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CMS RVU26D · Effective 2026-10-01

49436 in Austin

Office / nonfacility

$586.23

Base rate per service

Facility setting

$179.14

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 49436 is $520.25—$65.98 lower than the $586.23 rate in Austin. Both use the same code, release and participation basis.

49436 across payment areas

Same release and payment basis · bars start at $0

  1. Austin · This locality

    $586.23

  2. Beaumont

    $520.25

    $65.98 lower than Austin

  3. Brazoria

    $554.12

    $32.11 lower than Austin

  4. Dallas

    $558.24

    $27.99 lower than Austin

  5. Fort Worth

    $554.02

    $32.21 lower than Austin

  6. Galveston

    $556.11

    $30.12 lower than Austin

  7. Houston

    $568.56

    $17.67 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, 49436 ranges from $487.83 in Arkansas to $761.12 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 · 49436

    Office

    $537.25

    Facility

    $172.10

    $48.98 lower than Austin for the office setting.

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

    California · 49436

    Office

    $641.05

    Facility

    $185.85

    $54.82 higher than Austin for the office setting.

  • Dc + Md/Va Suburbs

    District of Columbia · 49436

    Office

    $650.14

    Facility

    $196.87

    $63.91 higher than Austin for the office setting.

  • Miami

    Florida · 49436

    Office

    $615.70

    Facility

    $215.15

    $29.47 higher than Austin for the office setting.

  • Chicago

    Illinois · 49436

    Office

    $594.76

    Facility

    $208.06

    $8.53 higher than Austin for the office setting.

  • Manhattan

    New York · 49436

    Office

    $654.55

    Facility

    $207.43

    $68.32 higher than Austin for the office setting.

  • Alaska*

    Alaska · 49436

    Office

    $625.86

    Facility

    $216.07

    $39.63 higher than Austin for the office setting.

  • Alabama

    Alabama · 49436

    Office

    $496.21

    Facility

    $159.53

    $90.02 lower than Austin for the office setting.

  • Arkansas

    Arkansas · 49436

    Office

    $487.83

    Facility

    $157.31

    $98.40 lower than Austin for the office setting.

  • Arizona

    Arizona · 49436

    Office

    $545.21

    Facility

    $172.36

    $41.02 lower than Austin for the office setting.

  • Bakersfield

    California · 49436

    Office

    $598.59

    Facility

    $176.87

    $12.36 higher than Austin for the office setting.

  • Chico

    California · 49436

    Office

    $596.76

    Facility

    $175.04

    $10.53 higher than Austin for the office setting.

  • El Centro

    California · 49436

    Office

    $596.87

    Facility

    $175.15

    $10.64 higher than Austin for the office setting.

  • Fresno

    California · 49436

    Office

    $596.76

    Facility

    $175.04

    $10.53 higher than Austin for the office setting.

  • Hanford-Corcoran

    California · 49436

    Office

    $596.76

    Facility

    $175.04

    $10.53 higher than Austin for the office setting.

  • Madera

    California · 49436

    Office

    $596.76

    Facility

    $175.04

    $10.53 higher than Austin for the office setting.

  • Merced

    California · 49436

    Office

    $596.76

    Facility

    $175.04

    $10.53 higher than Austin for the office setting.

  • Modesto

    California · 49436

    Office

    $596.76

    Facility

    $175.04

    $10.53 higher than Austin for the office setting.

  • Napa

    California · 49436

    Office

    $700.37

    Facility

    $193.23

    $114.14 higher than Austin for the office setting.

  • Oxnard-Thousand Oaks-Ventura

    California · 49436

    Office

    $638.51

    Facility

    $183.71

    $52.28 higher than Austin for the office setting.

  • Redding

    California · 49436

    Office

    $596.76

    Facility

    $175.04

    $10.53 higher than Austin for the office setting.

  • Rest Of California

    California · 49436

    Office

    $596.76

    Facility

    $175.04

    $10.53 higher than Austin for the office setting.

