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CMS RVU26D · Effective 2026-10-01

43202 in Austin

Office / nonfacility

$411.58

Base rate per service

Facility setting

$94.24

Base rate per service

Amounts below use the non-QP conversion factor for participating physicians. These are base physician payments before claim-level adjustments, not patient costs or total hospital charges.

The same code, a different location

How does Austin compare?

In Beaumont, the office rate for 43202 is $362.93—$48.65 lower than the $411.58 rate in Austin. Both use the same code, release and participation basis.

43202 across payment areas

Same release and payment basis · bars start at $0

  1. Austin · This locality

    $411.58

  2. Beaumont

    $362.93

    $48.65 lower than Austin

  3. Brazoria

    $389.06

    $22.52 lower than Austin

  4. Dallas

    $391.32

    $20.26 lower than Austin

  5. Fort Worth

    $388.11

    $23.47 lower than Austin

  6. Galveston

    $390.06

    $21.52 lower than Austin

  7. Houston

    $393.90

    $17.68 lower than Austin

Other payment areas listed in Texas appear first, followed by selected cross-country examples. The chart compares amounts, not distance.

Across 109 of 109 CMS payment localities with a supported office rate, 43202 ranges from $343.20 in Arkansas to $541.91 in San Jose-Sunnyvale-Santa Clara (San Benito Cnty). This is a geographic range, not an average.

The code’s RVUs stay the same in these comparisons. Geographic adjustments to work, practice expense and malpractice change the dollar amount. A city name alone may not identify the payment area for a service address.

Compare all 108 other payment areas

  • Rest Of Texas

    Texas · 43202

    Office

    $375.62

    Facility

    $90.98

    $35.96 lower than Austin for the office setting.

  • Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty)

    California · 43202

    Office

    $453.46

    Facility

    $98.63

    $41.88 higher than Austin for the office setting.

  • Dc + Md/Va Suburbs

    District of Columbia · 43202

    Office

    $455.69

    Facility

    $102.36

    $44.11 higher than Austin for the office setting.

  • Miami

    Florida · 43202

    Office

    $417.38

    Facility

    $105.15

    $5.80 higher than Austin for the office setting.

  • Chicago

    Illinois · 43202

    Office

    $404.25

    Facility

    $102.81

    $7.33 lower than Austin for the office setting.

  • Manhattan

    New York · 43202

    Office

    $454.29

    Facility

    $105.76

    $42.71 higher than Austin for the office setting.

  • Alaska*

    Alaska · 43202

    Office

    $439.49

    Facility

    $120.05

    $27.91 higher than Austin for the office setting.

  • Alabama

    Alabama · 43202

    Office

    $348.83

    Facility

    $86.39

    $62.75 lower than Austin for the office setting.

  • Arkansas

    Arkansas · 43202

    Office

    $343.20

    Facility

    $85.55

    $68.38 lower than Austin for the office setting.

  • Arizona

    Arizona · 43202

    Office

    $381.89

    Facility

    $91.25

    $29.69 lower than Austin for the office setting.

  • Bakersfield

    California · 43202

    Office

    $423.13

    Facility

    $94.40

    $11.55 higher than Austin for the office setting.

  • Chico

    California · 43202

    Office

    $422.51

    Facility

    $93.77

    $10.93 higher than Austin for the office setting.

  • El Centro

    California · 43202

    Office

    $422.54

    Facility

    $93.81

    $10.96 higher than Austin for the office setting.

  • Fresno

    California · 43202

    Office

    $422.51

    Facility

    $93.77

    $10.93 higher than Austin for the office setting.

  • Hanford-Corcoran

    California · 43202

    Office

    $422.51

    Facility

    $93.77

    $10.93 higher than Austin for the office setting.

  • Madera

    California · 43202

    Office

    $422.51

    Facility

    $93.77

    $10.93 higher than Austin for the office setting.

  • Merced

    California · 43202

    Office

    $422.51

    Facility

    $93.77

    $10.93 higher than Austin for the office setting.

