CPT code 908462026 Medicare rate & RVUs
CPT 90846 pays $105.88 in the office and $99.20 in a facility nationally under the 2026 Medicare fee schedule, $103.51–$152.06 by locality. RVUs, rules and the benchmark commercial payers price against.
Medicare pays $105.88 for 90846 nationally in the office and $99.20 in a hospital or facility. Local office rates run $103.51–$152.06.
Medicare rate · 90846
Code 90846
- Work RVUs
- 2.74
- Total RVUs
- 3.17
- Global days
- XXX
National rate · 2026
$105.88
Office setting, before claim adjustments.
See every locality for 90846 →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.
Your location
On this page 6 sections
Billing guides for 90846: 90846 vs 90847 · Mental health billing
Where 90846 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
$103.51 to $152.06
109 of 109 payment localities
| Payment locality | Office | Facility |
|---|---|---|
| Alabama | $103.78 | $97.93 |
| Alaska | $152.06 | $144.94 |
| Arizona | $105.32 | $98.85 |
| Arkansas | $103.51 | $97.77 |
| Atlanta, GA | $106.57 | $99.78 |
| Austin, TX | $106.72 | $99.66 |
| Bakersfield, CA | $108.51 | $101.19 |
| Baltimore area, MD | $108.56 | $101.39 |
| Beaumont, TX | $104.61 | $98.53 |
| Brazoria, TX | $106.27 | $99.65 |
| Chicago, IL | $107.89 | $101.17 |
| Chico, CA | $108.25 | $100.93 |
| Colorado | $107.61 | $100.51 |
| Connecticut | $108.95 | $101.76 |
| Dallas, TX | $106.51 | $99.86 |
| Delaware | $106.08 | $99.48 |
| Detroit, MI | $106.10 | $99.65 |
| East St. Louis, IL | $105.83 | $99.68 |
| El Centro, CA | $108.26 | $100.94 |
| Fort Lauderdale, FL | $106.86 | $100.10 |
| Fort Worth, TX | $106.39 | $99.80 |
| Fresno, CA | $108.25 | $100.93 |
| Galveston, TX | $106.35 | $99.71 |
| Hanford, CA | $108.25 | $100.93 |
| Hawaii, Guam, HI | $107.29 | $99.69 |
| Houston, TX | $106.90 | $100.26 |
| Idaho | $104.28 | $98.14 |
| Indiana | $104.39 | $98.20 |
| Iowa | $104.14 | $98.03 |
| Kansas | $104.10 | $98.06 |
| Kentucky | $104.31 | $98.37 |
| King County, WA | $113.31 | $105.11 |
| Los Angeles, CA | $111.74 | $103.84 |
| Madera, CA | $108.25 | $100.93 |
| Manhattan, NY | $114.49 | $106.73 |
| Marin County, CA | $119.51 | $110.09 |
| Merced, CA | $108.25 | $100.93 |
| Metropolitan Boston, MA | $112.11 | $104.14 |
| Metropolitan Kansas City, MO | $105.04 | $98.77 |
| Metropolitan Philadelphia, PA | $108.27 | $101.32 |
| Metropolitan St. Louis, MO | $105.24 | $98.88 |
| Miami, FL | $107.96 | $101.01 |
| Minnesota | $105.56 | $98.69 |
| Mississippi | $103.76 | $98.01 |
| Modesto, CA | $108.25 | $100.93 |
| Montana | $105.88 | $99.20 |
| Napa, CA | $115.40 | $106.60 |
| Nebraska | $104.23 | $98.06 |
| Nevada | $105.73 | $99.04 |
| New Hampshire | $106.30 | $99.35 |
| New Mexico | $104.97 | $98.85 |
| New Orleans, LA | $105.23 | $98.94 |
| North Carolina | $104.62 | $98.39 |
| North Dakota | $105.29 | $98.61 |
| Northern New Jersey | $113.85 | $106.10 |
| NYC suburbs and Long Island, NY | $115.12 | $107.18 |
| Ohio | $104.73 | $98.63 |
| Oklahoma | $104.23 | $98.26 |
| Oxnard, CA | $110.50 | $102.60 |
| Portland, OR | $108.57 | $101.15 |
| Poughkeepsie and northern NYC suburbs, NY | $111.48 | $104.16 |
| Puerto Rico | $106.01 | $99.26 |
| Queens, NY | $114.61 | $106.72 |
| Redding, CA | $108.25 | $100.93 |
| Rest of California | $108.25 | $100.93 |
| Rest of Florida | $105.80 | $99.41 |
| Rest of Georgia | $104.63 | $98.67 |
| Rest of Illinois | $105.28 | $99.18 |
| Rest of Louisiana | $104.30 | $98.39 |
| Rest of Maine | $104.43 | $98.29 |
| Rest of Maryland | $106.87 | $100.11 |
| Rest of Massachusetts | $107.85 | $100.82 |
