Billing code 71555Medicare rate & RVUs
Compare 71555 physician payment amounts across CMS localities, including office and facility settings.
Medicare pays $334.34 for 71555 nationally in the office. Local office rates run $294.00–$458.67.
Medicare rate · 71555
Code 71555
- Work RVUs
- 1.76
- Total RVUs
- 10.01
- Global days
- XXX
National rate · 2026
$334.34
Office setting, before claim adjustments.
See every locality for 71555 →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 71555 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
$294.00 to $458.67
109 of 109 payment localities
| Payment locality | Office | Facility |
|---|---|---|
| Alabama | $298.56 | Unavailable |
| Alaska* | $379.42 | Unavailable |
| Arizona | $325.31 | Unavailable |
| Arkansas | $294.00 | Unavailable |
| Atlanta | $339.73 | Unavailable |
| Austin | $349.70 | Unavailable |
| Bakersfield | $359.80 | Unavailable |
| Baltimore/Surr. Cntys | $356.11 | Unavailable |
| Beaumont | $309.63 | Unavailable |
| Brazoria | $331.42 | Unavailable |
| Chicago | $341.73 | Unavailable |
| Chico | $359.36 | Unavailable |
| Colorado | $351.46 | Unavailable |
| Connecticut | $357.31 | Unavailable |
| Dallas | $333.17 | Unavailable |
| Dc + Md/Va Suburbs | $386.28 | Unavailable |
| Delaware | $330.94 | Unavailable |
| Detroit | $327.83 | Unavailable |
| East St. Louis | $317.05 | Unavailable |
| El Centro | $359.39 | Unavailable |
| Fort Lauderdale | $341.38 | Unavailable |
| Fort Worth | $330.51 | Unavailable |
| Fresno | $359.36 | Unavailable |
| Galveston | $332.17 | Unavailable |
| Hanford-Corcoran | $359.36 | Unavailable |
| Hawaii, Guam | $369.67 | Unavailable |
| Houston | $334.55 | Unavailable |
| Idaho | $310.36 | Unavailable |
| Indiana | $312.31 | Unavailable |
| Iowa | $308.67 | Unavailable |
| Kansas | $306.15 | Unavailable |
| Kentucky | $303.87 | Unavailable |
| Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty) | $384.93 | Unavailable |
| Madera | $359.36 | Unavailable |
| Manhattan | $384.59 | Unavailable |
| Merced | $359.36 | Unavailable |
| Metropolitan Boston | $388.89 | Unavailable |
| Metropolitan Kansas City | $317.70 | Unavailable |
| Metropolitan Philadelphia | $347.36 | Unavailable |
| Metropolitan St. Louis | $321.33 | Unavailable |
| Miami | $352.10 | Unavailable |
| Minnesota | $339.15 | Unavailable |
| Mississippi | $295.51 | Unavailable |
| Modesto | $359.36 | Unavailable |
| Montana** | $334.33 | Unavailable |
| Napa | $422.16 | Unavailable |
| Nebraska | $310.76 | Unavailable |
| Nevada** | $333.89 | Unavailable |
| New Hampshire | $344.92 | Unavailable |
| New Mexico | $312.70 | Unavailable |
| New Orleans | $318.93 | Unavailable |
| North Carolina | $314.60 | Unavailable |
| North Dakota** | $331.76 | Unavailable |
| Northern Nj | $381.74 | Unavailable |
| Nyc Suburbs/Long Island | $393.09 | Unavailable |
| Ohio | $310.78 | Unavailable |
| Oklahoma | $304.35 | Unavailable |
| Oxnard-Thousand Oaks-Ventura | $383.71 | Unavailable |
| Portland | $364.28 | Unavailable |
| Poughkpsie/N Nyc Suburbs | $363.67 | Unavailable |
| Puerto Rico | $337.26 | Unavailable |
| Queens | $389.39 | Unavailable |
| Redding | $359.36 | Unavailable |
| Rest Of California | $359.36 | Unavailable |
| Rest Of Florida | $324.59 | Unavailable |
| Rest Of Georgia | $305.89 | Unavailable |
| Rest Of Illinois | $313.19 | Unavailable |
| Rest Of Louisiana | $302.97 | Unavailable |
| Rest Of Maine | $311.00 | Unavailable |
| Rest Of Maryland | $337.83 | Unavailable |
| Rest Of Massachusetts | $348.78 | Unavailable |
| Rest Of Michigan | $311.31 | Unavailable |
| Rest Of Missouri | $296.80 | Unavailable |
| Rest Of New Jersey | $362.07 | Unavailable |
| Rest Of New York | $319.49 | Unavailable |
| Rest Of Oregon | $331.97 | Unavailable |
| Rest Of Pennsylvania | $311.86 | Unavailable |
| Rest Of Texas | $320.09 | Unavailable |
| Rest Of Washington | $348.44 | Unavailable |
| Rhode Island | $343.94 | Unavailable |
| Riverside-San Bernardino-Ontario | $360.80 | Unavailable |
| Sacramento-Roseville-Folsom | $378.65 | Unavailable |
| Salinas | $377.27 | Unavailable |
