CPT code 44970: Appendectomy, laparoscopic approach2026 Medicare rate & RVUs in Chico, CA
Reports surgical removal of the appendix using a laparoscopic approach, commonly for acute appendicitis when the surgeon completes the operation through minimally invasive access.
In Chico, CA, Medicare pays $564.85 for 44970 in a facility. There’s no office rate.
Check a contract rate as a % of Medicare · 44970 nationwide
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 11 sections
What 44970 covers
A surgeon removes the appendix through small abdominal incisions using a camera and laparoscopic instruments. The operation is commonly performed in a hospital operating room for acute appendicitis, including cases where inflammation or infection affects the appendix. The surgeon identifies and frees the appendix, divides it from its attachments, and removes it from the abdomen. General or acute care surgeons typically perform the procedure.
Select this code when the operative report supports a laparoscopic appendectomy; document the indication, approach, and work performed. It has a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard multiple-procedure reduction. Modifier 50 is inappropriate for the single appendix. Assistant-at-surgery and co-surgeon services may be paid; team surgery is not permitted.
This summary was written with AI assistance from CMS physician fee schedule data and checked against the CMS billing rules shown here. Rates on this page come directly from CMS files.
How Chico, CA compares for 44970
Across 109 of 109 payment localities, the facility rate for 44970 runs from $512.68 in Arkansas to $708.71 in Alaska. Chico, CA pays $564.85. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Chico, CA · this page$564.85
- Bakersfield, CA · California$571.27+$6.42
- El Centro, CA · California$565.25+$0.40
- Fresno, CA · California$564.85
- Hanford, CA · California$564.85
- Los Angeles, CA · California$599.03+$34.18
- Madera, CA · California$564.85
Other areas in California first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| Merced, CACalifornia | — | $564.85 |
| Modesto, CACalifornia | — | $564.85 |
| Napa, CACalifornia | — | $619.19 |
| Oxnard, CACalifornia | — | $591.59 |
| Redding, CACalifornia | — | $564.85 |
| Rest of CaliforniaCalifornia | — | $564.85 |
| Riverside, CACalifornia | — | $590.36 |
| Sacramento, CACalifornia | — | $583.50 |
| Salinas, CACalifornia | — | $581.20 |
| San Diego, CACalifornia | — | $588.44 |
| Marin County, CACalifornia | — | $642.72 |
| San Francisco, CACalifornia | — | $640.02 |
| San Benito County, CACalifornia | — | $659.57 |
| Santa Clara County, CACalifornia | — | $648.52 |
| San Luis Obispo, CACalifornia | — | $573.07 |
| Santa Cruz, CACalifornia | — | $588.82 |
| Santa Maria, CACalifornia | — | $581.61 |
| Santa Rosa, CACalifornia | — | $594.07 |
| Stockton, CACalifornia | — | $564.85 |
| Vallejo, CACalifornia | — | $615.30 |
| Visalia, CACalifornia | — | $564.85 |
| Yuba City, CACalifornia | — | $564.85 |
| Washington, DC areaDistrict of Columbia | — | $637.77 |
| Miami, FLFlorida | — | $707.55 |
| Chicago, ILIllinois | — | $684.22 |
| Manhattan, NYNew York | — | $675.39 |
| AlaskaAlaska | — | $708.71 |
| AlabamaAlabama | — | $519.79 |
| ArkansasArkansas | — | $512.68 |
| ArizonaArizona | — | $560.80 |
| ColoradoColorado | — | $576.68 |
| ConnecticutConnecticut | — | $615.73 |
| DelawareDelaware | — | $569.39 |
| Fort Lauderdale, FLFlorida | — | $644.88 |
| Rest of FloridaFlorida | — | $609.75 |
| Atlanta, GAGeorgia | — | $598.13 |
| Rest of GeorgiaGeorgia | — | $572.80 |
| Hawaii, Guam, HIHawaii | — | $570.88 |
| IowaIowa | — | $514.00 |
| IdahoIdaho | — | $520.99 |
| East St. Louis, ILIllinois | — | $643.49 |