| Rest of Michigan | $104.85 | $98.75 |
| Rest of Missouri | $104.01 | $98.25 |
| Rest of New Jersey | $110.87 | $103.57 |
| Rest of New York | $104.92 | $98.57 |
| Rest of Oregon | $105.53 | $98.88 |
| Rest of Pennsylvania | $104.73 | $98.60 |
| Rest of Texas | $105.10 | $98.76 |
| Rest of Washington | $107.54 | $100.50 |
| Rhode Island | $107.95 | $101.05 |
| Riverside, CA | $108.66 | $101.34 |
| Sacramento, CA | $110.89 | $103.12 |
| Salinas, CA | $110.38 | $102.63 |
| San Benito County, CA | $121.39 | $111.76 |
| San Diego, CA | $110.79 | $102.80 |
| San Francisco, CA | $119.48 | $110.06 |
| San Luis Obispo, CA | $108.83 | $101.22 |
| Santa Clara County, CA | $121.25 | $111.62 |
| Santa Cruz, CA | $110.21 | $102.09 |
| Santa Maria, CA | $110.20 | $102.41 |
| Santa Rosa, CA | $111.21 | $103.00 |
| South Carolina | $104.72 | $98.54 |
| South Dakota | $105.22 | $98.54 |
| Southern Maine, ME | $105.39 | $98.77 |
| Stockton, CA | $108.25 | $100.93 |
| Suburban Chicago, IL | $107.66 | $100.80 |
| Tennessee | $104.20 | $98.13 |
| Utah | $104.98 | $98.70 |
| Vallejo, CA | $115.35 | $106.55 |
| Vermont | $105.25 | $98.64 |
| Virgin Islands, VI | $106.01 | $99.26 |
| Virginia | $105.36 | $98.79 |
| Visalia, CA | $108.25 | $100.93 |
| Washington, DC area | $113.31 | $105.44 |
| West Virginia | $104.56 | $98.76 |
| Wisconsin | $104.63 | $98.23 |
| Wyoming | $105.62 | $98.94 |
| Yuba City, CA | $108.25 | $100.93 |
90846 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.
$103.51
$152.06
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 | $152.06 | 1 |
| AL | $103.78 | 1 |
| AR | $103.51 | 1 |
| AZ | $105.32 | 1 |
| CA | $108.25–$121.39 | 29 |
| CO | $107.61 | 1 |
| CT | $108.95 | 1 |
| DC | $113.31 | 1 |
| DE | $106.08 | 1 |
| FL | $105.80–$107.96 | 3 |
| GA | $104.63–$106.57 | 2 |
| GU | $107.29 | 1 |
| HI | $107.29 | 1 |
| IA | $104.14 | 1 |
| ID | $104.28 | 1 |
| IL | $105.28–$107.89 | 4 |
| IN | $104.39 | 1 |
| KS | $104.10 | 1 |
| KY | $104.31 | 1 |
| LA | $104.30–$105.23 | 2 |
| MA | $107.85–$112.11 | 2 |
| MD | $106.87–$113.31 | 3 |
| ME | $104.43–$105.39 | 2 |
| MI | $104.85–$106.10 | 2 |
| MN | $105.56 | 1 |
| MO | $104.01–$105.24 | 3 |
| MS | $103.76 | 1 |
| MT | $105.88 | 1 |
| NC | $104.62 | 1 |
| ND | $105.29 | 1 |
| NE | $104.23 | 1 |
| NH | $106.30 | 1 |
| NJ | $110.87–$113.85 | 2 |
| NM | $104.97 | 1 |
| NV | $105.73 | 1 |
| NY | $104.92–$115.12 | 5 |
| OH | $104.73 | 1 |
| OK | $104.23 | 1 |
| OR | $105.53–$108.57 | 2 |
| PA | $104.73–$108.27 | 2 |
| PR | $106.01 | 1 |
| RI | $107.95 | 1 |
| SC | $104.72 | 1 |
| SD | $105.22 | 1 |
| TN | $104.20 | 1 |
| TX | $104.61–$106.90 | 8 |
| UT | $104.98 | 1 |
| VA | $105.36–$113.31 | 2 |
| VI | $106.01 | 1 |
| VT | $105.25 | 1 |
| WA | $107.54–$113.31 | 2 |
| WI | $104.63 | 1 |
| WV | $104.56 | 1 |
| WY | $105.62 | 1 |
How the 90846 rate is calculated
Each of 90846’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 · 90846
RVUs × geographic indexes × conversion factor
Work2.74
2.74 RVUs× 1.000 GPCI
Practice expense0.40
0.40 RVUs× 1.000 GPCI
Malpractice0.03
0.03 RVUs× 1.000 GPCI
Adjusted RVUs
3.1700
Conversion factor
$33.4009
Medicare rate
$105.88
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 90846
90846 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 · 90846
Which rate does Medicare pay?
The POS code on the claim line (CMS-1500 box 24B).
POS 11 · non-facility rate · national
$105.88
- Non-facility (office)
- $105.88
- Facility
- $99.20
Higher because the practice carries its own overhead.
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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