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CMS RVU26D · Effective 2026-10-01
78456 Medicare reimbursement rates
Compare 78456 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 78456?
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
$247.86–$396.59
109 of 109 localities have a supported rate.
Lowest: Arkansas
Highest: San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
A spread of $148.73 per service.
Facility setting
No supported rate
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.
Where 78456 pays more and less
109 payment localities
$247.86 to $396.59
See how rates vary across the country
78456 · Office / nonfacility · Non-QP. Choose a state to explore its payment localities. A range means the amount varies within that state.
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.
$247.86
$352.02
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 | $315.58 | 1 |
| AL | $251.98 | 1 |
| AR | $247.86 | 1 |
| AZ | $276.14 | 1 |
| CA | $307.45–$396.59 | 29 |
| CO | $299.97 | 1 |
| CT | $304.62 | 1 |
| DC | $330.60 | 1 |
| DE | $281.15 | 1 |
| FL | $274.64–$298.53 | 3 |
| GA | $257.88–$288.86 | 2 |
| GU | $317.21 | 1 |
| HI | $317.21 | 1 |
| IA | $261.48 | 1 |
| ID | $262.93 | 1 |
| IL | $264.10–$293.25 | 4 |
| IN | $264.70 | 1 |
| KS | $259.03 | 1 |
| KY | $256.39 | 1 |
| LA | $255.51–$269.92 | 2 |
| MA | $297.41–$333.56 | 2 |
| MD | $287.34–$330.60 | 3 |
| ME | $263.32–$281.02 | 2 |
| MI | $262.94–$277.37 | 2 |
| MN | $289.58 | 1 |
| MO | $249.83–$272.30 | 3 |
| MS | $248.96 | 1 |
| MT | $284.24 | 1 |
| NC | $266.60 | 1 |
| ND | $282.65 | 1 |
| NE | $263.42 | 1 |
| NH | $294.11 | 1 |
| NJ | $308.70–$326.30 | 2 |
| NM | $264.13 | 1 |
| NV | $284.04 | 1 |
| NY | $271.01–$335.66 | 5 |
| OH | $262.61 | 1 |
| OK | $257.02 | 1 |
| OR | $282.45–$311.70 | 2 |
| PA | $263.69–$295.55 | 2 |
| PR | $286.94 | 1 |
| RI | $292.79 | 1 |
| SC | $264.93 | 1 |
| SD | $282.47 | 1 |
| TN | $260.36 | 1 |
| TX | $261.66–$298.44 | 8 |
| UT | $269.04 | 1 |
| VA | $279.23–$330.60 | 2 |
| VI | $286.94 | 1 |
| VT | $280.43 | 1 |
| WA | $297.22–$341.88 | 2 |
| WI | $271.94 | 1 |
| WV | $252.80 | 1 |
| WY | $283.55 | 1 |
Compare 78456 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.
109 of 109 payment localities
| Payment locality | Office | Facility |
|---|---|---|
| Alabama | Office $251.98 | Facility Unavailable |
| Alaska* | Office $315.58 | Facility Unavailable |
| Arizona | Office $276.14 | Facility Unavailable |
| Arkansas | Office $247.86 | Facility Unavailable |
| Atlanta | Office $288.86 | Facility Unavailable |
| Austin | Office $298.44 | Facility Unavailable |
| Bakersfield | Office $307.71 | Facility Unavailable |
| Baltimore/Surr. Cntys | Office $303.56 | Facility Unavailable |
| Beaumont | Office $261.66 | Facility Unavailable |
| Brazoria | Office $281.68 | Facility Unavailable |
| Chicago | Office $289.18 | Facility Unavailable |
| Chico | Office $307.45 | Facility Unavailable |
| Colorado | Office $299.97 | Facility Unavailable |
| Connecticut | Office $304.62 | Facility Unavailable |
| Dallas | Office $283.16 | Facility Unavailable |
| Dc + Md/Va Suburbs | Office $330.60 | Facility Unavailable |
| Delaware | Office $281.15 | Facility Unavailable |
| Detroit | Office $277.37 | Facility Unavailable |
| East St. Louis | Office $267.04 | Facility Unavailable |
| El Centro | Office $307.46 | Facility Unavailable |
| Fort Lauderdale | Office $289.64 | Facility Unavailable |
| Fort Worth | Office $280.71 | Facility Unavailable |
| Fresno | Office $307.45 | Facility Unavailable |
| Galveston | Office $282.30 | Facility Unavailable |
| Hanford-Corcoran | Office $307.45 | Facility Unavailable |
| Hawaii, Guam | Office $317.21 | Facility Unavailable |
| Houston | Office $283.77 | Facility Unavailable |
| Idaho | Office $262.93 | Facility Unavailable |
| Indiana | Office $264.70 | Facility Unavailable |
| Iowa | Office $261.48 | Facility Unavailable |
| Kansas | Office $259.03 | Facility Unavailable |
| Kentucky | Office $256.39 | Facility Unavailable |
| Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty) | Office $330.22 | Facility Unavailable |
| Madera | Office $307.45 | Facility Unavailable |
| Manhattan | Office $328.21 | Facility Unavailable |
| Merced | Office $307.45 | Facility Unavailable |
| Metropolitan Boston | Office $333.56 | Facility Unavailable |
| Metropolitan Kansas City | Office $269.00 | Facility Unavailable |
