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CMS RVU26D · Effective 2026-10-01

41115 Medicare reimbursement rates

Compare 41115 physician payment amounts across CMS localities, including office and facility settings.

Amounts below use the non-QP conversion factor for participating physicians. These are base physician payments before claim-level adjustments, not patient costs or total hospital charges.

What does Medicare pay for 41115?

The service location and office or facility setting determine which base rate applies. These are the supported base rates for the 109 payment areas shown below, using the same CMS release.

Office / nonfacility

$225.15–$341.97

109 of 109 localities have a supported rate.

Lowest: Arkansas

Highest: San Jose-Sunnyvale-Santa Clara (San Benito Cnty)

A spread of $116.82 per service.

Facility setting

$119.85–$165.20

109 of 109 localities have a supported rate.

Lowest: Arkansas

Highest: San Jose-Sunnyvale-Santa Clara (San Benito Cnty)

A spread of $45.35 per service.

These are locality ranges, not averages or address-specific quotes. A facility-setting amount covers the physician service; it does not include a hospital’s separate bill. Choose a locality below to inspect its calculation, compare other payment areas, or price a percentage of Medicare.

Find 41115 in your payment locality →

Where 41115 pays more and less

109 payment localities

$225.15 to $341.97

One dot per payment locality, office / nonfacility. Hover a dot to see the locality; select it to open that rate.

See how rates vary across the country

41115 · Office / nonfacility · Non-QP. Choose a state to explore its payment localities. A range means the amount varies within that state.

ME WI VT NH MT ND MN MI NY MA RI WA ID WY SD IA IL IN OH PA NJ CT OR NV UT CO NE MO KY WV VA MD DE CA AZ NM KS OK AR TN NC SC DC TX LA MS AL GA FL AK HI

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.

$225.15

$306.55

Color shows the midpoint of each state’s locality range.

View all state and territory rates as a table

State / territory	Rate range	Localities
AK	$293.62	1
AL	$228.60	1
AR	$225.15	1
AZ	$248.79	1
CA	$271.12–$341.97	29
CO	$266.82	1
CT	$273.33	1
DC	$293.60	1
DE	$253.03	1
FL	$251.73–$276.37	3
GA	$237.04–$260.73	2
GU	$278.24	1
HI	$278.24	1
IA	$234.75	1
ID	$236.33	1
IL	$244.10–$268.02	4
IN	$237.76	1
KS	$233.56	1
KY	$234.16	1
LA	$233.76–$245.83	2
MA	$265.11–$294.00	2
MD	$258.02–$293.60	3
ME	$237.57–$251.07	2
MI	$240.48–$254.96	2
MN	$255.45	1
MO	$229.55–$246.79	3
MS	$227.39	1
MT	$255.83	1
NC	$240.17	1
ND	$250.89	1
NE	$236.10	1
NH	$262.56	1
NJ	$276.39–$290.35	2
NM	$241.84	1
NV	$254.65	1
NY	$243.92–$302.48	5
OH	$239.47	1
OK	$233.76	1
OR	$252.61–$275.63	2
PA	$239.89–$266.27	2
PR	$257.81	1
RI	$262.30	1
SC	$240.23	1
SD	$250.31	1
TN	$234.78	1
TX	$238.24–$265.98	8
UT	$243.66	1
VA	$250.18–$293.60	2
VI	$257.81	1
VT	$249.84	1
WA	$264.63–$300.16	2
WI	$242.13	1
WV	$234.68	1
WY	$253.68	1

Compare 41115 by payment locality

Find the payment area for your service address, then open its rate page for calculation inputs, release history and the percentage-of-Medicare tool. A city may cross payment-area boundaries; the ZIP lookup above helps resolve the location.

