Billing code 15789Medicare rate & RVUs
Compare 15789 physician payment amounts across CMS localities, including office and facility settings.
Medicare pays $524.73 for 15789 nationally in the office and $357.72 in a hospital or facility. Local office rates run $467.56–$688.41.
Medicare rate · 15789
Code 15789
- Work RVUs
- 4.79
- Total RVUs
- 15.71
- Global days
- 090
National rate · 2026
$524.73
Office setting, before claim adjustments.
See every locality for 15789 →Billed by an NP, PA or therapist? →
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 15789 pays more and less
The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.
109 payment localities
$467.56 to $688.41
109 of 109 payment localities
| Payment locality | Office | Facility |
|---|---|---|
| Alabama | $473.98 | $327.85 |
| Alaska* | $619.85 | $441.99 |
| Arizona | $511.53 | $349.71 |
| Arkansas | $467.56 | $324.10 |
| Atlanta | $534.13 | $364.46 |
| Austin | $543.33 | $366.64 |
| Bakersfield | $554.65 | $371.61 |
| Baltimore/Surr. Cntys | $556.65 | $377.46 |
| Beaumont | $492.22 | $340.24 |
| Brazoria | $519.20 | $353.70 |
| Chicago | $549.22 | $381.38 |
| Chico | $553.11 | $370.07 |
| Colorado | $545.27 | $367.57 |
| Connecticut | $558.23 | $378.37 |
| Dallas | $522.40 | $356.07 |
| Dc + Md/Va Suburbs | $597.21 | $400.47 |
| Delaware | $519.66 | $354.66 |
| Detroit | $524.00 | $362.84 |
| East St. Louis | $513.82 | $360.18 |
| El Centro | $553.19 | $370.16 |
| Fort Lauderdale | $542.75 | $373.57 |
| Fort Worth | $519.14 | $354.47 |
| Fresno | $553.11 | $370.07 |
| Galveston | $520.70 | $354.86 |
| Hanford-Corcoran | $553.11 | $370.07 |
| Hawaii, Guam | $565.38 | $375.49 |
| Houston | $529.85 | $364.02 |
| Idaho | $488.08 | $334.44 |
| Indiana | $490.74 | $335.92 |
| Iowa | $485.07 | $332.27 |
| Kansas | $483.03 | $332.06 |
| Kentucky | $484.68 | $336.21 |
| Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty) | $589.37 | $391.80 |
| Madera | $553.11 | $370.07 |
| Manhattan | $601.14 | $407.08 |
| Merced | $553.11 | $370.07 |
| Metropolitan Boston | $596.97 | $397.57 |
| Metropolitan Kansas City | $503.11 | $346.30 |
| Metropolitan Philadelphia | $545.10 | $371.25 |
| Metropolitan St. Louis | $508.06 | $349.07 |
| Miami | $564.53 | $390.68 |
| Minnesota | $523.06 | $351.22 |
| Mississippi | $471.99 | $328.20 |
| Modesto | $553.11 | $370.07 |
| Montana** | $524.69 | $357.69 |
| Napa | $637.27 | $417.15 |
| Nebraska | $487.54 | $333.40 |
| Nevada** | $522.29 | $355.12 |
| New Hampshire | $536.91 | $363.06 |
| New Mexico | $499.20 | $346.05 |
| New Orleans | $506.47 | $349.31 |
| North Carolina | $495.38 | $339.57 |
| North Dakota** | $514.81 | $347.80 |
| Northern Nj | $591.63 | $397.90 |
| Nyc Suburbs/Long Island | $615.06 | $416.49 |
| Ohio | $494.58 | $342.11 |
| Oklahoma | $483.76 | $334.63 |
| Oxnard-Thousand Oaks-Ventura | $586.25 | $388.86 |
| Portland | $561.64 | $376.10 |
| Poughkpsie/N Nyc Suburbs | $568.50 | $385.63 |
| Puerto Rico | $528.31 | $359.46 |
| Queens | $605.69 | $408.29 |
| Redding | $553.11 | $370.07 |
| Rest Of California | $553.11 | $370.07 |
| Rest Of Florida | $517.81 | $358.16 |
| Rest Of Georgia | $490.35 | $341.38 |
| Rest Of Illinois | $503.85 | $351.38 |
| Rest Of Louisiana | $484.00 | $336.20 |
| Rest Of Maine | $490.57 | $336.93 |
| Rest Of Maryland | $529.14 | $360.13 |
| Rest Of Massachusetts | $542.34 | $366.49 |
| Rest Of Michigan | $496.60 | $344.13 |
| Rest Of Missouri | $476.26 | $332.31 |
| Rest Of New Jersey | $564.77 | $382.40 |
| Rest Of New York | $502.37 | $343.71 |
| Rest Of Oregon | $518.38 | $352.04 |
| Rest Of Pennsylvania | $495.27 | $341.96 |
| Rest Of Texas | $505.36 | $346.87 |
| Rest Of Washington | $541.26 | $365.41 |
| Rhode Island | $537.45 | $364.93 |
| Riverside-San Bernardino-Ontario | $558.56 | $375.53 |
| Sacramento-Roseville-Folsom | $579.47 | $385.24 |
