Billing code 86481Medicare rate & RVUs
Compare 86481 physician payment amounts across CMS localities, including office and facility settings.
Medicare rate · 86481
Code 86481
- Work RVUs
- 0
- Total RVUs
- 0.00
- Global days
- XXX
National rate · 2026
—
Not priced in the facility setting.
See every locality for 86481 →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 86481 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
$100.00 to $100.00
109 of 109 payment localities
| Payment locality | Office | Facility |
|---|---|---|
| Alabama | $100.00 | $100.00 |
| Alaska* | $100.00 | $100.00 |
| Arizona | $100.00 | $100.00 |
| Arkansas | $100.00 | $100.00 |
| Atlanta | $100.00 | $100.00 |
| Austin | $100.00 | $100.00 |
| Bakersfield | $100.00 | $100.00 |
| Baltimore/Surr. Cntys | $100.00 | $100.00 |
| Beaumont | $100.00 | $100.00 |
| Brazoria | $100.00 | $100.00 |
| Chicago | $100.00 | $100.00 |
| Chico | $100.00 | $100.00 |
| Colorado | $100.00 | $100.00 |
| Connecticut | $100.00 | $100.00 |
| Dallas | $100.00 | $100.00 |
| Dc + Md/Va Suburbs | $100.00 | $100.00 |
| Delaware | $100.00 | $100.00 |
| Detroit | $100.00 | $100.00 |
| East St. Louis | $100.00 | $100.00 |
| El Centro | $100.00 | $100.00 |
| Fort Lauderdale | $100.00 | $100.00 |
| Fort Worth | $100.00 | $100.00 |
| Fresno | $100.00 | $100.00 |
| Galveston | $100.00 | $100.00 |
| Hanford-Corcoran | $100.00 | $100.00 |
| Hawaii, Guam | $100.00 | $100.00 |
| Houston | $100.00 | $100.00 |
| Idaho | $100.00 | $100.00 |
| Indiana | $100.00 | $100.00 |
| Iowa | $100.00 | $100.00 |
| Kansas | $100.00 | $100.00 |
| Kentucky | $100.00 | $100.00 |
| Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty) | $100.00 | $100.00 |
| Madera | $100.00 | $100.00 |
| Manhattan | $100.00 | $100.00 |
| Merced | $100.00 | $100.00 |
| Metropolitan Boston | $100.00 | $100.00 |
| Metropolitan Kansas City | $100.00 | $100.00 |
| Metropolitan Philadelphia | $100.00 | $100.00 |
| Metropolitan St. Louis | $100.00 | $100.00 |
| Miami | $100.00 | $100.00 |
| Minnesota | $100.00 | $100.00 |
| Mississippi | $100.00 | $100.00 |
| Modesto | $100.00 | $100.00 |
| Montana** | $100.00 | $100.00 |
| Napa | $100.00 | $100.00 |
| Nebraska | $100.00 | $100.00 |
| Nevada** | $100.00 | $100.00 |
| New Hampshire | $100.00 | $100.00 |
| New Mexico | $100.00 | $100.00 |
| New Orleans | $100.00 | $100.00 |
| North Carolina | $100.00 | $100.00 |
| North Dakota** | $100.00 | $100.00 |
| Northern Nj | $100.00 | $100.00 |
| Nyc Suburbs/Long Island | $100.00 | $100.00 |
| Ohio | $100.00 | $100.00 |
| Oklahoma | $100.00 | $100.00 |
| Oxnard-Thousand Oaks-Ventura | $100.00 | $100.00 |
| Portland | $100.00 | $100.00 |
| Poughkpsie/N Nyc Suburbs | $100.00 | $100.00 |
| Puerto Rico | $100.00 | $100.00 |
| Queens | $100.00 | $100.00 |
| Redding | $100.00 | $100.00 |
| Rest Of California | $100.00 | $100.00 |
| Rest Of Florida | $100.00 | $100.00 |
| Rest Of Georgia | $100.00 | $100.00 |
| Rest Of Illinois | $100.00 | $100.00 |
| Rest Of Louisiana | $100.00 | $100.00 |
| Rest Of Maine | $100.00 | $100.00 |
| Rest Of Maryland | $100.00 | $100.00 |
| Rest Of Massachusetts | $100.00 | $100.00 |
| Rest Of Michigan | $100.00 | $100.00 |
| Rest Of Missouri | $100.00 | $100.00 |
| Rest Of New Jersey | $100.00 | $100.00 |
| Rest Of New York | $100.00 | $100.00 |
| Rest Of Oregon | $100.00 | $100.00 |
| Rest Of Pennsylvania | $100.00 | $100.00 |
| Rest Of Texas | $100.00 | $100.00 |
| Rest Of Washington | $100.00 | $100.00 |
| Rhode Island | $100.00 | $100.00 |