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109 of 109 payment localities

41115 office and facility rates by payment locality
Payment locality	Office	Facility
Alabama	Office $228.60	Facility $121.34
Alaska*	Office $293.62	Facility $163.07
Arizona	Office $248.79	Facility $130.01
Arkansas	Office $225.15	Facility $119.85
Atlanta	Office $260.73	Facility $136.19
Austin	Office $265.98	Facility $136.29
Bakersfield	Office $271.85	Facility $137.50
Baltimore/Surr. Cntys	Office $272.57	Facility $141.04
Beaumont	Office $238.24	Facility $126.69
Brazoria	Office $252.78	Facility $131.30
Chicago	Office $268.02	Facility $144.82
Chico	Office $271.12	Facility $136.77
Colorado	Office $266.82	Facility $136.40
Connecticut	Office $273.33	Facility $141.31
Dallas	Office $254.44	Facility $132.34
Dc + Md/Va Suburbs	Office $293.60	Facility $149.20
Delaware	Office $253.03	Facility $131.92
Detroit	Office $254.96	Facility $136.67
East St. Louis	Office $249.19	Facility $136.42
El Centro	Office $271.16	Facility $136.81
Fort Lauderdale	Office $265.06	Facility $140.88
Fort Worth	Office $252.65	Facility $131.79
Fresno	Office $271.12	Facility $136.77
Galveston	Office $253.56	Facility $131.84
Hanford-Corcoran	Office $271.12	Facility $136.77
Hawaii, Guam	Office $278.24	Facility $138.86
Houston	Office $258.13	Facility $136.41
Idaho	Office $236.33	Facility $123.55
Indiana	Office $237.76	Facility $124.13
Iowa	Office $234.75	Facility $122.58
Kansas	Office $233.56	Facility $122.75
Kentucky	Office $234.16	Facility $125.18
Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty)	Office $290.04	Facility $145.02
Madera	Office $271.12	Facility $136.77
Manhattan	Office $295.11	Facility $152.67
Merced	Office $271.12	Facility $136.77
Metropolitan Boston	Office $294.00	Facility $147.64
Metropolitan Kansas City	Office $244.13	Facility $129.02
Metropolitan Philadelphia	Office $266.27	Facility $138.66
Metropolitan St. Louis	Office $246.79	Facility $130.10
Miami	Office $276.37	Facility $148.76
Minnesota	Office $255.45	Facility $129.32
Mississippi	Office $227.39	Facility $121.85
Modesto	Office $271.12	Facility $136.77
Montana**	Office $255.83	Facility $133.25
Napa	Office $315.54	Facility $153.98
Nebraska	Office $236.10	Facility $122.96
Nevada**	Office $254.65	Facility $131.94
New Hampshire	Office $262.56	Facility $134.95
New Mexico	Office $241.84	Facility $129.43
New Orleans	Office $245.83	Facility $130.48
North Carolina	Office $240.17	Facility $125.80
North Dakota**	Office $250.89	Facility $128.31
Northern Nj	Office $290.35	Facility $148.15
Nyc Suburbs/Long Island	Office $302.48	Facility $156.73
Ohio	Office $239.47	Facility $127.55
Oklahoma	Office $233.76	Facility $124.30
Oxnard-Thousand Oaks-Ventura	Office $288.75	Facility $143.86
Portland	Office $275.63	Facility $139.45
Poughkpsie/N Nyc Suburbs	Office $278.19	Facility $143.97
Puerto Rico	Office $257.81	Facility $133.88
Queens	Office $297.69	Facility $152.80
Redding	Office $271.12	Facility $136.77
Rest Of California	Office $271.12	Facility $136.77
Rest Of Florida	Office $251.73	Facility $134.55
Rest Of Georgia	Office $237.04	Facility $127.69
Rest Of Illinois	Office $244.10	Facility $132.19
Rest Of Louisiana	Office $233.76	Facility $125.28
Rest Of Maine	Office $237.57	Facility $124.80
Rest Of Maryland	Office $258.02	Facility $133.97
Rest Of Massachusetts	Office $265.11	Facility $136.03
Rest Of Michigan	Office $240.48	Facility $128.56
Rest Of Missouri	Office $229.55	Facility $123.88
Rest Of New Jersey	Office $276.39	Facility $142.53
Rest Of New York	Office $243.92	Facility $127.47
Rest Of Oregon	Office $252.61	Facility $130.52
Rest Of Pennsylvania	Office $239.89	Facility $127.36
Rest Of Texas	Office $245.40	Facility $129.07
Rest Of Washington	Office $264.63	Facility $135.56
Rhode Island	Office $262.30	Facility $135.67
Riverside-San Bernardino-Ontario	Office $273.82	Facility $139.48
Sacramento-Roseville-Folsom	Office $284.90	Facility $142.33
Salinas	Office $283.85	Facility $141.78
San Diego-Chula Vista-Carlsbad	Office $290.83	Facility $144.23
San Francisco-Oakland-Berkeley (Marin Cnty)	Office $334.40	Facility $161.56
San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)	Office $334.11	Facility $161.27
San Jose-Sunnyvale-Santa Clara (San Benito Cnty)	Office $341.97	Facility $165.20
San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)	Office $340.81	Facility $164.04
San Luis Obispo-Paso Robles	Office $279.25	Facility $139.63
Santa Cruz-Watsonville	Office $293.85	Facility $144.91
Santa Maria-Santa Barbara	Office $285.00	Facility $142.07
Santa Rosa-Petaluma	Office $296.83	Facility $146.30
Seattle (King Cnty)	Office $300.16	Facility $149.75
South Carolina	Office $240.23	Facility $126.97
South Dakota**	Office $250.31	Facility $127.73
Southern Maine	Office $251.07	Facility $129.59
Stockton	Office $271.12	Facility $136.77
Suburban Chicago	Office $267.81	Facility $141.92
Tennessee	Office $234.78	Facility $123.35
Utah	Office $243.66	Facility $128.43
Vallejo	Office $315.13	Facility $153.57
Vermont	Office $249.84	Facility $128.48
Virgin Islands	Office $257.81	Facility $133.88
Virginia	Office $250.18	Facility $129.68
Visalia	Office $271.12	Facility $136.77
West Virginia	Office $234.68	Facility $128.16
Wisconsin	Office $242.13	Facility $124.70
Wyoming**	Office $253.68	Facility $131.10
Yuba City	Office $271.12	Facility $136.77

