Billing code 73225Medicare rate & RVUs
Compare 73225 physician payment amounts across CMS localities, including office and facility settings.
Medicare pays $323.65 for 73225 nationally in the office. Local office rates run $284.26–$443.43.
Medicare rate · 73225
Code 73225
- Work RVUs
- 1.69
- Total RVUs
- 9.69
- Global days
- XXX
National rate · 2026
$323.65
Office setting, before claim adjustments.
See every locality for 73225 →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 73225 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
$284.26 to $443.43
109 of 109 payment localities
| Payment locality | Office | Facility |
|---|---|---|
| Alabama | $288.71 | Unavailable |
| Alaska* | $366.67 | Unavailable |
| Arizona | $314.81 | Unavailable |
| Arkansas | $284.26 | Unavailable |
| Atlanta | $329.03 | Unavailable |
| Austin | $338.40 | Unavailable |
| Bakersfield | $347.94 | Unavailable |
| Baltimore/Surr. Cntys | $344.89 | Unavailable |
| Beaumont | $299.70 | Unavailable |
| Brazoria | $320.64 | Unavailable |
| Chicago | $331.85 | Unavailable |
| Chico | $347.46 | Unavailable |
| Colorado | $340.02 | Unavailable |
| Connecticut | $346.02 | Unavailable |
| Dallas | $322.40 | Unavailable |
| Dc + Md/Va Suburbs | $373.94 | Unavailable |
| Delaware | $320.28 | Unavailable |
| Detroit | $317.91 | Unavailable |
| East St. Louis | $307.76 | Unavailable |
| El Centro | $347.49 | Unavailable |
| Fort Lauderdale | $331.11 | Unavailable |
| Fort Worth | $319.85 | Unavailable |
| Fresno | $347.46 | Unavailable |
| Galveston | $321.41 | Unavailable |
| Hanford-Corcoran | $347.46 | Unavailable |
| Hawaii, Guam | $357.47 | Unavailable |
| Houston | $324.15 | Unavailable |
| Idaho | $300.04 | Unavailable |
| Indiana | $301.94 | Unavailable |
| Iowa | $298.35 | Unavailable |
| Kansas | $296.00 | Unavailable |
| Kentucky | $294.12 | Unavailable |
| Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty) | $372.27 | Unavailable |
| Madera | $347.46 | Unavailable |
| Manhattan | $372.68 | Unavailable |
| Merced | $347.46 | Unavailable |
| Metropolitan Boston | $376.28 | Unavailable |
| Metropolitan Kansas City | $307.55 | Unavailable |
| Metropolitan Philadelphia | $336.39 | Unavailable |
| Metropolitan St. Louis | $311.08 | Unavailable |
| Miami | $342.07 | Unavailable |
| Minnesota | $327.73 | Unavailable |
| Mississippi | $285.90 | Unavailable |
| Modesto | $347.46 | Unavailable |
| Montana** | $323.64 | Unavailable |
| Napa | $408.12 | Unavailable |
| Nebraska | $300.35 | Unavailable |
| Nevada** | $323.08 | Unavailable |
| New Hampshire | $333.78 | Unavailable |
| New Mexico | $302.90 | Unavailable |
| New Orleans | $308.87 | Unavailable |
| North Carolina | $304.28 | Unavailable |
| North Dakota** | $320.68 | Unavailable |
| Northern Nj | $369.50 | Unavailable |
| Nyc Suburbs/Long Island | $381.12 | Unavailable |
| Ohio | $300.88 | Unavailable |
| Oklahoma | $294.48 | Unavailable |
| Oxnard-Thousand Oaks-Ventura | $371.07 | Unavailable |
| Portland | $352.38 | Unavailable |
| Poughkpsie/N Nyc Suburbs | $352.16 | Unavailable |
| Puerto Rico | $326.46 | Unavailable |
| Queens | $377.20 | Unavailable |
| Redding | $347.46 | Unavailable |
| Rest Of California | $347.46 | Unavailable |
| Rest Of Florida | $314.64 | Unavailable |
| Rest Of Georgia | $296.30 | Unavailable |
| Rest Of Illinois | $303.66 | Unavailable |
| Rest Of Louisiana | $293.29 | Unavailable |
| Rest Of Maine | $300.79 | Unavailable |
| Rest Of Maryland | $326.95 | Unavailable |
| Rest Of Massachusetts | $337.44 | Unavailable |
| Rest Of Michigan | $301.49 | Unavailable |
| Rest Of Missouri | $287.34 | Unavailable |
| Rest Of New Jersey | $350.52 | Unavailable |
| Rest Of New York | $309.06 | Unavailable |
| Rest Of Oregon | $321.12 | Unavailable |