  • Riverside-San Bernardino-Ontario

    California · 49436

    Office

    $604.05

    Facility

    $182.33

    $17.82 higher than Austin for the office setting.

  • Sacramento-Roseville-Folsom

    California · 49436

    Office

    $628.67

    Facility

    $181.17

    $42.44 higher than Austin for the office setting.

  • Salinas

    California · 49436

    Office

    $626.42

    Facility

    $180.47

    $40.19 higher than Austin for the office setting.

  • San Diego-Chula Vista-Carlsbad

    California · 49436

    Office

    $643.17

    Facility

    $182.97

    $56.94 higher than Austin for the office setting.

  • San Francisco-Oakland-Berkeley (Marin Cnty)

    California · 49436

    Office

    $743.60

    Facility

    $201.07

    $157.37 higher than Austin for the office setting.

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

    California · 49436

    Office

    $742.83

    Facility

    $200.29

    $156.60 higher than Austin for the office setting.

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

    California · 49436

    Office

    $761.12

    Facility

    $206.27

    $174.89 higher than Austin for the office setting.

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

    California · 49436

    Office

    $757.96

    Facility

    $203.11

    $171.73 higher than Austin for the office setting.

  • San Luis Obispo-Paso Robles

    California · 49436

    Office

    $616.16

    Facility

    $177.90

    $29.93 higher than Austin for the office setting.

  • Santa Cruz-Watsonville

    California · 49436

    Office

    $650.81

    Facility

    $183.30

    $64.58 higher than Austin for the office setting.

  • Santa Maria-Santa Barbara

    California · 49436

    Office

    $629.32

    Facility

    $180.67

    $43.09 higher than Austin for the office setting.

  • Santa Rosa-Petaluma

    California · 49436

    Office

    $657.47

    Facility

    $184.96

    $71.24 higher than Austin for the office setting.

  • Stockton

    California · 49436

    Office

    $596.76

    Facility

    $175.04

    $10.53 higher than Austin for the office setting.

  • Vallejo

    California · 49436

    Office

    $699.26

    Facility

    $192.12

    $113.03 higher than Austin for the office setting.

  • Visalia

    California · 49436

    Office

    $596.76

    Facility

    $175.04

    $10.53 higher than Austin for the office setting.

  • Yuba City

    California · 49436

    Office

    $596.76

    Facility

    $175.04

    $10.53 higher than Austin for the office setting.

  • Colorado

    Colorado · 49436

    Office

    $587.44

    Facility

    $178.03

    $1.21 higher than Austin for the office setting.

  • Connecticut

    Connecticut · 49436

    Office

    $603.76

    Facility

    $189.35

    $17.53 higher than Austin for the office setting.

  • Delaware

    Delaware · 49436

    Office

    $555.20

    Facility

    $175.04

    $31.03 lower than Austin for the office setting.

  • Fort Lauderdale

    Florida · 49436

    Office

    $586.69

    Facility

    $196.91

    $0.46 higher than Austin for the office setting.

  • Rest Of Florida

    Florida · 49436

    Office

    $554.04

    Facility

    $186.19

    $32.19 lower than Austin for the office setting.

  • Atlanta

    Georgia · 49436

    Office

    $574.52

    Facility

    $183.59

    $11.71 lower than Austin for the office setting.

  • Rest Of Georgia

    Georgia · 49436

    Office

    $518.10

    Facility

    $174.88

    $68.13 lower than Austin for the office setting.

  • Hawaii, Guam

    Hawaii · 49436

    Office

    $614.73

    Facility

    $177.24

    $28.50 higher than Austin for the office setting.

  • Iowa

    Iowa · 49436

    Office

    $510.42

    Facility

    $158.35

    $75.81 lower than Austin for the office setting.

  • Idaho

    Idaho · 49436

    Office

    $514.40

    Facility

    $160.41

    $71.83 lower than Austin for the office setting.

  • East St. Louis

    Illinois · 49436

    Office

    $549.40

    Facility

    $195.41

    $36.83 lower than Austin for the office setting.