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Where these rates come from

FeeBase calculates base physician payments from CMS work, practice-expense, and malpractice RVUs, adjusted by each locality’s geographic indices and the applicable conversion factor. Unavailable or separately priced services are labeled rather than assigned a made-up amount.

Source: RVU26D. Effective 2026-10-01 through the day before 2027-01-01.

RVUs for 41115PPRRVU2026_Oct_nonQPP.csv, line 4,903 (RVU26D)

4,90041112,,Excision of tongue lesion,A,,2.76,7.11,,3.62,,0.38,10.25,6.76,0,090,0.09,0.81,0.10,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00

4,90141113,,Excision of tongue lesion,A,,3.21,7.38,,3.69,,0.43,11.02,7.33,0,090,0.09,0.81,0.10,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00

4,90241114,,Excision of tongue lesion,A,,8.60,6.56,NA,6.56,,1.26,16.42,16.42,0,090,0.09,0.81,0.10,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00

4,90341115,,Excision of tongue fold,A,,1.75,5.66,,1.99,,0.25,7.66,3.99,0,010,0.10,0.80,0.10,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00

4,90441116,,Excision of mouth lesion,A,,2.46,7.22,,3.21,,0.36,10.04,6.03,0,090,0.09,0.81,0.10,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00

4,90541120,,Partial removal of tongue,A,,10.86,16.80,NA,16.80,,1.61,29.27,29.27,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00

4,90641130,,Partial removal of tongue,A,,15.35,17.84,NA,17.84,,2.28,35.47,35.47,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00

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