  • Modesto

    California · 43202

    Office

    $422.51

    Facility

    $93.77

    $10.93 higher than Austin for the office setting.

  • Napa

    California · 43202

    Office

    $498.15

    Facility

    $102.83

    $86.57 higher than Austin for the office setting.

  • Oxnard-Thousand Oaks-Ventura

    California · 43202

    Office

    $452.12

    Facility

    $97.59

    $40.54 higher than Austin for the office setting.

  • Redding

    California · 43202

    Office

    $422.51

    Facility

    $93.77

    $10.93 higher than Austin for the office setting.

  • Rest Of California

    California · 43202

    Office

    $422.51

    Facility

    $93.77

    $10.93 higher than Austin for the office setting.

  • Riverside-San Bernardino-Ontario

    California · 43202

    Office

    $424.79

    Facility

    $96.05

    $13.21 higher than Austin for the office setting.

  • Sacramento-Roseville-Folsom

    California · 43202

    Office

    $445.68

    Facility

    $96.85

    $34.10 higher than Austin for the office setting.

  • Salinas

    California · 43202

    Office

    $444.08

    Facility

    $96.45

    $32.50 higher than Austin for the office setting.

  • San Diego-Chula Vista-Carlsbad

    California · 43202

    Office

    $456.28

    Facility

    $97.55

    $44.70 higher than Austin for the office setting.

  • San Francisco-Oakland-Berkeley (Marin Cnty)

    California · 43202

    Office

    $529.97

    Facility

    $107.05

    $118.39 higher than Austin for the office setting.

  • San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)

    California · 43202

    Office

    $529.73

    Facility

    $106.81

    $118.15 higher than Austin for the office setting.

  • San Jose-Sunnyvale-Santa Clara (San Benito Cnty)

    California · 43202

    Office

    $541.91

    Facility

    $109.39

    $130.33 higher than Austin for the office setting.

  • San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)

    California · 43202

    Office

    $540.93

    Facility

    $108.42

    $129.35 higher than Austin for the office setting.

  • San Luis Obispo-Paso Robles

    California · 43202

    Office

    $436.70

    Facility

    $95.07

    $25.12 higher than Austin for the office setting.

  • Santa Cruz-Watsonville

    California · 43202

    Office

    $462.00

    Facility

    $97.58

    $50.42 higher than Austin for the office setting.

  • Santa Maria-Santa Barbara

    California · 43202

    Office

    $446.23

    Facility

    $96.50

    $34.65 higher than Austin for the office setting.

  • Santa Rosa-Petaluma

    California · 43202

    Office

    $466.80

    Facility

    $98.47

    $55.22 higher than Austin for the office setting.

  • Stockton

    California · 43202

    Office

    $422.51

    Facility

    $93.77

    $10.93 higher than Austin for the office setting.

  • Vallejo

    California · 43202

    Office

    $497.81

    Facility

    $102.49

    $86.23 higher than Austin for the office setting.

  • Visalia

    California · 43202

    Office

    $422.51

    Facility

    $93.77

    $10.93 higher than Austin for the office setting.

  • Yuba City

    California · 43202

    Office

    $422.51

    Facility

    $93.77

    $10.93 higher than Austin for the office setting.

  • Colorado

    Colorado · 43202

    Office

    $413.39

    Facility

    $94.25

    $1.81 higher than Austin for the office setting.

  • Connecticut

    Connecticut · 43202

    Office

    $421.13

    Facility

    $98.10

    $9.55 higher than Austin for the office setting.

  • Delaware

    Delaware · 43202

    Office

    $388.74

    Facility

    $92.40

    $22.84 lower than Austin for the office setting.

  • Fort Lauderdale

    Florida · 43202

    Office

    $403.09

    Facility

    $99.25

    $8.49 lower than Austin for the office setting.

  • Rest Of Florida

    Florida · 43202

    Office

    $382.14

    Facility

    $95.39

    $29.44 lower than Austin for the office setting.