| Rest Of Pennsylvania | $301.88 | Unavailable |
| Rest Of Texas | $309.80 | Unavailable |
| Rest Of Washington | $337.09 | Unavailable |
| Rhode Island | $332.84 | Unavailable |
| Riverside-San Bernardino-Ontario | $349.11 | Unavailable |
| Sacramento-Roseville-Folsom | $366.10 | Unavailable |
| Salinas | $364.77 | Unavailable |
| San Diego-Chula Vista-Carlsbad | $374.44 | Unavailable |
| San Francisco-Oakland-Berkeley (Marin Cnty) | $433.81 | Unavailable |
| San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty) | $433.64 | Unavailable |
| San Jose-Sunnyvale-Santa Clara (San Benito Cnty) | $443.43 | Unavailable |
| San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty) | $442.73 | Unavailable |
| San Luis Obispo-Paso Robles | $358.74 | Unavailable |
| Santa Cruz-Watsonville | $378.89 | Unavailable |
| Santa Maria-Santa Barbara | $366.44 | Unavailable |
| Santa Rosa-Petaluma | $382.80 | Unavailable |
| Seattle (King Cnty) | $385.08 | Unavailable |
| South Carolina | $302.98 | Unavailable |
| South Dakota** | $320.33 | Unavailable |
| Southern Maine | $319.45 | Unavailable |
| Stockton | $347.46 | Unavailable |
| Suburban Chicago | $335.00 | Unavailable |
| Tennessee | $297.48 | Unavailable |
| Utah | $307.41 | Unavailable |
| Vallejo | $407.88 | Unavailable |
| Vermont | $318.56 | Unavailable |
| Virgin Islands | $326.46 | Unavailable |
| Virginia | $317.72 | Unavailable |
| Visalia | $347.46 | Unavailable |
| West Virginia | $291.47 | Unavailable |
| Wisconsin | $309.18 | Unavailable |
| Wyoming** | $322.35 | Unavailable |
| Yuba City | $347.46 | Unavailable |
73225 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.
$284.26
$395.45
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 | $366.67 | 1 |
| AL | $288.71 | 1 |
| AR | $284.26 | 1 |
| AZ | $314.81 | 1 |
| CA | $347.46–$443.43 | 29 |
| CO | $340.02 | 1 |
| CT | $346.02 | 1 |
| DC | $373.94 | 1 |
| DE | $320.28 | 1 |
| FL | $314.64–$342.07 | 3 |
| GA | $296.30–$329.03 | 2 |
| GU | $357.47 | 1 |
| HI | $357.47 | 1 |
| IA | $298.35 | 1 |
| ID | $300.04 | 1 |
| IL | $303.66–$335.00 | 4 |
| IN | $301.94 | 1 |
| KS | $296.00 | 1 |
| KY | $294.12 | 1 |
| LA | $293.29–$308.87 | 2 |
| MA | $337.44–$376.28 | 2 |
| MD | $326.95–$373.94 | 3 |
| ME | $300.79–$319.45 | 2 |
| MI | $301.49–$317.91 | 2 |
| MN | $327.73 | 1 |
| MO | $287.34–$311.08 | 3 |
| MS | $285.90 | 1 |
| MT | $323.64 | 1 |
| NC | $304.28 | 1 |
| ND | $320.68 | 1 |
| NE | $300.35 | 1 |
| NH | $333.78 | 1 |
| NJ | $350.52–$369.50 | 2 |
| NM | $302.90 | 1 |
| NV | $323.08 | 1 |
| NY | $309.06–$381.12 | 5 |
| OH | $300.88 | 1 |
| OK | $294.48 | 1 |
| OR | $321.12–$352.38 | 2 |
| PA | $301.88–$336.39 | 2 |
| PR | $326.46 | 1 |
| RI | $332.84 | 1 |
| SC | $302.98 | 1 |
| SD | $320.33 | 1 |
| TN | $297.48 | 1 |
| TX | $299.70–$338.40 | 8 |
| UT | $307.41 | 1 |
| VA | $317.72–$373.94 | 2 |
| VI | $326.46 | 1 |
| VT | $318.56 | 1 |
| WA | $337.09–$385.08 | 2 |
| WI | $309.18 | 1 |
| WV | $291.47 | 1 |
| WY | $322.35 | 1 |
How the 73225 rate is calculated
Each of 73225’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 · 73225
RVUs × geographic indexes × conversion factor
Work1.69
1.69 RVUs× 1.000 GPCI
Practice expense7.85
7.85 RVUs× 1.000 GPCI
Malpractice0.15
0.15 RVUs× 1.000 GPCI
Adjusted RVUs
9.6900
Conversion factor
$33.4009
Medicare rate
$323.65
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 73225
The CMS indicators that decide how 73225 is paid alongside other services.
CMS payment indicators · 73225
Code 73225
| 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
73225 without 26 · national office
$323.65
73225-26 · Professional component
$78.16
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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