| Metropolitan Philadelphia | Office $295.55 | Facility Unavailable |
| Metropolitan St. Louis | Office $272.30 | Facility Unavailable |
| Miami | Office $298.53 | Facility Unavailable |
| Minnesota | Office $289.58 | Facility Unavailable |
| Mississippi | Office $248.96 | Facility Unavailable |
| Modesto | Office $307.45 | Facility Unavailable |
| Montana** | Office $284.24 | Facility Unavailable |
| Napa | Office $364.12 | Facility Unavailable |
| Nebraska | Office $263.42 | Facility Unavailable |
| Nevada** | Office $284.04 | Facility Unavailable |
| New Hampshire | Office $294.11 | Facility Unavailable |
| New Mexico | Office $264.13 | Facility Unavailable |
| New Orleans | Office $269.92 | Facility Unavailable |
| North Carolina | Office $266.60 | Facility Unavailable |
| North Dakota** | Office $282.65 | Facility Unavailable |
| Northern Nj | Office $326.30 | Facility Unavailable |
| Nyc Suburbs/Long Island | Office $335.66 | Facility Unavailable |
| Ohio | Office $262.61 | Facility Unavailable |
| Oklahoma | Office $257.02 | Facility Unavailable |
| Oxnard-Thousand Oaks-Ventura | Office $329.44 | Facility Unavailable |
| Portland | Office $311.70 | Facility Unavailable |
| Poughkpsie/N Nyc Suburbs | Office $309.92 | Facility Unavailable |
| Puerto Rico | Office $286.94 | Facility Unavailable |
| Queens | Office $332.81 | Facility Unavailable |
| Redding | Office $307.45 | Facility Unavailable |
| Rest Of California | Office $307.45 | Facility Unavailable |
| Rest Of Florida | Office $274.64 | Facility Unavailable |
| Rest Of Georgia | Office $257.88 | Facility Unavailable |
| Rest Of Illinois | Office $264.10 | Facility Unavailable |
| Rest Of Louisiana | Office $255.51 | Facility Unavailable |
| Rest Of Maine | Office $263.32 | Facility Unavailable |
| Rest Of Maryland | Office $287.34 | Facility Unavailable |
| Rest Of Massachusetts | Office $297.41 | Facility Unavailable |
| Rest Of Michigan | Office $262.94 | Facility Unavailable |
| Rest Of Missouri | Office $249.83 | Facility Unavailable |
| Rest Of New Jersey | Office $308.70 | Facility Unavailable |
| Rest Of New York | Office $271.01 | Facility Unavailable |
| Rest Of Oregon | Office $282.45 | Facility Unavailable |
| Rest Of Pennsylvania | Office $263.69 | Facility Unavailable |
| Rest Of Texas | Office $271.29 | Facility Unavailable |
| Rest Of Washington | Office $297.22 | Facility Unavailable |
| Rhode Island | Office $292.79 | Facility Unavailable |
| Riverside-San Bernardino-Ontario | Office $308.33 | Facility Unavailable |
| Sacramento-Roseville-Folsom | Office $324.74 | Facility Unavailable |
| Salinas | Office $323.58 | Facility Unavailable |
| San Diego-Chula Vista-Carlsbad | Office $332.77 | Facility Unavailable |
| San Francisco-Oakland-Berkeley (Marin Cnty) | Office $387.93 | Facility Unavailable |
| San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty) | Office $387.84 | Facility Unavailable |
| San Jose-Sunnyvale-Santa Clara (San Benito Cnty) | Office $396.59 | Facility Unavailable |
| San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty) | Office $396.22 | Facility Unavailable |
| San Luis Obispo-Paso Robles | Office $318.15 | Facility Unavailable |
| Santa Cruz-Watsonville | Office $337.19 | Facility Unavailable |
| Santa Maria-Santa Barbara | Office $325.23 | Facility Unavailable |
| Santa Rosa-Petaluma | Office $340.72 | Facility Unavailable |
| Seattle (King Cnty) | Office $341.88 | Facility Unavailable |
| South Carolina | Office $264.93 | Facility Unavailable |
| South Dakota** | Office $282.47 | Facility Unavailable |
| Southern Maine | Office $281.02 | Facility Unavailable |
| Stockton | Office $307.45 | Facility Unavailable |
| Suburban Chicago | Office $293.25 | Facility Unavailable |
| Tennessee | Office $260.36 | Facility Unavailable |
| Utah | Office $269.04 | Facility Unavailable |
| Vallejo | Office $363.99 | Facility Unavailable |
| Vermont | Office $280.43 | Facility Unavailable |
| Virgin Islands | Office $286.94 | Facility Unavailable |
| Virginia | Office $279.23 | Facility Unavailable |
| Visalia | Office $307.45 | Facility Unavailable |
| West Virginia | Office $252.80 | Facility Unavailable |
| Wisconsin | Office $271.94 | Facility Unavailable |
| Wyoming** | Office $283.55 | Facility Unavailable |
| Yuba City | Office $307.45 | Facility Unavailable |
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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.