  • Atlanta

    Georgia · 43202

    Office

    $399.99

    Facility

    $95.25

    $11.59 lower than Austin for the office setting.

  • Rest Of Georgia

    Georgia · 43202

    Office

    $358.84

    Facility

    $91.29

    $52.74 lower than Austin for the office setting.

  • Hawaii, Guam

    Hawaii · 43202

    Office

    $435.39

    Facility

    $94.35

    $23.81 higher than Austin for the office setting.

  • Iowa

    Iowa · 43202

    Office

    $360.85

    Facility

    $86.40

    $50.73 lower than Austin for the office setting.

  • Idaho

    Idaho · 43202

    Office

    $363.03

    Facility

    $87.09

    $48.55 lower than Austin for the office setting.

  • East St. Louis

    Illinois · 43202

    Office

    $373.84

    Facility

    $97.90

    $37.74 lower than Austin for the office setting.

  • Rest Of Illinois

    Illinois · 43202

    Office

    $368.37

    Facility

    $94.52

    $43.21 lower than Austin for the office setting.

  • Suburban Chicago

    Illinois · 43202

    Office

    $407.85

    Facility

    $99.81

    $3.73 lower than Austin for the office setting.

  • Indiana

    Indiana · 43202

    Office

    $365.43

    Facility

    $87.39

    $46.15 lower than Austin for the office setting.

  • Kansas

    Kansas · 43202

    Office

    $357.97

    Facility

    $86.82

    $53.61 lower than Austin for the office setting.

  • Kentucky

    Kentucky · 43202

    Office

    $355.90

    Facility

    $89.26

    $55.68 lower than Austin for the office setting.

  • New Orleans

    Louisiana · 43202

    Office

    $374.61

    Facility

    $92.37

    $36.97 lower than Austin for the office setting.

  • Rest Of Louisiana

    Louisiana · 43202

    Office

    $354.88

    Facility

    $89.44

    $56.70 lower than Austin for the office setting.

  • Metropolitan Boston

    Massachusetts · 43202

    Office

    $458.68

    Facility

    $100.55

    $47.10 higher than Austin for the office setting.

  • Rest Of Massachusetts

    Massachusetts · 43202

    Office

    $410.09

    Facility

    $94.26

    $1.49 lower than Austin for the office setting.

  • Baltimore/Surr. Cntys

    Maryland · 43202

    Office

    $419.78

    Facility

    $97.94

    $8.20 higher than Austin for the office setting.

  • Rest Of Maryland

    Maryland · 43202

    Office

    $397.07

    Facility

    $93.54

    $14.51 lower than Austin for the office setting.

  • Rest Of Maine

    Maine · 43202

    Office

    $364.08

    Facility

    $88.13

    $47.50 lower than Austin for the office setting.

  • Southern Maine

    Maine · 43202

    Office

    $387.57

    Facility

    $90.33

    $24.01 lower than Austin for the office setting.

  • Detroit

    Michigan · 43202

    Office

    $386.39

    Facility

    $96.95

    $25.19 lower than Austin for the office setting.

  • Rest Of Michigan

    Michigan · 43202

    Office

    $365.32

    Facility

    $91.48

    $46.26 lower than Austin for the office setting.

  • Minnesota

    Minnesota · 43202

    Office

    $397.76

    Facility

    $89.12

    $13.82 lower than Austin for the office setting.

  • Metropolitan Kansas City

    Missouri · 43202

    Office

    $372.84

    Facility

    $91.19

    $38.74 lower than Austin for the office setting.

  • Metropolitan St. Louis

    Missouri · 43202

    Office

    $377.30

    Facility

    $91.76

    $34.28 lower than Austin for the office setting.

  • Rest Of Missouri

    Missouri · 43202

    Office

    $347.41

    Facility

    $88.86

    $64.17 lower than Austin for the office setting.

  • Mississippi

    Mississippi · 43202

    Office

    $345.43

    Facility

    $87.18

    $66.15 lower than Austin for the office setting.

