CPT code 872052026 Medicare rate & RVUs
Compare 87205 physician payment amounts across CMS localities, including office and facility settings.
Medicare rate · 87205
Code 87205
- Work RVUs
- 0
- Total RVUs
- 0.00
- Global days
- XXX
National rate · 2026
—
Not priced in the facility setting.
See every locality for 87205 →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 87205 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
$4.27 to $4.27
109 of 109 payment localities
87205 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.
$4.27
$4.27
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 | $4.27 | 1 |
| AL | $4.27 | 1 |
| AR | $4.27 | 1 |
| AZ | $4.27 | 1 |
| CA | $4.27 | 29 |
| CO | $4.27 | 1 |
| CT | $4.27 | 1 |
| DC | $4.27 | 1 |
| DE | $4.27 | 1 |
| FL | $4.27 | 3 |
| GA | $4.27 | 2 |
| GU | $4.27 | 1 |
| HI | $4.27 | 1 |
| IA | $4.27 | 1 |
| ID | $4.27 | 1 |
| IL | $4.27 | 4 |
| IN | $4.27 | 1 |
| KS | $4.27 | 1 |
| KY | $4.27 | 1 |
| LA | $4.27 | 2 |
| MA | $4.27 | 2 |
| MD | $4.27 | 3 |
| ME | $4.27 | 2 |
| MI | $4.27 | 2 |
| MN | $4.27 | 1 |
| MO | $4.27 | 3 |
| MS | $4.27 | 1 |
| MT | $4.27 | 1 |
| NC | $4.27 | 1 |
| ND | $4.27 | 1 |
| NE | $4.27 | 1 |
| NH | $4.27 | 1 |
| NJ | $4.27 | 2 |
| NM | $4.27 | 1 |
| NV | $4.27 | 1 |
| NY | $4.27 | 5 |
| OH | $4.27 | 1 |
| OK | $4.27 | 1 |
| OR | $4.27 | 2 |
| PA | $4.27 | 2 |
| PR | $4.27 | 1 |
| RI | $4.27 | 1 |
| SC | $4.27 | 1 |
| SD | $4.27 | 1 |
| TN | $4.27 | 1 |
| TX | $4.27 | 8 |
| UT | $4.27 | 1 |
| VA | $4.27 | 2 |
| VI | $4.27 | 1 |
| VT | $4.27 | 1 |
| WA | $4.27 | 2 |
| WI | $4.27 | 1 |
| WV | $4.27 | 1 |
| WY | $4.27 | 1 |
How the 87205 rate is calculated
Each of 87205’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 · 87205
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 87205
87205 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 · 87205
Which rate does Medicare pay?
The POS code on the claim line (CMS-1500 box 24B).
POS 11 · non-facility rate · national
—
87205 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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