| Salinas | $577.28 | $383.72 |
| San Diego-Chula Vista-Carlsbad | $590.09 | $390.36 |
| San Francisco-Oakland-Berkeley (Marin Cnty) | $673.59 | $438.11 |
| San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty) | $673.02 | $437.54 |
| San Jose-Sunnyvale-Santa Clara (San Benito Cnty) | $688.41 | $447.59 |
| San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty) | $686.09 | $445.27 |
| San Luis Obispo-Paso Robles | $568.08 | $377.86 |
| Santa Cruz-Watsonville | $595.17 | $392.26 |
| Santa Maria-Santa Barbara | $579.23 | $384.51 |
| Santa Rosa-Petaluma | $601.13 | $396.05 |
| Seattle (King Cnty) | $608.68 | $403.76 |
| South Carolina | $495.77 | $341.46 |
| South Dakota** | $513.64 | $346.63 |
| Southern Maine | $515.43 | $349.93 |
| Stockton | $553.11 | $370.07 |
| Suburban Chicago | $548.14 | $376.62 |
| Tennessee | $485.32 | $333.52 |
| Utah | $502.14 | $345.16 |
| Vallejo | $636.45 | $416.34 |
| Vermont | $513.00 | $347.66 |
| Virgin Islands | $528.31 | $359.46 |
| Virginia | $513.90 | $349.74 |
| Visalia | $553.11 | $370.07 |
| West Virginia | $486.33 | $341.21 |
| Wisconsin | $498.55 | $338.56 |
| Wyoming** | $520.39 | $353.38 |
| Yuba City | $553.11 | $370.07 |
15789 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.
$467.56
$620.76
Color shows the midpoint of each state’s locality range.
View every state and territory as a table
| State / territory | Office rate range | Localities |
|---|---|---|
| AK | $619.85 | 1 |
| AL | $473.98 | 1 |
| AR | $467.56 | 1 |
| AZ | $511.53 | 1 |
| CA | $553.11–$688.41 | 29 |
| CO | $545.27 | 1 |
| CT | $558.23 | 1 |
| DC | $597.21 | 1 |
| DE | $519.66 | 1 |
| FL | $517.81–$564.53 | 3 |
| GA | $490.35–$534.13 | 2 |
| GU | $565.38 | 1 |
| HI | $565.38 | 1 |
| IA | $485.07 | 1 |
| ID | $488.08 | 1 |
| IL | $503.85–$549.22 | 4 |
| IN | $490.74 | 1 |
| KS | $483.03 | 1 |
| KY | $484.68 | 1 |
| LA | $484.00–$506.47 | 2 |
| MA | $542.34–$596.97 | 2 |
| MD | $529.14–$597.21 | 3 |
| ME | $490.57–$515.43 | 2 |
| MI | $496.60–$524.00 | 2 |
| MN | $523.06 | 1 |
| MO | $476.26–$508.06 | 3 |
| MS | $471.99 | 1 |
| MT | $524.69 | 1 |
| NC | $495.38 | 1 |
| ND | $514.81 | 1 |
| NE | $487.54 | 1 |
| NH | $536.91 | 1 |
| NJ | $564.77–$591.63 | 2 |
| NM | $499.20 | 1 |
| NV | $522.29 | 1 |
| NY | $502.37–$615.06 | 5 |
| OH | $494.58 | 1 |
| OK | $483.76 | 1 |
| OR | $518.38–$561.64 | 2 |
| PA | $495.27–$545.10 | 2 |
| PR | $528.31 | 1 |
| RI | $537.45 | 1 |
| SC | $495.77 | 1 |
| SD | $513.64 | 1 |
| TN | $485.32 | 1 |
| TX | $492.22–$543.33 | 8 |
| UT | $502.14 | 1 |
| VA | $513.90–$597.21 | 2 |
| VI | $528.31 | 1 |
| VT | $513.00 | 1 |
| WA | $541.26–$608.68 | 2 |
| WI | $498.55 | 1 |
| WV | $486.33 | 1 |
| WY | $520.39 | 1 |
How the 15789 rate is calculated
Each of 15789’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 · 15789
RVUs × geographic indexes × conversion factor
Work4.79
4.79 RVUs× 1.000 GPCI
Practice expense10.42
10.42 RVUs× 1.000 GPCI
Malpractice0.50
0.50 RVUs× 1.000 GPCI
Adjusted RVUs
15.7100
Conversion factor
$33.4009
Medicare rate
$524.73
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 15789
15789 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 15789
Code 15789
| 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) | 1 | Not paid (statutory restriction). |
| Co-surgeons (62) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
| Split (54/55/56) | 0.10/0.71/0.19 | Share of the payment for pre-op, the procedure itself, and post-op care. |
Global surgery period · 15789
Code 15789
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
15789 without 51 · national office
$524.73
15789-51 · Second procedure: 50%
$262.37
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%).
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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