Billing code 94760Medicare rate & RVUs

Compare 94760 physician payment amounts across CMS localities, including office and facility settings.

CMS RVU26DEffective Oct 1, 2026109 payment localities10.3K Medicare services in 2024

Medicare pays $4.01 for 94760 nationally in the office. Local office rates run $3.33–$5.48.

Medicare rate · 94760

Code 94760

Work RVUs
0
Total RVUs
0.12
Global days
XXX

National rate · 2026

$4.01

Office setting, before claim adjustments.

See every locality for 94760 →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
  1. Medicare rate
  2. By payment locality
  3. Rate map
  4. How it’s calculated
  5. Payment rules
  6. Sources

Where 94760 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

$3.33 to $5.48

$3.33$4.41$5.48
One dot per payment locality, office / nonfacility. Hover a dot to see the locality; select it to open that rate.

109 of 109 payment localities

94760 office and facility rates by payment locality
Payment localityOfficeFacility
Alabama$3.40Unavailable
Alaska*$4.10Unavailable
Arizona$3.85Unavailable
Arkansas$3.33Unavailable
Atlanta$4.13Unavailable
Austin$4.18Unavailable
Bakersfield$4.23Unavailable
Baltimore/Surr. Cntys$4.36Unavailable
Beaumont$3.65Unavailable
Brazoria$3.90Unavailable

94760 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.

$3.33

$4.85

Color shows the midpoint of each state’s locality range.

View every state and territory as a table
94760 office rate range by state
State / territoryOffice rate rangeLocalities
AK$4.101
AL$3.401
AR$3.331
AZ$3.851
CA$4.21–$5.4829
CO$4.171
CT$4.361
DC$4.701
DE$3.931
FL$4.01–$4.673
GA$3.68–$4.132
GU$4.371
HI$4.371
IA$3.491
ID$3.541
IL$3.88–$4.464
IN$3.571
KS$3.491
KY$3.571
LA$3.57–$3.842
MA$4.14–$4.682
MD$4.02–$4.703
ME$3.59–$3.852
MI$3.73–$4.112
MN$3.881
MO$3.49–$3.833
MS$3.411
MT$4.011
NC$3.641
ND$3.811
NE$3.521
NH$4.121
NJ$4.38–$4.622
NM$3.771
NV$3.961
NY$3.73–$4.995
OH$3.691
OK$3.541
OR$3.89–$4.332
PA$3.69–$4.222
PR$4.041
RI$4.091
SC$3.681
SD$3.791
TN$3.521
TX$3.65–$4.188
UT$3.751
VA$3.85–$4.702
VI$4.041
VT$3.811
WA$4.12–$4.782
WI$3.621
WV$3.671
WY$3.921

How the 94760 rate is calculated

Each of 94760’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 · 94760

RVUs × geographic indexes × conversion factor

Work0.00

0.00 RVUs× 1.000 GPCI

Practice expense0.11

0.11 RVUs× 1.000 GPCI

Malpractice0.01

0.01 RVUs× 1.000 GPCI

Adjusted RVUs

0.1200

Conversion factor

$33.4009

Medicare rate

$4.01

Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.

Payment rules and modifiers for 94760

The CMS indicators that decide how 94760 is paid alongside other services.

CMS payment indicators · 94760

Code 94760

RuleCMS valueWhat it means
Global periodXXXThe global surgery concept doesn’t apply.
Multiple procedures0No multiple-procedure reduction.
Bilateral (modifier 50)0The 150% bilateral adjustment doesn’t apply.
Assistant at surgery (80/81/82/AS)0Not paid without supporting documentation.
Co-surgeons (62)0Not permitted.
Team surgery (66)0Not permitted.
Professional/technical3Technical component only.

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
RVUs for 94760PPRRVU2026_Oct_nonQPP.csv, line 12,442 (RVU26D)

Open CMS sourceHow we calculate rates

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