| Rest of IllinoisIllinois | — | $606.30 |
| Suburban Chicago, ILIllinois | — | $646.85 |
| IndianaIndiana | — | $523.36 |
| KansasKansas | — | $520.40 |
| KentuckyKentucky | — | $550.21 |
| New Orleans, LALouisiana | — | $577.71 |
| Rest of LouisianaLouisiana | — | $552.86 |
| Metropolitan Boston, MAMassachusetts | — | $619.10 |
| Rest of MassachusettsMassachusetts | — | $577.08 |
| Baltimore area, MDMaryland | — | $615.88 |
| Rest of MarylandMaryland | — | $577.02 |
| Rest of MaineMaine | — | $532.84 |
| Southern Maine, MEMaine | — | $547.12 |
| Detroit, MIMichigan | — | $626.02 |
| Rest of MichiganMichigan | — | $571.80 |
| MinnesotaMinnesota | — | $527.75 |
| Metropolitan Kansas City, MOMissouri | — | $564.69 |
| Metropolitan St. Louis, MOMissouri | — | $569.16 |
| Rest of MissouriMissouri | — | $549.74 |
| MississippiMississippi | — | $530.87 |
| MontanaMontana | — | $578.01 |
| North CarolinaNorth Carolina | — | $536.67 |
| North DakotaNorth Dakota | — | $530.95 |
| NebraskaNebraska | — | $514.01 |
| New HampshireNew Hampshire | — | $576.07 |
| Northern New JerseyNew Jersey | — | $633.52 |
| Rest of New JerseyNew Jersey | — | $615.76 |
| New MexicoNew Mexico | — | $578.29 |
| NevadaNevada | — | $565.09 |
| NYC suburbs and Long Island, NYNew York | — | $702.09 |
| Poughkeepsie and northern NYC suburbs, NYNew York | — | $626.86 |
| Queens, NYNew York | — | $667.77 |
| Rest of New YorkNew York | — | $545.01 |
| OhioOhio | — | $562.18 |
| OklahomaOklahoma | — | $540.00 |
| Portland, OROregon | — | $583.95 |
| Rest of OregonOregon | — | $553.80 |
| Metropolitan Philadelphia, PAPennsylvania | — | $606.88 |
| Rest of PennsylvaniaPennsylvania | — | $558.13 |
| Puerto RicoPuerto Rico | — | $579.08 |
| Rhode IslandRhode Island | — | $581.73 |
| South CarolinaSouth Carolina | — | $551.73 |
| South DakotaSouth Dakota | — | $525.39 |
| TennesseeTennessee | — | $523.98 |
| Austin, TXTexas | — | $580.80 |
| Beaumont, TXTexas | — | $555.33 |
| Brazoria, TXTexas | — | $561.42 |
| Dallas, TXTexas | — | $568.89 |
| Fort Worth, TXTexas | — | $568.01 |
| Galveston, TXTexas | — | $565.62 |
| Houston, TXTexas | — | $609.18 |
| Rest of TexasTexas | — | $560.71 |
| UtahUtah | — | $558.60 |
| VirginiaVirginia | — | $551.55 |
| Virgin Islands, VIUnited States Virgin Islands | — | $579.08 |
| VermontVermont | — | $536.99 |
| Rest of WashingtonWashington | — | $573.30 |
| King County, WAWashington | — | $622.37 |
| WisconsinWisconsin | — | $515.14 |
| West VirginiaWest Virginia | — | $587.40 |
| WyomingWyoming | — | $557.50 |
44970 rates by state
Office rate range in each state. Select a state to see its payment localities.
Explore a state
Local rates. Clear comparisons.
Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.
View every state and territory as a table
| State / territory | Office rate range | Localities |
|---|---|---|
| AK | No published base rate | 1 |
| AL | No published base rate | 1 |
| AR | No published base rate | 1 |
| AZ | No published base rate | 1 |
| CA | No published base rate | 29 |
| CO | No published base rate | 1 |
| CT | No published base rate | 1 |
| DC | No published base rate | 1 |
| DE | No published base rate | 1 |
| FL | No published base rate | 3 |
| GA | No published base rate | 2 |
| GU | No published base rate | 1 |
| HI | No published base rate | 1 |
| IA | No published base rate | 1 |
| ID | No published base rate | 1 |
| IL | No published base rate | 4 |
| IN | No published base rate | 1 |
| KS | No published base rate | 1 |
| KY | No published base rate | 1 |
| LA | No published base rate | 2 |
| MA | No published base rate | 2 |
| MD | No published base rate | 3 |
| ME | No published base rate | 2 |
| MI | No published base rate | 2 |
| MN | No published base rate | 1 |
