Medicare payment locality rate comparison

Compare Medicare physician payment amounts, inspect the CMS source, and browse rates by code and payment locality.

CMS RVU26DEffective Oct 1, 2026109 payment localities

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99214 in every payment locality

Medicare office and facility rates by payment locality
Payment locality	99214 office	99214 facility
Alaska*	$169.92	$115.49
Alabama	$125.23	$80.51
Arkansas	$123.92	$80.02
Arizona	$132.86	$83.34
Bakersfield	$141.41	$85.40
Chico	$140.94	$84.93
El Centro	$140.96	$84.96
Fresno	$140.94	$84.93
Hanford-Corcoran	$140.94	$84.93
Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty)	$148.89	$88.44
Madera	$140.94	$84.93
Merced	$140.94	$84.93
Modesto	$140.94	$84.93
Napa	$158.59	$91.24
Oxnard-Thousand Oaks-Ventura	$147.80	$87.39
Redding	$140.94	$84.93
Rest Of California	$140.94	$84.93
Riverside-San Bernardino-Ontario	$142.49	$86.48
Sacramento-Roseville-Folsom	$146.64	$87.20
Salinas	$146.05	$86.82
San Diego-Chula Vista-Carlsbad	$148.48	$87.36
San Francisco-Oakland-Berkeley (Marin Cnty)	$166.56	$94.50
San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)	$166.40	$94.34
San Jose-Sunnyvale-Santa Clara (San Benito Cnty)	$170.02	$96.33
San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)	$169.37	$95.68
San Luis Obispo-Paso Robles	$143.81	$85.61
Santa Cruz-Watsonville	$149.15	$87.06
Santa Maria-Santa Barbara	$146.32	$86.74
Santa Rosa-Petaluma	$150.59	$87.84
Stockton	$140.94	$84.93
Vallejo	$158.36	$91.01
Visalia	$140.94	$84.93
Yuba City	$140.94	$84.93
Colorado	$139.63	$85.25
Connecticut	$143.02	$87.98
Dc + Md/Va Suburbs	$151.49	$91.29
Delaware	$134.65	$84.16
Fort Lauderdale	$140.25	$88.49
Miami	$145.50	$92.30
Rest Of Florida	$135.02	$86.17
Atlanta	$137.81	$85.89
Rest Of Georgia	$129.29	$83.71
Hawaii, Guam	$142.79	$84.69
Iowa	$127.11	$80.35
Idaho	$127.80	$80.78
Chicago	$142.45	$91.09
East St. Louis	$135.01	$87.99
Rest Of Illinois	$132.43	$85.77
Suburban Chicago	$141.47	$88.99
Indiana	$128.33	$80.95
Kansas	$126.88	$80.68
Kentucky	$127.80	$82.36
New Orleans	$132.30	$84.21
Rest Of Louisiana	$127.73	$82.50
Metropolitan Boston	$150.68	$89.66
Rest Of Massachusetts	$139.22	$85.41
Baltimore/Surr. Cntys	$142.62	$87.78
Rest Of Maryland	$136.67	$84.95
Rest Of Maine	$128.50	$81.48
Southern Maine	$133.28	$82.64
Detroit	$136.48	$87.16
Rest Of Michigan	$130.40	$83.74
Minnesota	$134.25	$81.67
Metropolitan Kansas City	$131.43	$83.44
Metropolitan St. Louis	$132.41	$83.76
Rest Of Missouri	$126.27	$82.22
Mississippi	$125.10	$81.10
Montana**	$135.60	$84.49
North Carolina	$129.44	$81.76
North Dakota**	$132.83	$81.73
Nebraska	$127.56	$80.39
New Hampshire	$137.76	$84.56
Northern Nj	$150.65	$91.37
Rest Of New Jersey	$144.77	$88.97
New Mexico	$131.00	$84.14
Nevada**	$134.89	$83.74
Manhattan	$153.27	$93.89
Nyc Suburbs/Long Island	$156.34	$95.58
Poughkpsie/N Nyc Suburbs	$145.82	$89.86
Queens	$153.94	$93.53
Rest Of New York	$130.88	$82.33
Ohio	$129.83	$83.18
Oklahoma	$127.42	$81.78
Portland	$142.85	$86.08
Rest Of Oregon	$133.95	$83.05
Metropolitan Philadelphia	$140.40	$87.20
Rest Of Pennsylvania	$129.87	$82.96
Puerto Rico	$136.27	$84.61
Rhode Island	$138.53	$85.74
South Carolina	$129.83	$82.61
South Dakota**	$132.50	$81.40
Tennessee	$127.36	$80.91
Austin	$139.08	$85.01
Beaumont	$129.26	$82.76
Brazoria	$134.49	$83.85
Dallas	$135.25	$84.35
Fort Worth	$134.65	$84.26
Galveston	$134.85	$84.10
Houston	$137.41	$86.67
Rest Of Texas	$131.75	$83.25
Utah	$131.12	$83.09
Virginia	$133.10	$82.86
Virgin Islands	$136.27	$84.61
Vermont	$132.63	$82.04
Rest Of Washington	$138.86	$85.05
Seattle (King Cnty)	$153.12	$90.42
Wisconsin	$129.57	$80.61
West Virginia	$128.87	$84.46
Wyoming**	$134.39	$83.29

Examples are selected by 2024 national office/non-facility service volume among codes with supported current PFS rates. This is not a local or specialty utilization ranking. Amounts use the current release, not historical averages. See the utilization rankings

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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 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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99214 in every payment locality

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Where these rates come from

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