  • Rest Of Illinois

    Illinois · 49436

    Office

    $536.00

    Facility

    $184.70

    $50.23 lower than Austin for the office setting.

  • Suburban Chicago

    Illinois · 49436

    Office

    $592.81

    Facility

    $197.64

    $6.58 higher than Austin for the office setting.

  • Indiana

    Indiana · 49436

    Office

    $517.86

    Facility

    $161.17

    $68.37 lower than Austin for the office setting.

  • Kansas

    Kansas · 49436

    Office

    $507.89

    Facility

    $160.05

    $78.34 lower than Austin for the office setting.

  • Kentucky

    Kentucky · 49436

    Office

    $510.45

    Facility

    $168.38

    $75.78 lower than Austin for the office setting.

  • New Orleans

    Louisiana · 49436

    Office

    $538.94

    Facility

    $176.86

    $47.29 lower than Austin for the office setting.

  • Rest Of Louisiana

    Louisiana · 49436

    Office

    $509.62

    Facility

    $169.10

    $76.61 lower than Austin for the office setting.

  • Metropolitan Boston

    Massachusetts · 49436

    Office

    $651.14

    Facility

    $191.72

    $64.91 higher than Austin for the office setting.

  • Rest Of Massachusetts

    Massachusetts · 49436

    Office

    $583.19

    Facility

    $178.02

    $3.04 lower than Austin for the office setting.

  • Baltimore/Surr. Cntys

    Maryland · 49436

    Office

    $602.21

    Facility

    $189.34

    $15.98 higher than Austin for the office setting.

  • Rest Of Maryland

    Maryland · 49436

    Office

    $566.91

    Facility

    $177.51

    $19.32 lower than Austin for the office setting.

  • Rest Of Maine

    Maine · 49436

    Office

    $517.79

    Facility

    $163.79

    $68.44 lower than Austin for the office setting.

  • Southern Maine

    Maine · 49436

    Office

    $550.03

    Facility

    $168.71

    $36.20 lower than Austin for the office setting.

  • Detroit

    Michigan · 49436

    Office

    $562.26

    Facility

    $190.95

    $23.97 lower than Austin for the office setting.

  • Rest Of Michigan

    Michigan · 49436

    Office

    $526.14

    Facility

    $174.84

    $60.09 lower than Austin for the office setting.

  • Minnesota

    Minnesota · 49436

    Office

    $559.57

    Facility

    $163.63

    $26.66 lower than Austin for the office setting.

  • Metropolitan Kansas City

    Missouri · 49436

    Office

    $534.42

    Facility

    $173.12

    $51.81 lower than Austin for the office setting.

  • Metropolitan St. Louis

    Missouri · 49436

    Office

    $540.86

    Facility

    $174.55

    $45.37 lower than Austin for the office setting.

  • Rest Of Missouri

    Missouri · 49436

    Office

    $499.61

    Facility

    $167.93

    $86.62 lower than Austin for the office setting.

  • Mississippi

    Mississippi · 49436

    Office

    $493.82

    Facility

    $162.53

    $92.41 lower than Austin for the office setting.

  • Montana**

    Montana · 49436

    Office

    $562.43

    Facility

    $177.65

    $23.80 lower than Austin for the office setting.

  • North Carolina

    North Carolina · 49436

    Office

    $524.04

    Facility

    $165.04

    $62.19 lower than Austin for the office setting.

  • North Dakota**

    North Dakota · 49436

    Office

    $548.98

    Facility

    $164.20

    $37.25 lower than Austin for the office setting.

  • Nebraska

    Nebraska · 49436

    Office

    $513.60

    Facility

    $158.45

    $72.63 lower than Austin for the office setting.

  • New Hampshire

    New Hampshire · 49436

    Office

    $578.13

    Facility

    $177.58

    $8.10 lower than Austin for the office setting.

  • Northern Nj

    New Jersey · 49436

    Office

    $641.79

    Facility

    $195.45

    $55.56 higher than Austin for the office setting.

