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CMS RVU26D · Effective 2026-10-01

G9986 in Chico

Office / nonfacility

$176.10

Base rate per service

Facility setting

$102.89

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 Chico compare?

In Bakersfield, the office rate for G9986 is $176.76—$0.66 higher than the $176.10 rate in Chico. Both use the same code, release and participation basis.

G9986 across payment areas

Same release and payment basis · bars start at $0

  1. Chico · This locality

    $176.10

  2. Bakersfield

    $176.76

    $0.66 higher than Chico

  3. El Centro

    $176.14

    $0.04 higher than Chico

  4. Fresno

    $176.10

    The same base rate than Chico

  5. Hanford-Corcoran

    $176.10

    The same base rate than Chico

  6. Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty)

    $186.68

    $10.58 higher than Chico

  7. Madera

    $176.10

    The same base rate than Chico

Other payment areas listed in California 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, G9986 ranges from $152.99 in Arkansas to $214.44 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

  • Merced

    California · G9986

    Office

    $176.10

    Facility

    $102.89

    The same base rate than Chico for the office setting.

  • Modesto

    California · G9986

    Office

    $176.10

    Facility

    $102.89

    The same base rate than Chico for the office setting.

  • Napa

    California · G9986

    Office

    $199.54

    Facility

    $111.50

    $23.44 higher than Chico for the office setting.

  • Oxnard-Thousand Oaks-Ventura

    California · G9986

    Office

    $185.39

    Facility

    $106.43

    $9.29 higher than Chico for the office setting.

  • Redding

    California · G9986

    Office

    $176.10

    Facility

    $102.89

    The same base rate than Chico for the office setting.

  • Rest Of California

    California · G9986

    Office

    $176.10

    Facility

    $102.89

    The same base rate than Chico for the office setting.

  • Riverside-San Bernardino-Ontario

    California · G9986

    Office

    $178.40

    Facility

    $105.18

    $2.30 higher than Chico for the office setting.

  • Sacramento-Roseville-Folsom

    California · G9986

    Office

    $183.60

    Facility

    $105.91

    $7.50 higher than Chico for the office setting.

  • Salinas

    California · G9986

    Office

    $182.88

    Facility

    $105.45

    $6.78 higher than Chico for the office setting.

  • San Diego-Chula Vista-Carlsbad

    California · G9986

    Office

    $186.25

    Facility

    $106.35

    $10.15 higher than Chico for the office setting.

  • San Francisco-Oakland-Berkeley (Marin Cnty)

    California · G9986

    Office

    $209.90

    Facility

    $115.71

    $33.80 higher than Chico for the office setting.

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

    California · G9986

    Office

    $209.66

    Facility

    $115.47

    $33.56 higher than Chico for the office setting.

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

    California · G9986

    Office

    $214.44

    Facility

    $118.11

    $38.34 higher than Chico for the office setting.

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

    California · G9986

    Office

    $213.46

    Facility

    $117.14

    $37.36 higher than Chico for the office setting.

  • San Luis Obispo-Paso Robles

    California · G9986

    Office

    $180.05

    Facility

    $103.97

    $3.95 higher than Chico for the office setting.

  • Santa Cruz-Watsonville

    California · G9986

    Office

    $187.32

    Facility

    $106.15

    $11.22 higher than Chico for the office setting.

  • Santa Maria-Santa Barbara

    California · G9986

    Office

    $183.31

    Facility

    $105.42

    $7.21 higher than Chico for the office setting.

  • Santa Rosa-Petaluma

    California · G9986

    Office

    $189.14

    Facility

    $107.11

    $13.04 higher than Chico for the office setting.

  • Stockton

    California · G9986

    Office

    $176.10

    Facility

    $102.89

    The same base rate than Chico for the office setting.

  • Vallejo

    California · G9986

    Office

    $199.20

    Facility

    $111.15

    $23.10 higher than Chico for the office setting.

  • Visalia

    California · G9986

    Office

    $176.10

    Facility

    $102.89

    The same base rate than Chico for the office setting.

  • Yuba City

    California · G9986

    Office

    $176.10

    Facility

    $102.89

    The same base rate than Chico for the office setting.

  • Dc + Md/Va Suburbs

    District of Columbia · G9986

    Office

    $190.29

    Facility

    $111.60

    $14.19 higher than Chico for the office setting.

