CPT code 96136: Test administration, physician or QHP, first 30 minutes2026 Medicare rate & RVUs in Aromas, California
CPT 96136: $47.94–$56.39 office ($22.01–$24.12 facility) across 2 localities in Aromas, CA in 2026 Medicare. Compare each area.
Medicare pays $47.94–$56.39 for 96136 in the office in Aromas, California, from Salinas, CA to San Benito County, CA. Which amount applies depends on the service address.
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 6 sections
Where 96136 pays more and less in Aromas, California
Aromas, California maps to 2 Medicare payment localities in our Census-to-CMS crosswalk. A city name alone doesn’t confirm an address’s payment area.
| Payment locality | Office | Facility |
|---|---|---|
| Salinas, CA | $47.94 | $22.01 |
| San Benito County, CA | $56.39 | $24.12 |
How payment areas work in Aromas
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.
- Monterey · Monterey County
- San Benito · San Benito County
City boundaries: 2026 Census geography · Census source · CMS county-to-locality definitions
How the 96136 rate is calculated
Each of 96136’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 · 96136
RVUs × geographic indexes × conversion factor
Work0.55
0.55 RVUs× 1.000 GPCI
Practice expense0.74
0.74 RVUs× 1.000 GPCI
Malpractice0.02
0.02 RVUs× 1.000 GPCI
Adjusted RVUs
1.3100
Conversion factor
$33.4009
Medicare rate
$43.76
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 96136
96136 has no global surgery period, no multiple-procedure, bilateral or assistant-at-surgery adjustment, and no professional/technical split. What changes the payment is where the service happens: the place of service on the claim decides whether Medicare pays the office or the facility rate.
Place of service · 96136
Which rate does Medicare pay?
The POS code on the claim line (CMS-1500 box 24B).
POS 11 · non-facility rate · national
$43.76
- Non-facility (office)
- $43.76
- Facility
- $21.38
Higher because the practice carries its own overhead.
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
Fee sheets · Coming soon
Put 96136 and the rest of your codes on one sheet
Your codes at your locality, with payer contracts beside Medicare.
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