  • Rest Of New Jersey

    New Jersey · 49436

    Office

    $609.73

    Facility

    $189.55

    $23.50 higher than Austin for the office setting.

  • New Mexico

    New Mexico · 49436

    Office

    $529.58

    Facility

    $176.74

    $56.65 lower than Austin for the office setting.

  • Nevada**

    Nevada · 49436

    Office

    $559.13

    Facility

    $173.97

    $27.10 lower than Austin for the office setting.

  • Nyc Suburbs/Long Island

    New York · 49436

    Office

    $672.89

    Facility

    $215.38

    $86.66 higher than Austin for the office setting.

  • Poughkpsie/N Nyc Suburbs

    New York · 49436

    Office

    $614.09

    Facility

    $192.76

    $27.86 higher than Austin for the office setting.

  • Queens

    New York · 49436

    Office

    $660.30

    Facility

    $205.49

    $74.07 higher than Austin for the office setting.

  • Rest Of New York

    New York · 49436

    Office

    $533.16

    Facility

    $167.62

    $53.07 lower than Austin for the office setting.

  • Ohio

    Ohio · 49436

    Office

    $523.39

    Facility

    $172.09

    $62.84 lower than Austin for the office setting.

  • Oklahoma

    Oklahoma · 49436

    Office

    $509.12

    Facility

    $165.52

    $77.11 lower than Austin for the office setting.

  • Portland

    Oregon · 49436

    Office

    $608.16

    Facility

    $180.67

    $21.93 higher than Austin for the office setting.

  • Rest Of Oregon

    Oregon · 49436

    Office

    $553.92

    Facility

    $170.68

    $32.31 lower than Austin for the office setting.

  • Metropolitan Philadelphia

    Pennsylvania · 49436

    Office

    $586.95

    Facility

    $186.39

    $0.72 higher than Austin for the office setting.

  • Rest Of Pennsylvania

    Pennsylvania · 49436

    Office

    $524.22

    Facility

    $170.99

    $62.01 lower than Austin for the office setting.

  • Puerto Rico

    Puerto Rico · 49436

    Office

    $567.09

    Facility

    $178.08

    $19.14 lower than Austin for the office setting.

  • Rhode Island

    Rhode Island · 49436

    Office

    $576.59

    Facility

    $179.11

    $9.64 lower than Austin for the office setting.

  • South Carolina

    South Carolina · 49436

    Office

    $524.77

    Facility

    $169.23

    $61.46 lower than Austin for the office setting.

  • South Dakota**

    South Dakota · 49436

    Office

    $547.39

    Facility

    $162.61

    $38.84 lower than Austin for the office setting.

  • Tennessee

    Tennessee · 49436

    Office

    $510.89

    Facility

    $161.13

    $75.34 lower than Austin for the office setting.

  • Utah

    Utah · 49436

    Office

    $533.08

    Facility

    $171.39

    $53.15 lower than Austin for the office setting.

  • Virginia

    Virginia · 49436

    Office

    $548.12

    Facility

    $169.89

    $38.11 lower than Austin for the office setting.

  • Virgin Islands

    United States Virgin Islands · 49436

    Office

    $567.09

    Facility

    $178.08

    $19.14 lower than Austin for the office setting.

  • Vermont

    Vermont · 49436

    Office

    $546.74

    Facility

    $165.81

    $39.49 lower than Austin for the office setting.

  • Rest Of Washington

    Washington · 49436

    Office

    $582.11

    Facility

    $176.94

    $4.12 lower than Austin for the office setting.

  • Seattle (King Cnty)

    Washington · 49436

    Office

    $665.17

    Facility

    $193.05

    $78.94 higher than Austin for the office setting.

  • Wisconsin

    Wisconsin · 49436

    Office

    $527.80

    Facility

    $159.18

    $58.43 lower than Austin for the office setting.

  • West Virginia

    West Virginia · 49436

    Office

    $513.15

    Facility

    $178.77

    $73.08 lower than Austin for the office setting.