| MO | No published base rate | 3 |
| MS | No published base rate | 1 |
| MT | No published base rate | 1 |
| NC | No published base rate | 1 |
| ND | No published base rate | 1 |
| NE | No published base rate | 1 |
| NH | No published base rate | 1 |
| NJ | No published base rate | 2 |
| NM | No published base rate | 1 |
| NV | No published base rate | 1 |
| NY | No published base rate | 5 |
| OH | No published base rate | 1 |
| OK | No published base rate | 1 |
| OR | No published base rate | 2 |
| PA | No published base rate | 2 |
| PR | No published base rate | 1 |
| RI | No published base rate | 1 |
| SC | No published base rate | 1 |
| SD | No published base rate | 1 |
| TN | No published base rate | 1 |
| TX | No published base rate | 8 |
| UT | No published base rate | 1 |
| VA | No published base rate | 2 |
| VI | No published base rate | 1 |
| VT | No published base rate | 1 |
| WA | No published base rate | 2 |
| WI | No published base rate | 1 |
| WV | No published base rate | 1 |
| WY | No published base rate | 1 |
How the 44970 rate is calculated
Each of 44970’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 · 44970
RVUs × geographic indexes × conversion factor
Work9.21
9.21 RVUs× 1.000 GPCI
Practice expense5.72
5.72 RVUs× 1.000 GPCI
Malpractice2.38
2.38 RVUs× 1.000 GPCI
Adjusted RVUs
17.3100
Conversion factor
$33.4009
Medicare rate
$578.17
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact Chico, CA inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
5,457
- Code
- 44970
- Physician work
- 9.21
- Practice expense
- 5.72
- Malpractice
- 2.38
GPCI2026.csv
9
- Locality
- Chico, CA
- Physician work
- 1.017
- Practice expense
- 1.096
- Malpractice
- 0.536
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 9.21 | × 1.017 | 9.3666 |
| Practice expense | 5.72 | × 1.096 | 6.2691 |
| Malpractice | 2.38 | × 0.536 | 1.2757 |
| Total RVUs | 16.9114 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Chico, CA$564.85
Facility: (9.21 × 1.017 + 5.72 × 1.096 + 2.38 × 0.536) × $33.4009 = $564.85
Payment rules and modifiers for 44970
44970 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 44970
Appendectomy, laparoscopic approach
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 090 | Major surgery: the day before, the day of, and 90 days after are included. |
| Multiple procedures | 2 | Standard reduction: highest-valued procedure at 100%, others at 50%. |
| Bilateral (modifier 50) | 0 | The 150% bilateral adjustment doesn’t apply. |
| Assistant at surgery (80/81/82/AS) | 2 | Paid. |
| Co-surgeons (62) | 2 | Permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
| Split (54/55/56) | 0.09/0.81/0.10 | Share of the payment for pre-op, the procedure itself, and post-op care. |
Global surgery period · 44970
Appendectomy, laparoscopic approach
90-day global period ends
Dec 30, 2026
Covers Sep 30, 2026 through Dec 30, 2026 (92 days, including the day before surgery).
Visit on Oct 31, 2026
Day 30 of the 90-day post-op period: related follow-up care is included in the surgical payment.
Pre-op dayGlobal period
What modifiers do to the payment
Modifier 51 · payment effect
With and without the modifier
44970 without 51 · national facility
$578.17
Appendectomy, laparoscopic approach
44970-51 · Second procedure: 50%
$289.09
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%).
How 44970 has changed in Chico, CA
44970 · Office / nonfacility
Rate unavailable
Effective 2026-10-01
A rate is unavailable in one of these releases, so a change cannot be calculated.
One bar per available release, ordered by effective date. Missing rates remain gaps. These comparisons hold the code, setting and locality identifiers constant; they do not isolate which policy or input caused a change.