  • Montana**

    Montana · 43202

    Office

    $393.11

    Facility

    $93.17

    $18.47 lower than Austin for the office setting.

  • North Carolina

    North Carolina · 43202

    Office

    $368.49

    Facility

    $88.64

    $43.09 lower than Austin for the office setting.

  • North Dakota**

    North Dakota · 43202

    Office

    $388.96

    Facility

    $89.02

    $22.62 lower than Austin for the office setting.

  • Nebraska

    Nebraska · 43202

    Office

    $363.36

    Facility

    $86.51

    $48.22 lower than Austin for the office setting.

  • New Hampshire

    New Hampshire · 43202

    Office

    $405.78

    Facility

    $93.54

    $5.80 lower than Austin for the office setting.

  • Northern Nj

    New Jersey · 43202

    Office

    $449.94

    Facility

    $102.01

    $38.36 higher than Austin for the office setting.

  • Rest Of New Jersey

    New Jersey · 43202

    Office

    $426.41

    Facility

    $98.88

    $14.83 higher than Austin for the office setting.

  • New Mexico

    New Mexico · 43202

    Office

    $367.15

    Facility

    $92.10

    $44.43 lower than Austin for the office setting.

  • Nevada**

    Nevada · 43202

    Office

    $392.29

    Facility

    $92.05

    $19.29 lower than Austin for the office setting.

  • Nyc Suburbs/Long Island

    New York · 43202

    Office

    $465.10

    Facility

    $108.47

    $53.52 higher than Austin for the office setting.

  • Poughkpsie/N Nyc Suburbs

    New York · 43202

    Office

    $428.48

    Facility

    $100.04

    $16.90 higher than Austin for the office setting.

  • Queens

    New York · 43202

    Office

    $459.88

    Facility

    $105.35

    $48.30 higher than Austin for the office setting.

  • Rest Of New York

    New York · 43202

    Office

    $374.55

    Facility

    $89.60

    $37.03 lower than Austin for the office setting.

  • Ohio

    Ohio · 43202

    Office

    $364.47

    Facility

    $90.63

    $47.11 lower than Austin for the office setting.

  • Oklahoma

    Oklahoma · 43202

    Office

    $356.25

    Facility

    $88.41

    $55.33 lower than Austin for the office setting.

  • Portland

    Oregon · 43202

    Office

    $428.86

    Facility

    $95.63

    $17.28 higher than Austin for the office setting.

  • Rest Of Oregon

    Oregon · 43202

    Office

    $389.73

    Facility

    $90.99

    $21.85 lower than Austin for the office setting.

  • Metropolitan Philadelphia

    Pennsylvania · 43202

    Office

    $409.02

    Facility

    $96.78

    $2.56 lower than Austin for the office setting.

  • Rest Of Pennsylvania

    Pennsylvania · 43202

    Office

    $365.68

    Facility

    $90.34

    $45.90 lower than Austin for the office setting.

  • Puerto Rico

    Puerto Rico · 43202

    Office

    $396.65

    Facility

    $93.41

    $14.93 lower than Austin for the office setting.

  • Rhode Island

    Rhode Island · 43202

    Office

    $404.33

    Facility

    $94.49

    $7.25 lower than Austin for the office setting.

  • South Carolina

    South Carolina · 43202

    Office

    $367.00

    Facility

    $89.85

    $44.58 lower than Austin for the office setting.

  • South Dakota**

    South Dakota · 43202

    Office

    $388.47

    Facility

    $88.53

    $23.11 lower than Austin for the office setting.

  • Tennessee

    Tennessee · 43202

    Office

    $359.85

    Facility

    $87.21

    $51.73 lower than Austin for the office setting.

  • Utah

    Utah · 43202

    Office

    $372.61

    Facility

    $90.67

    $38.97 lower than Austin for the office setting.