  • Miami

    Florida · G9986

    Office

    $183.83

    Facility

    $114.29

    $7.73 higher than Chico for the office setting.

  • Chicago

    Illinois · G9986

    Office

    $179.38

    Facility

    $112.24

    $3.28 higher than Chico for the office setting.

  • Manhattan

    New York · G9986

    Office

    $192.84

    Facility

    $115.22

    $16.74 higher than Chico for the office setting.

  • Alaska*

    Alaska · G9986

    Office

    $207.40

    Facility

    $136.26

    $31.30 higher than Chico for the office setting.

  • Alabama

    Alabama · G9986

    Office

    $154.82

    Facility

    $96.37

    $21.28 lower than Chico for the office setting.

  • Arkansas

    Arkansas · G9986

    Office

    $152.99

    Facility

    $95.61

    $23.11 lower than Chico for the office setting.

  • Arizona

    Arizona · G9986

    Office

    $165.49

    Facility

    $100.75

    $10.61 lower than Chico for the office setting.

  • Colorado

    Colorado · G9986

    Office

    $174.53

    Facility

    $103.45

    $1.57 lower than Chico for the office setting.

  • Connecticut

    Connecticut · G9986

    Office

    $179.30

    Facility

    $107.35

    $3.20 higher than Chico for the office setting.

  • Delaware

    Delaware · G9986

    Office

    $167.88

    Facility

    $101.88

    $8.22 lower than Chico for the office setting.

  • Fort Lauderdale

    Florida · G9986

    Office

    $176.20

    Facility

    $108.53

    $0.10 higher than Chico for the office setting.

  • Rest Of Florida

    Florida · G9986

    Office

    $168.83

    Facility

    $104.97

    $7.27 lower than Chico for the office setting.

  • Atlanta

    Georgia · G9986

    Office

    $172.43

    Facility

    $104.56

    $3.67 lower than Chico for the office setting.

  • Rest Of Georgia

    Georgia · G9986

    Office

    $160.77

    Facility

    $101.18

    $15.33 lower than Chico for the office setting.

  • Hawaii, Guam

    Hawaii · G9986

    Office

    $178.97

    Facility

    $103.02

    $2.87 higher than Chico for the office setting.

  • Iowa

    Iowa · G9986

    Office

    $157.31

    Facility

    $96.18

    $18.79 lower than Chico for the office setting.

  • Idaho

    Idaho · G9986

    Office

    $158.30

    Facility

    $96.84

    $17.80 lower than Chico for the office setting.

  • East St. Louis

    Illinois · G9986

    Office

    $169.11

    Facility

    $107.65

    $6.99 lower than Chico for the office setting.

  • Rest Of Illinois

    Illinois · G9986

    Office

    $165.30

    Facility

    $104.31

    $10.80 lower than Chico for the office setting.

  • Suburban Chicago

    Illinois · G9986

    Office

    $177.73

    Facility

    $109.13

    $1.63 higher than Chico for the office setting.

  • Indiana

    Indiana · G9986

    Office

    $159.03

    Facility

    $97.11

    $17.07 lower than Chico for the office setting.

  • Kansas

    Kansas · G9986

    Office

    $157.05

    Facility

    $96.66

    $19.05 lower than Chico for the office setting.

  • Kentucky

    Kentucky · G9986

    Office

    $158.55

    Facility

    $99.16

    $17.55 lower than Chico for the office setting.

  • New Orleans

    Louisiana · G9986

    Office

    $164.88

    Facility

    $102.02

    $11.22 lower than Chico for the office setting.

  • Rest Of Louisiana

    Louisiana · G9986

    Office

    $158.48

    Facility

    $99.37

    $17.62 lower than Chico for the office setting.

  • Metropolitan Boston

    Massachusetts · G9986

    Office

    $189.28

    Facility

    $109.52

    $13.18 higher than Chico for the office setting.

  • Rest Of Massachusetts

    Massachusetts · G9986

    Office

    $173.91

    Facility

    $103.57

    $2.19 lower than Chico for the office setting.

  • Baltimore/Surr. Cntys

    Maryland · G9986

    Office

    $178.84

    Facility

    $107.16

    $2.74 higher than Chico for the office setting.

  • Rest Of Maryland

    Maryland · G9986

    Office

    $170.57

    Facility

    $102.97

    $5.53 lower than Chico for the office setting.

  • Rest Of Maine

    Maine · G9986

    Office

    $159.34

    Facility

    $97.89

    $16.76 lower than Chico for the office setting.