| San Diego-Chula Vista-Carlsbad | $387.28 | Unavailable |
| San Francisco-Oakland-Berkeley (Marin Cnty) | $448.78 | Unavailable |
| San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty) | $448.63 | Unavailable |
| San Jose-Sunnyvale-Santa Clara (San Benito Cnty) | $458.67 | Unavailable |
| San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty) | $458.07 | Unavailable |
| San Luis Obispo-Paso Robles | $371.03 | Unavailable |
| Santa Cruz-Watsonville | $391.87 | Unavailable |
| Santa Maria-Santa Barbara | $379.00 | Unavailable |
| Santa Rosa-Petaluma | $395.93 | Unavailable |
| Seattle (King Cnty) | $398.05 | Unavailable |
| South Carolina | $313.08 | Unavailable |
| South Dakota** | $331.46 | Unavailable |
| Southern Maine | $330.30 | Unavailable |
| Stockton | $359.36 | Unavailable |
| Suburban Chicago | $345.43 | Unavailable |
| Tennessee | $307.65 | Unavailable |
| Utah | $317.63 | Unavailable |
| Vallejo | $421.94 | Unavailable |
| Vermont | $329.49 | Unavailable |
| Virgin Islands | $337.26 | Unavailable |
| Virginia | $328.46 | Unavailable |
| Visalia | $359.36 | Unavailable |
| West Virginia | $300.69 | Unavailable |
| Wisconsin | $319.95 | Unavailable |
| Wyoming** | $333.21 | Unavailable |
| Yuba City | $359.36 | Unavailable |
71555 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.
$294.00
$409.02
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 | $379.42 | 1 |
| AL | $298.56 | 1 |
| AR | $294.00 | 1 |
| AZ | $325.31 | 1 |
| CA | $359.36–$458.67 | 29 |
| CO | $351.46 | 1 |
| CT | $357.31 | 1 |
| DC | $386.28 | 1 |
| DE | $330.94 | 1 |
| FL | $324.59–$352.10 | 3 |
| GA | $305.89–$339.73 | 2 |
| GU | $369.67 | 1 |
| HI | $369.67 | 1 |
| IA | $308.67 | 1 |
| ID | $310.36 | 1 |
| IL | $313.19–$345.43 | 4 |
| IN | $312.31 | 1 |
| KS | $306.15 | 1 |
| KY | $303.87 | 1 |
| LA | $302.97–$318.93 | 2 |
| MA | $348.78–$388.89 | 2 |
| MD | $337.83–$386.28 | 3 |
| ME | $311.00–$330.30 | 2 |
| MI | $311.31–$327.83 | 2 |
| MN | $339.15 | 1 |
| MO | $296.80–$321.33 | 3 |
| MS | $295.51 | 1 |
| MT | $334.33 | 1 |
| NC | $314.60 | 1 |
| ND | $331.76 | 1 |
| NE | $310.76 | 1 |
| NH | $344.92 | 1 |
| NJ | $362.07–$381.74 | 2 |
| NM | $312.70 | 1 |
| NV | $333.89 | 1 |
| NY | $319.49–$393.09 | 5 |
| OH | $310.78 | 1 |
| OK | $304.35 | 1 |
| OR | $331.97–$364.28 | 2 |
| PA | $311.86–$347.36 | 2 |
| PR | $337.26 | 1 |
| RI | $343.94 | 1 |
| SC | $313.08 | 1 |
| SD | $331.46 | 1 |
| TN | $307.65 | 1 |
| TX | $309.63–$349.70 | 8 |
| UT | $317.63 | 1 |
| VA | $328.46–$386.28 | 2 |
| VI | $337.26 | 1 |
| VT | $329.49 | 1 |
| WA | $348.44–$398.05 | 2 |
| WI | $319.95 | 1 |
| WV | $300.69 | 1 |
| WY | $333.21 | 1 |
How the 71555 rate is calculated
Each of 71555’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 · 71555
RVUs × geographic indexes × conversion factor
Work1.76
1.76 RVUs× 1.000 GPCI
Practice expense8.12
8.12 RVUs× 1.000 GPCI
Malpractice0.13
0.13 RVUs× 1.000 GPCI
Adjusted RVUs
10.0100
Conversion factor
$33.4009
Medicare rate
$334.34
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 71555
The CMS indicators that decide how 71555 is paid alongside other services.
CMS payment indicators · 71555
Code 71555
| Rule | CMS value | What it means |
|---|---|---|
| Global period | XXX | The global surgery concept doesn’t apply. |
| Multiple procedures | 4 | Diagnostic imaging reduction applies to the technical component (and professional component) of additional services. |
| Bilateral (modifier 50) | 0 | The 150% bilateral adjustment doesn’t apply. |
| Assistant at surgery (80/81/82/AS) | 0 | Not paid without supporting documentation. |
| Co-surgeons (62) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 1 | Diagnostic test with separate professional (26) and technical (TC) components. |
What modifiers do to the payment
Modifier 26 · payment effect
With and without the modifier
71555 without 26 · national office
$334.34
71555-26 · Professional component
$82.50
Pays only the interpretation and report.
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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