  • Virginia

    Virginia · 43202

    Office

    $385.46

    Facility

    $90.62

    $26.12 lower than Austin for the office setting.

  • Virgin Islands

    United States Virgin Islands · 43202

    Office

    $396.65

    Facility

    $93.41

    $14.93 lower than Austin for the office setting.

  • Vermont

    Vermont · 43202

    Office

    $386.36

    Facility

    $89.42

    $25.22 lower than Austin for the office setting.

  • Rest Of Washington

    Washington · 43202

    Office

    $409.67

    Facility

    $93.83

    $1.91 lower than Austin for the office setting.

  • Seattle (King Cnty)

    Washington · 43202

    Office

    $469.56

    Facility

    $101.53

    $57.98 higher than Austin for the office setting.

  • Wisconsin

    Wisconsin · 43202

    Office

    $374.41

    Facility

    $87.07

    $37.17 lower than Austin for the office setting.

  • West Virginia

    West Virginia · 43202

    Office

    $352.92

    Facility

    $92.27

    $58.66 lower than Austin for the office setting.

  • Wyoming**

    Wyoming · 43202

    Office

    $391.30

    Facility

    $91.36

    $20.28 lower than Austin for the office setting.

See how rates vary across the country

43202 · Office / nonfacility · Non-QP. Choose a state to explore its payment localities. A range means the amount varies within that state.

MEWIVTNHMTNDMNMINYMARIWAIDWYSDIAILINOHPANJCTORNVUTCONEMOKYWVVAMDDECAAZNMKSOKARTNNCSCDCTXLAMSALGAFLAKHI

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.

$343.20

$482.21

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

View all state and territory rates as a table
State / territoryRate rangeLocalities
AK$439.491
AL$348.831
AR$343.201
AZ$381.891
CA$422.51–$541.9129
CO$413.391
CT$421.131
DC$455.691
DE$388.741
FL$382.14–$417.383
GA$358.84–$399.992
GU$435.391
HI$435.391
IA$360.851
ID$363.031
IL$368.37–$407.854
IN$365.431
KS$357.971
KY$355.901
LA$354.88–$374.612
MA$410.09–$458.682
MD$397.07–$455.693
ME$364.08–$387.572
MI$365.32–$386.392
MN$397.761
MO$347.41–$377.303
MS$345.431
MT$393.111
NC$368.491
ND$388.961
NE$363.361
NH$405.781
NJ$426.41–$449.942
NM$367.151
NV$392.291
NY$374.55–$465.105
OH$364.471
OK$356.251
OR$389.73–$428.862
PA$365.68–$409.022
PR$396.651
RI$404.331
SC$367.001
SD$388.471
TN$359.851
TX$362.93–$411.588
UT$372.611
VA$385.46–$455.692
VI$396.651
VT$386.361
WA$409.67–$469.562
WI$374.411
WV$352.921
WY$391.301

Explore 43202 on the national rate map →

Where does this rate apply?

Austin is a Medicare payment area. Our Census mapping connects it to 31 cities and communities in Texas, including the examples shown here.

Some communities span more than one payment area. Follow a city link to compare all of its mapped areas, or check the service-location ZIP above for an address-level starting point.

Browse all communities in Texas →

Why are the office and facility amounts different?

For 43202 in Austin, the physician’s office rate is $411.58 and the facility-setting rate is $94.24: a difference of $317.34.

The calculation uses a different practice-expense RVU for each setting. Both amounts here are physician fee-schedule amounts. The facility figure does not include a hospital’s separate charges, so this comparison does not tell you the total cost of receiving care in each setting.

See the inputs behind this difference →

Use this rate

What is a percentage of Medicare worth?

Turn a percentage into dollars for 43202 in Austin. This uses the base rate on this page, so the locality and release stay consistent.

Reference amount per service

$452.74

$411.58 × 110% = $452.74

A contract may specify another Medicare year or additional adjustments. This is percentage arithmetic on the displayed base rate, not a claim adjudication.

Working with a whole code list?

