Medicare Payment Localities and GPCIs (2026)

All 109 Medicare payment localities with their 2026 work, practice expense and malpractice GPCIs, and what 99214 pays in the office in each one.

CMS RVU26DEffective Oct 1, 2026109 payment localities

Your location

On this page 4 sections

Find a rate
Rates by locality
By specialty
Sources

99214 in every payment locality

Medicare office and facility rates by payment locality
Payment locality	99214 office	99214 facility
Alaska	$169.92	$115.49
Alabama	$125.23	$80.51
Arkansas	$123.92	$80.02
Arizona	$132.86	$83.34
Bakersfield, CA	$141.41	$85.40
Chico, CA	$140.94	$84.93
El Centro, CA	$140.96	$84.96
Fresno, CA	$140.94	$84.93
Hanford, CA	$140.94	$84.93
Los Angeles, CA	$148.89	$88.44
Madera, CA	$140.94	$84.93
Merced, CA	$140.94	$84.93
Modesto, CA	$140.94	$84.93
Napa, CA	$158.59	$91.24
Oxnard, CA	$147.80	$87.39
Redding, CA	$140.94	$84.93
Rest of California	$140.94	$84.93
Riverside, CA	$142.49	$86.48
Sacramento, CA	$146.64	$87.20
Salinas, CA	$146.05	$86.82
San Diego, CA	$148.48	$87.36
Marin County, CA	$166.56	$94.50
San Francisco, CA	$166.40	$94.34
San Benito County, CA	$170.02	$96.33
Santa Clara County, CA	$169.37	$95.68
San Luis Obispo, CA	$143.81	$85.61
Santa Cruz, CA	$149.15	$87.06
Santa Maria, CA	$146.32	$86.74
Santa Rosa, CA	$150.59	$87.84
Stockton, CA	$140.94	$84.93
Vallejo, CA	$158.36	$91.01
Visalia, CA	$140.94	$84.93
Yuba City, CA	$140.94	$84.93
Colorado	$139.63	$85.25
Connecticut	$143.02	$87.98
Washington, DC area	$151.49	$91.29
Delaware	$134.65	$84.16
Fort Lauderdale, FL	$140.25	$88.49
Miami, FL	$145.50	$92.30
Rest of Florida	$135.02	$86.17
Atlanta, GA	$137.81	$85.89
Rest of Georgia	$129.29	$83.71
Hawaii, Guam, HI	$142.79	$84.69
Iowa	$127.11	$80.35
Idaho	$127.80	$80.78
Chicago, IL	$142.45	$91.09
East St. Louis, IL	$135.01	$87.99
Rest of Illinois	$132.43	$85.77
Suburban Chicago, IL	$141.47	$88.99
Indiana	$128.33	$80.95
Kansas	$126.88	$80.68
Kentucky	$127.80	$82.36
New Orleans, LA	$132.30	$84.21
Rest of Louisiana	$127.73	$82.50
Metropolitan Boston, MA	$150.68	$89.66
Rest of Massachusetts	$139.22	$85.41
Baltimore area, MD	$142.62	$87.78
Rest of Maryland	$136.67	$84.95
Rest of Maine	$128.50	$81.48
Southern Maine, ME	$133.28	$82.64
Detroit, MI	$136.48	$87.16
Rest of Michigan	$130.40	$83.74
Minnesota	$134.25	$81.67
Metropolitan Kansas City, MO	$131.43	$83.44
Metropolitan St. Louis, MO	$132.41	$83.76
Rest of Missouri	$126.27	$82.22
Mississippi	$125.10	$81.10
Montana	$135.60	$84.49
North Carolina	$129.44	$81.76
North Dakota	$132.83	$81.73
Nebraska	$127.56	$80.39
New Hampshire	$137.76	$84.56
Northern New Jersey	$150.65	$91.37
Rest of New Jersey	$144.77	$88.97
New Mexico	$131.00	$84.14
Nevada	$134.89	$83.74
Manhattan, NY	$153.27	$93.89
NYC suburbs and Long Island, NY	$156.34	$95.58
Poughkeepsie and northern NYC suburbs, NY	$145.82	$89.86
Queens, NY	$153.94	$93.53
Rest of New York	$130.88	$82.33
Ohio	$129.83	$83.18
Oklahoma	$127.42	$81.78
Portland, OR	$142.85	$86.08
Rest of Oregon	$133.95	$83.05
Metropolitan Philadelphia, PA	$140.40	$87.20
Rest of Pennsylvania	$129.87	$82.96
Puerto Rico	$136.27	$84.61
Rhode Island	$138.53	$85.74
South Carolina	$129.83	$82.61
South Dakota	$132.50	$81.40
Tennessee	$127.36	$80.91
Austin, TX	$139.08	$85.01
Beaumont, TX	$129.26	$82.76
Brazoria, TX	$134.49	$83.85
Dallas, TX	$135.25	$84.35
Fort Worth, TX	$134.65	$84.26
Galveston, TX	$134.85	$84.10
Houston, TX	$137.41	$86.67
Rest of Texas	$131.75	$83.25
Utah	$131.12	$83.09
Virginia	$133.10	$82.86
Virgin Islands, VI	$136.27	$84.61
Vermont	$132.63	$82.04
Rest of Washington	$138.86	$85.05
King County, WA	$153.12	$90.42
Wisconsin	$129.57	$80.61
West Virginia	$128.87	$84.46
Wyoming	$134.39	$83.29

Examples are selected by 2024 national office/non-facility service volume among codes with supported current PFS rates. This is not a local or specialty utilization ranking. Amounts use the current release, not historical averages. See the utilization rankings

Explore rates by specialty

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

Open CMS source How we calculate rates

99214 in every payment locality

Explore rates by specialty

Where these rates come from

Did this answer your question about Medicare Payment Localities and GPCIs (2026)?