  • Wyoming**

    Wyoming · 49436

    Office

    $556.57

    Facility

    $171.79

    $29.66 lower than Austin for the office setting.

See how rates vary across the country

49436 · 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.

$487.83

$678.94

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

View all state and territory rates as a table
State / territoryRate rangeLocalities
AK$625.861
AL$496.211
AR$487.831
AZ$545.211
CA$596.76–$761.1229
CO$587.441
CT$603.761
DC$650.141
DE$555.201
FL$554.04–$615.703
GA$518.10–$574.522
GU$614.731
HI$614.731
IA$510.421
ID$514.401
IL$536.00–$594.764
IN$517.861
KS$507.891
KY$510.451
LA$509.62–$538.942
MA$583.19–$651.142
MD$566.91–$650.143
ME$517.79–$550.032
MI$526.14–$562.262
MN$559.571
MO$499.61–$540.863
MS$493.821
MT$562.431
NC$524.041
ND$548.981
NE$513.601
NH$578.131
NJ$609.73–$641.792
NM$529.581
NV$559.131
NY$533.16–$672.895
OH$523.391
OK$509.121
OR$553.92–$608.162
PA$524.22–$586.952
PR$567.091
RI$576.591
SC$524.771
SD$547.391
TN$510.891
TX$520.25–$586.238
UT$533.081
VA$548.12–$650.142
VI$567.091
VT$546.741
WA$582.11–$665.172
WI$527.801
WV$513.151
WY$556.571

Explore 49436 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 49436 in Austin, the physician’s office rate is $586.23 and the facility-setting rate is $179.14: a difference of $407.09.

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 49436 in Austin. This uses the base rate on this page, so the locality and release stay consistent.

Reference amount per service

$644.85

$586.23 × 110% = $644.85

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 49436 in Austin.

PPRRVU2026_Oct_nonQPP.csv

5,811

Code
49436
Physician work
2.65
Practice expense
13.51
Malpractice
0.68

GPCI2026.csv

96

Locality
Austin
Physician work
1.002
Practice expense
1.058
Malpractice
0.886
Office / nonfacility calculation for 49436 in Austin
ComponentRVULocality factorAdjusted
Physician work2.65× 1.0022.6553
Practice expense13.51× 1.05814.2936
Malpractice0.68× 0.8860.6025
Total RVUs17.5514
Conversion factor× 33.4009

Office / nonfacility rate, Austin$586.23

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

Open 49436 in the RVU calculator →

Explore RVUs, geographic factors and the full formula

Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work2.651.002
Practice expense13.511.058
Malpractice0.680.886

(2.65 × 1.002 + 13.51 × 1.058 + 0.68 × 0.886) × $33.4009 = $586.23

Facility

Facility calculation inputs
ComponentRVULocal GPCI
Work2.651.002
Practice expense1.991.058
Malpractice0.680.886

(2.65 × 1.002 + 1.99 × 1.058 + 0.68 × 0.886) × $33.4009 = $179.14

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

49436 · Office / nonfacility

$586.23

Effective 2026-10-01

The base rate is $62.61 higher than on 2025-10-01, moving from $523.62 to $586.23 (12.0%).

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

    $523.62changed to$586.23

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 2.72 changed to 2.65
    • Practice expense RVU 12.29 changed to 13.51
    • Malpractice RVU 0.67 changed to 0.68
    • 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: $523.62

    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$586.23$179.14RVU26D
2026-07-01$586.23$179.14RVU26C
2026-04-01$586.23$179.14RVU26B
2026-01-01$586.23$179.14RVU26A
2025-10-01$523.62$183.92RVU25D
2025-07-01$523.62$183.92RVU25C
2025-04-01$523.62$183.92RVU25B
2025-01-01$523.62$183.92RVU25A

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 49436PPRRVU2026_Oct_nonQPP.csv, line 5,811 (RVU26D)
Geographic factors for AustinGPCI2026.csv, line 96 (RVU26D)
Open CMS sourceHow this rate is calculatedBuild a fee sheet