Compare an offer across your annual code mix, including an older Medicare schedule or flat per-code rates.

Compare your contract offer →

How this local rate is calculated

Each RVU component is multiplied by its own geographic practice cost index (GPCI). The three adjusted components are added, then multiplied by the conversion factor. These are the inputs used for 43202 in Austin.

PPRRVU2026_Oct_nonQPP.csv

5,142

Code
43202
Physician work
1.68
Practice expense
9.88
Malpractice
0.21

GPCI2026.csv

96

Locality
Austin
Physician work
1.002
Practice expense
1.058
Malpractice
0.886
Office / nonfacility calculation for 43202 in Austin
ComponentRVULocality factorAdjusted
Physician work1.68× 1.0021.6834
Practice expense9.88× 1.05810.4530
Malpractice0.21× 0.8860.1861
Total RVUs12.3225
Conversion factor× 33.4009

Office / nonfacility rate, Austin$411.58

Values as parsed from CMS release RVU26D, effective 2026-10-01. The amount is rounded to the nearest cent only at the end.

Open 43202 in the RVU calculator →

Explore RVUs, geographic factors and the full formula

Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work1.681.002
Practice expense9.881.058
Malpractice0.210.886

(1.68 × 1.002 + 9.88 × 1.058 + 0.21 × 0.886) × $33.4009 = $411.58

Facility

Facility calculation inputs
ComponentRVULocal GPCI
Work1.681.002
Practice expense0.91.058
Malpractice0.210.886

(1.68 × 1.002 + 0.9 × 1.058 + 0.21 × 0.886) × $33.4009 = $94.24

The office and facility calculations use their respective practice-expense RVUs. The facility amount here is the physician fee, not a separate hospital or facility bill.

How this rate has changed

43202 · Office / nonfacility

$411.58

Effective 2026-10-01

The base rate is $63.20 higher than on 2025-10-01, moving from $348.38 to $411.58 (18.1%).

It is unchanged from the immediately preceding available release, effective 2026-07-01.

Base rate by release · bars start at $0 · select a bar to compare

One bar per available release, ordered by effective date. Missing rates remain gaps. These comparisons hold the code, setting and locality identifiers constant; they do not isolate which policy or input caused a change.

What changed, release by release

  1. January 1, 2026

    RVU26A

    $348.38changed to$411.58

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 1.72 changed to 1.68
    • Practice expense RVU 8.46 changed to 9.88
    • Malpractice RVU 0.22 changed to 0.21
    • Work GPCI 1.000 changed to 1.002
    • Practice expense GPCI 1.046 changed to 1.058
    • Malpractice GPCI 0.914 changed to 0.886

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    Earliest loaded release: $348.38

    Held through RVU25B, RVU25C, RVU25D.

Explore release dates and calculate this code in an earlier period →

Each row uses the accepted CMS release effective on that date and the same contractor and locality identifiers. Missing rates stay visible. Historical boundaries may differ; verify the service address for an older claim.

Inspect every release and its CMS source
Effective fromOffice / nonfacilityFacilityCMS release
2026-10-01$411.58$94.24RVU26D
2026-07-01$411.58$94.24RVU26C
2026-04-01$411.58$94.24RVU26B
2026-01-01$411.58$94.24RVU26A
2025-10-01$348.38$100.03RVU25D
2025-07-01$348.38$100.03RVU25C
2025-04-01$348.38$100.03RVU25B
2025-01-01$348.38$100.03RVU25A

Where these rates come from

FeeBase calculates base physician payments from CMS work, practice-expense, and malpractice RVUs, adjusted by each locality’s geographic indices and the applicable conversion factor. Unavailable or separately priced services are labeled rather than assigned a made-up amount.

Source: RVU26D. Effective 2026-10-01 through the day before 2027-01-01.

RVUs for 43202PPRRVU2026_Oct_nonQPP.csv, line 5,142 (RVU26D)
Geographic factors for AustinGPCI2026.csv, line 96 (RVU26D)
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