  • Southern Maine

    Maine · G9986

    Office

    $165.93

    Facility

    $99.73

    $10.17 lower than Chico for the office setting.

  • Detroit

    Michigan · G9986

    Office

    $170.94

    Facility

    $106.48

    $5.16 lower than Chico for the office setting.

  • Rest Of Michigan

    Michigan · G9986

    Office

    $162.26

    Facility

    $101.27

    $13.84 lower than Chico for the office setting.

  • Minnesota

    Minnesota · G9986

    Office

    $167.07

    Facility

    $98.33

    $9.03 lower than Chico for the office setting.

  • Metropolitan Kansas City

    Missouri · G9986

    Office

    $163.58

    Facility

    $100.85

    $12.52 lower than Chico for the office setting.

  • Metropolitan St. Louis

    Missouri · G9986

    Office

    $164.95

    Facility

    $101.35

    $11.15 lower than Chico for the office setting.

  • Rest Of Missouri

    Missouri · G9986

    Office

    $156.48

    Facility

    $98.90

    $19.62 lower than Chico for the office setting.

  • Mississippi

    Mississippi · G9986

    Office

    $154.74

    Facility

    $97.23

    $21.36 lower than Chico for the office setting.

  • Montana**

    Montana · G9986

    Office

    $169.33

    Facility

    $102.53

    $6.77 lower than Chico for the office setting.

  • North Carolina

    North Carolina · G9986

    Office

    $160.66

    Facility

    $98.33

    $15.44 lower than Chico for the office setting.

  • North Dakota**

    North Dakota · G9986

    Office

    $165.18

    Facility

    $98.37

    $10.92 lower than Chico for the office setting.

  • Nebraska

    Nebraska · G9986

    Office

    $157.91

    Facility

    $96.25

    $18.19 lower than Chico for the office setting.

  • New Hampshire

    New Hampshire · G9986

    Office

    $172.23

    Facility

    $102.69

    $3.87 lower than Chico for the office setting.

  • Northern Nj

    New Jersey · G9986

    Office

    $188.96

    Facility

    $111.47

    $12.86 higher than Chico for the office setting.

  • Rest Of New Jersey

    New Jersey · G9986

    Office

    $181.29

    Facility

    $108.34

    $5.19 higher than Chico for the office setting.

  • New Mexico

    New Mexico · G9986

    Office

    $163.13

    Facility

    $101.87

    $12.97 lower than Chico for the office setting.

  • Nevada**

    Nevada · G9986

    Office

    $168.26

    Facility

    $101.39

    $7.84 lower than Chico for the office setting.

  • Nyc Suburbs/Long Island

    New York · G9986

    Office

    $197.22

    Facility

    $117.80

    $21.12 higher than Chico for the office setting.

  • Poughkpsie/N Nyc Suburbs

    New York · G9986

    Office

    $182.71

    Facility

    $109.56

    $6.61 higher than Chico for the office setting.

  • Queens

    New York · G9986

    Office

    $193.67

    Facility

    $114.71

    $17.57 higher than Chico for the office setting.

  • Rest Of New York

    New York · G9986

    Office

    $162.67

    Facility

    $99.21

    $13.43 lower than Chico for the office setting.

  • Ohio

    Ohio · G9986

    Office

    $161.41

    Facility

    $100.42

    $14.69 lower than Chico for the office setting.

  • Oklahoma

    Oklahoma · G9986

    Office

    $157.95

    Facility

    $98.30

    $18.15 lower than Chico for the office setting.

  • Portland

    Oregon · G9986

    Office

    $178.87

    Facility

    $104.65

    $2.77 higher than Chico for the office setting.

  • Rest Of Oregon

    Oregon · G9986

    Office

    $166.89

    Facility

    $100.36

    $9.21 lower than Chico for the office setting.

  • Metropolitan Philadelphia

    Pennsylvania · G9986

    Office

    $175.73

    Facility

    $106.19

    $0.37 lower than Chico for the office setting.

  • Rest Of Pennsylvania

    Pennsylvania · G9986

    Office

    $161.42

    Facility

    $100.10

    $14.68 lower than Chico for the office setting.

  • Puerto Rico

    Puerto Rico · G9986

    Office

    $170.25

    Facility

    $102.71

    $5.85 lower than Chico for the office setting.