What changed, release by release
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | Not available in this setting | $564.85 | RVU26D |
| 2026-07-01 | Not available in this setting | $564.85 | RVU26C |
| 2026-04-01 | Not available in this setting | $564.85 | RVU26B |
| 2026-01-01 | Not available in this setting | $564.85 | RVU26A |
| 2025-10-01 | Not available in this setting | $582.66 | RVU25D |
| 2025-07-01 | Not available in this setting | $582.66 | RVU25C |
| 2025-04-01 | Not available in this setting | $582.66 | RVU25B |
| 2025-01-01 | Not available in this setting | $582.66 | RVU25A |
| 2024-10-01 | Not available in this setting | $595.08 | RVU24D |
| 2024-07-01 | Not available in this setting | $595.08 | RVU24C |
| 2024-04-01 | Not available in this setting | $595.08 | RVU24B |
| 2024-03-09 | Not available in this setting | $595.08 | RVU24AR |
| 2024-01-01 | Not available in this setting | $585.37 | RVU24A |
| 2023-10-01 | Not available in this setting | $602.98 | RVU23D |
| 2023-07-01 | Not available in this setting | $602.98 | RVU23C |
| 2023-04-01 | Not available in this setting | $602.98 | RVU23B |
| 2023-01-01 | Not available in this setting | $602.98 | RVU23A |
| 2022-10-01 | Not available in this setting | $613.93 | RVU22D |
| 2022-07-01 | Not available in this setting | $613.93 | RVU22C |
| 2022-04-01 | Not available in this setting | $613.93 | RVU22B |
| 2022-01-01 | Not available in this setting | $613.93 | RVU22A |
| 2021-10-01 | Not available in this setting | $613.10 | RVU21D |
| 2021-07-01 | Not available in this setting | $613.10 | RVU21C |
| 2021-04-01 | Not available in this setting | $613.10 | RVU21B |
| 2021-01-01 | Not available in this setting | $613.10 | RVU21A |
| 2020-10-01 | Not available in this setting | $620.45 | RVU20D |
| 2020-07-01 | Not available in this setting | $620.45 | RVU20C |
| 2020-04-01 | Not available in this setting | $620.45 | RVU20B |
| 2020-01-01 | Not available in this setting | $620.45 | RVU20A |
| 2019-10-01 | Not available in this setting | $614.90 | RVU19D |
| 2019-07-01 | Not available in this setting | $614.90 | RVU19C |
| 2019-04-01 | Not available in this setting | $614.90 | RVU19B |
| 2019-01-01 | Not available in this setting | $614.90 | RVU19A |
| 2018-10-01 | Not available in this setting | $613.64 | RVU18D |
| 2018-07-01 | Not available in this setting | $613.64 | RVU18C |
| 2018-04-01 | Not available in this setting | $613.64 | RVU18B |
| 2018-01-01 | Not available in this setting | $613.64 | RVU18AR1 |
| 2017-10-01 | Not available in this setting | $617.17 | RVU17D |
| 2017-07-01 | Not available in this setting | $617.17 | RVU17C |
| 2017-04-01 | Not available in this setting | $617.17 | RVU17B |
| 2017-01-01 | Not available in this setting | $617.17 | RVU17A |
| 2016-10-01 | Not available in this setting | Rate data unavailable | RVU16D |
| 2016-07-01 | Not available in this setting | Rate data unavailable | RVU16C |
| 2016-04-01 | Not available in this setting | Rate data unavailable | RVU16B |
| 2016-01-01 | Not available in this setting | Rate data unavailable | RVU16A |
| 2015-10-01 | Not available in this setting | Rate data unavailable | RVU15D |
| 2015-07-01 | Not available in this setting | Rate data unavailable | RVU15C |
| 2015-04-01 | Not available in this setting | Rate data unavailable | RVU15B |
| 2015-01-01 | Not available in this setting | Rate data unavailable | RVU15A |
| 2014-10-01 | Not available in this setting | Rate data unavailable | RVU14D |
| 2014-07-01 | Not available in this setting | Rate data unavailable | RVU14C |
| 2014-04-01 | Not available in this setting | Rate data unavailable | RVU14B |
| 2014-01-01 | Not available in this setting | Rate data unavailable | RVU14A |
| 2013-10-01 | Not available in this setting | Rate data unavailable | RVU13D |
| 2013-07-01 | Not available in this setting | Rate data unavailable | RVU13C |
| 2013-04-01 | Not available in this setting | Rate data unavailable | RVU13B |
| 2013-01-01 | Not available in this setting | Rate data unavailable | RVU13AR |
Where the Chico, CA rate applies
Chico, CA is a Medicare payment area, not a city. Our Census mapping connects it to 30 cities and communities in California. Some span more than one payment area; confirm with the service ZIP.
44970 billing questions
How does this differ from 44950?
44970 describes appendectomy performed laparoscopically. 44950 is the open appendectomy code, so the operative report's approach determines which code fits.
When would 44960 be considered instead?
44960 describes an open appendectomy for a ruptured appendix with abscess or peritonitis. Use 44970 when the appendectomy is performed laparoscopically, rather than selecting the open code based only on disease severity.
Should modifier 50 be appended?
No. The appendix is a single organ, and modifier 50 is inappropriate for this service.
What postoperative care is included?
The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
How are other same-session procedures paid?
The highest-valued procedure is paid in full, and other procedures performed in the same session are subject to the standard multiple-procedure reduction.
Can an assistant or co-surgeon be reported?
CMS permits payment for assistant-at-surgery and co-surgeon services for this code. Team surgery is not permitted.
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
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