| Riverside-San Bernardino-Ontario | $100.00 | $100.00 |
| Sacramento-Roseville-Folsom | $100.00 | $100.00 |
| Salinas | $100.00 | $100.00 |
| San Diego-Chula Vista-Carlsbad | $100.00 | $100.00 |
| San Francisco-Oakland-Berkeley (Marin Cnty) | $100.00 | $100.00 |
| San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty) | $100.00 | $100.00 |
| San Jose-Sunnyvale-Santa Clara (San Benito Cnty) | $100.00 | $100.00 |
| San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty) | $100.00 | $100.00 |
| San Luis Obispo-Paso Robles | $100.00 | $100.00 |
| Santa Cruz-Watsonville | $100.00 | $100.00 |
| Santa Maria-Santa Barbara | $100.00 | $100.00 |
| Santa Rosa-Petaluma | $100.00 | $100.00 |
| Seattle (King Cnty) | $100.00 | $100.00 |
| South Carolina | $100.00 | $100.00 |
| South Dakota** | $100.00 | $100.00 |
| Southern Maine | $100.00 | $100.00 |
| Stockton | $100.00 | $100.00 |
| Suburban Chicago | $100.00 | $100.00 |
| Tennessee | $100.00 | $100.00 |
| Utah | $100.00 | $100.00 |
| Vallejo | $100.00 | $100.00 |
| Vermont | $100.00 | $100.00 |
| Virgin Islands | $100.00 | $100.00 |
| Virginia | $100.00 | $100.00 |
| Visalia | $100.00 | $100.00 |
| West Virginia | $100.00 | $100.00 |
| Wisconsin | $100.00 | $100.00 |
| Wyoming** | $100.00 | $100.00 |
| Yuba City | $100.00 | $100.00 |
86481 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.
$100.00
$100.00
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 | $100.00 | 1 |
| AL | $100.00 | 1 |
| AR | $100.00 | 1 |
| AZ | $100.00 | 1 |
| CA | $100.00 | 29 |
| CO | $100.00 | 1 |
| CT | $100.00 | 1 |
| DC | $100.00 | 1 |
| DE | $100.00 | 1 |
| FL | $100.00 | 3 |
| GA | $100.00 | 2 |
| GU | $100.00 | 1 |
| HI | $100.00 | 1 |
| IA | $100.00 | 1 |
| ID | $100.00 | 1 |
| IL | $100.00 | 4 |
| IN | $100.00 | 1 |
| KS | $100.00 | 1 |
| KY | $100.00 | 1 |
| LA | $100.00 | 2 |
| MA | $100.00 | 2 |
| MD | $100.00 | 3 |
| ME | $100.00 | 2 |
| MI | $100.00 | 2 |
| MN | $100.00 | 1 |
| MO | $100.00 | 3 |
| MS | $100.00 | 1 |
| MT | $100.00 | 1 |
| NC | $100.00 | 1 |
| ND | $100.00 | 1 |
| NE | $100.00 | 1 |
| NH | $100.00 | 1 |
| NJ | $100.00 | 2 |
| NM | $100.00 | 1 |
| NV | $100.00 | 1 |
| NY | $100.00 | 5 |
| OH | $100.00 | 1 |
| OK | $100.00 | 1 |
| OR | $100.00 | 2 |
| PA | $100.00 | 2 |
| PR | $100.00 | 1 |
| RI | $100.00 | 1 |
| SC | $100.00 | 1 |
| SD | $100.00 | 1 |
| TN | $100.00 | 1 |
| TX | $100.00 | 8 |
| UT | $100.00 | 1 |
| VA | $100.00 | 2 |
| VI | $100.00 | 1 |
| VT | $100.00 | 1 |
| WA | $100.00 | 2 |
| WI | $100.00 | 1 |
| WV | $100.00 | 1 |
| WY | $100.00 | 1 |
How the 86481 rate is calculated
Each of 86481’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 · 86481
RVUs × geographic indexes × conversion factor
Work0.00
0.00 RVUs× 1.000 GPCI
Practice expense0.00
0.00 RVUs× 1.000 GPCI
Malpractice0.00
0.00 RVUs× 1.000 GPCI
Adjusted RVUs
0.0000
Conversion factor
$33.4009
Medicare rate
$0.00
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 86481
86481 has no global surgery period, no multiple-procedure, bilateral or assistant-at-surgery adjustment, and no professional/technical split. What changes the payment is where the service happens: the place of service on the claim decides whether Medicare pays the office or the facility rate.
Place of service · 86481
Which rate does Medicare pay?
The POS code on the claim line (CMS-1500 box 24B).
POS 11 · non-facility rate · national
—
86481 isn’t priced in this setting.
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
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