CPT code 38570: Laparoscopic node biopsy, retroperitoneal sampling2026 Medicare rate & RVUs in Bartlett, Illinois

CPT 38570: $531.13–$558.14 facility across 2 localities in Bartlett, IL in 2026 Medicare. Compare each area.

CMS RVU26DEffective Oct 1, 20262 payment localities

CMS doesn’t publish an office rate for 38570 in Bartlett, Illinois.

—Office (non-facility)
$531.13–$558.14Hospital or facility

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

We’ll open 38570 for the payment locality that covers the ZIP.

On this page 6 sections
  1. Rate in Bartlett, Illinois
  2. By payment locality
  3. City and payment areas
  4. How it’s calculated
  5. Payment rules
  6. Sources

Where 38570 pays more and less in Bartlett, Illinois

Bartlett, Illinois maps to 2 Medicare payment localities in our Census-to-CMS crosswalk. A city name alone doesn’t confirm an address’s payment area.

38570 office and facility rates by payment locality
Payment localityOfficeFacility
Chicago, ILUnavailable$558.14
Suburban Chicago, ILUnavailable$531.13

How payment areas work in Bartlett

City limits and Medicare payment areas are different maps. These are the payment areas that cover the city’s counties; the service ZIP decides which one applies.

  • Chicago · Cook County
  • Suburban Chicago · DuPage County, Kane County

City boundaries: 2026 Census geography · Census source · CMS county-to-locality definitions

How the 38570 rate is calculated

Each of 38570’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.

How the rate is built · 38570

RVUs × geographic indexes × conversion factor

Office or facility?

Work8.28

8.28 RVUs× 1.000 GPCI

Practice expense4.38

4.38 RVUs× 1.000 GPCI

Malpractice1.73

1.73 RVUs× 1.000 GPCI

Adjusted RVUs

14.3900

Conversion factor

$33.4009

Medicare rate

$480.64

Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.

Payment rules and modifiers for 38570

38570 has a 10-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 38570

Laparoscopic node biopsy, retroperitoneal sampling

RuleCMS valueWhat it means
Global period010Minor procedure: the day of the procedure plus 10 days after are included.
Multiple procedures3Endoscopy family rules apply.
Bilateral (modifier 50)0The 150% bilateral adjustment doesn’t apply.
Assistant at surgery (80/81/82/AS)2Paid.
Co-surgeons (62)2Permitted.
Team surgery (66)0Not permitted.
Professional/technical0Physician service: no professional/technical split.
Split (54/55/56)0.10/0.80/0.10Share of the payment for pre-op, the procedure itself, and post-op care.

Global surgery period · 38570

Laparoscopic node biopsy, retroperitoneal sampling

10-day global period ends

Oct 11, 2026

Covers Oct 1, 2026 through Oct 11, 2026 (11 days).

Visit on Oct 31, 2026

After the global period ends: visits and procedures are billed normally.

SurgeryVisit
Sep 28, 2026Oct 14, 2026

What modifiers do to the payment

Modifier 51 · payment effect

With and without the modifier

38570 without 51 · national facility

$480.64

Laparoscopic node biopsy, retroperitoneal sampling

38570-51 · Second procedure: 50%

$240.32

When this isn’t the highest-valued procedure in the session, Medicare pays 50% of its fee schedule amount (the highest is paid at 100%).

When to use modifier 51

Where these rates come from

FeeBase calculates base physician payments from CMS work, practice-expense and malpractice RVUs, adjusted by each locality’s geographic indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.

CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027

Show the CMS file lines behind this rate
RVUs for 38570PPRRVU2026_Oct_nonQPP.csv, line 4,753 (RVU26D)

Open CMS sourceHow we calculate rates

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