# CPT 85097: Bone marrow, smear interpretation

Medicare CPT 85097 pays $67.80 in a non-facility setting and $39.08 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $62.00 in Arkansas to $84.72 in Alaska, a 37% spread.

Web page: https://www.med-reveal.com/rates/85097-cpt-fee-schedule
Section: Laboratory and Pathology

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $67.80 |
| National facility | $39.08 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| Alaska | $84.72 | $54.13 |
| District of Columbia | $75.95 | $42.12 |
| California | $74.63 | $40.64 |
| New Jersey | $73.99 | $41.64 |
| New York | $73.95 | $41.91 |
| Washington | $73.38 | $40.63 |
| Massachusetts | $72.79 | $40.52 |
| Hawaii | $71.95 | $39.29 |
| Connecticut | $71.50 | $40.56 |
| Colorado | $70.07 | $39.51 |
| Maryland | $69.84 | $39.89 |
| Florida | $69.50 | $40.69 |
| Oregon | $69.49 | $39.22 |
| Rhode Island | $69.38 | $39.70 |
| New Hampshire | $69.05 | $39.14 |
| Illinois | $68.24 | $40.48 |
| Puerto Rico | $68.17 | $39.13 |
| Virgin Islands | $68.17 | $39.13 |
| Montana | $67.80 | $39.08 |
| Minnesota | $67.65 | $38.10 |
| Nevada | $67.56 | $38.81 |
| Pennsylvania | $67.47 | $39.33 |
| Wyoming | $67.37 | $38.64 |
| Delaware | $67.36 | $38.98 |
| Texas | $67.31 | $39.03 |
| North Dakota | $66.81 | $38.09 |
| Virginia | $66.71 | $38.47 |
| South Dakota | $66.69 | $37.97 |
| Vermont | $66.62 | $38.19 |
| Georgia | $66.55 | $39.14 |
| Arizona | $66.47 | $38.63 |
| Michigan | $66.32 | $39.35 |
| Maine | $65.61 | $38.16 |
| Utah | $65.51 | $38.51 |
| New Mexico | $65.20 | $38.86 |
| Wisconsin | $65.16 | $37.64 |
| Missouri | $64.86 | $38.50 |
| South Carolina | $64.86 | $38.32 |
| North Carolina | $64.83 | $38.03 |
| Louisiana | $64.80 | $38.58 |
| Ohio | $64.74 | $38.51 |
| Indiana | $64.36 | $37.73 |
| Idaho | $64.09 | $37.66 |
| Nebraska | $64.04 | $37.53 |
| West Virginia | $63.89 | $38.92 |
| Tennessee | $63.81 | $37.70 |
| Iowa | $63.79 | $37.50 |
| Kentucky | $63.73 | $38.20 |
| Oklahoma | $63.64 | $37.99 |
| Kansas | $63.58 | $37.61 |
| Alabama | $62.65 | $37.52 |
| Mississippi | $62.45 | $37.71 |
| Arkansas | $62.00 | $37.33 |

## Related codes

- 85002: Bleeding time — https://www.med-reveal.com/rates/85002-cpt-fee-schedule
- 85004: Blood count, automated differential WBC — https://www.med-reveal.com/rates/85004-cpt-fee-schedule
- 85007: Blood count, blood smear, microscopic examination with manual differential — https://www.med-reveal.com/rates/85007-cpt-fee-schedule
- 85008: Blood count, blood smear, microscopic examination without manual differential — https://www.med-reveal.com/rates/85008-cpt-fee-schedule
- 85009: Blood count, manual differential WBC count — https://www.med-reveal.com/rates/85009-cpt-fee-schedule
- 85013: Blood count, spun microhematocrit — https://www.med-reveal.com/rates/85013-cpt-fee-schedule
- 85014: Blood count, hematocrit (Hct) — https://www.med-reveal.com/rates/85014-cpt-fee-schedule
- 85018: Blood count, hemoglobin (Hgb) — https://www.med-reveal.com/rates/85018-cpt-fee-schedule

Commercial negotiated rates for 85097 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