated rates