  • Rhode Island

    Rhode Island · G9986

    Office

    $172.96

    Facility

    $103.95

    $3.14 lower than Chico for the office setting.

  • South Carolina

    South Carolina · G9986

    Office

    $161.31

    Facility

    $99.58

    $14.79 lower than Chico for the office setting.

  • South Dakota**

    South Dakota · G9986

    Office

    $164.69

    Facility

    $97.88

    $11.41 lower than Chico for the office setting.

  • Tennessee

    Tennessee · G9986

    Office

    $157.74

    Facility

    $97.01

    $18.36 lower than Chico for the office setting.

  • Austin

    Texas · G9986

    Office

    $174.01

    Facility

    $103.34

    $2.09 lower than Chico for the office setting.

  • Beaumont

    Texas · G9986

    Office

    $160.58

    Facility

    $99.79

    $15.52 lower than Chico for the office setting.

  • Brazoria

    Texas · G9986

    Office

    $167.54

    Facility

    $101.34

    $8.56 lower than Chico for the office setting.

  • Dallas

    Texas · G9986

    Office

    $168.61

    Facility

    $102.08

    $7.49 lower than Chico for the office setting.

  • Fort Worth

    Texas · G9986

    Office

    $167.79

    Facility

    $101.92

    $8.31 lower than Chico for the office setting.

  • Galveston

    Texas · G9986

    Office

    $168.06

    Facility

    $101.72

    $8.04 lower than Chico for the office setting.

  • Houston

    Texas · G9986

    Office

    $171.90

    Facility

    $105.57

    $4.20 lower than Chico for the office setting.

  • Rest Of Texas

    Texas · G9986

    Office

    $163.98

    Facility

    $100.58

    $12.12 lower than Chico for the office setting.

  • Utah

    Utah · G9986

    Office

    $163.12

    Facility

    $100.32

    $12.98 lower than Chico for the office setting.

  • Virginia

    Virginia · G9986

    Office

    $165.72

    Facility

    $100.05

    $10.38 lower than Chico for the office setting.

  • Virgin Islands

    United States Virgin Islands · G9986

    Office

    $170.25

    Facility

    $102.71

    $5.85 lower than Chico for the office setting.

  • Vermont

    Vermont · G9986

    Office

    $164.96

    Facility

    $98.83

    $11.14 lower than Chico for the office setting.

  • Rest Of Washington

    Washington · G9986

    Office

    $173.45

    Facility

    $103.11

    $2.65 lower than Chico for the office setting.

  • Seattle (King Cnty)

    Washington · G9986

    Office

    $192.43

    Facility

    $110.47

    $16.33 higher than Chico for the office setting.

  • Wisconsin

    Wisconsin · G9986

    Office

    $160.63

    Facility

    $96.63

    $15.47 lower than Chico for the office setting.

  • West Virginia

    West Virginia · G9986

    Office

    $160.33

    Facility

    $102.28

    $15.77 lower than Chico for the office setting.

  • Wyoming**

    Wyoming · G9986

    Office

    $167.52

    Facility

    $100.72

    $8.58 lower than Chico for the office setting.

See how rates vary across the country

G9986 · 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.

$152.99

$207.40

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

View all state and territory rates as a table
State / territoryRate rangeLocalities
AK$207.401
AL$154.821
AR$152.991
AZ$165.491
CA$176.10–$214.4429
CO$174.531
CT$179.301
DC$190.291
DE$167.881
FL$168.83–$183.833
GA$160.77–$172.432
GU$178.971
HI$178.971
IA$157.311
ID$158.301
IL$165.30–$179.384
IN$159.031
KS$157.051
KY$158.551
LA$158.48–$164.882
MA$173.91–$189.282
MD$170.57–$190.293
ME$159.34–$165.932
MI$162.26–$170.942
MN$167.071
MO$156.48–$164.953
MS$154.741
MT$169.331
NC$160.661
ND$165.181
NE$157.911
NH$172.231
NJ$181.29–$188.962
NM$163.131
NV$168.261
NY$162.67–$197.225
OH$161.411
OK$157.951
OR$166.89–$178.872
PA$161.42–$175.732
PR$170.251
RI$172.961
SC$161.311
SD$164.691
TN$157.741
TX$160.58–$174.018
UT$163.121
VA$165.72–$190.292
VI$170.251
VT$164.961
WA$173.45–$192.432
WI$160.631
WV$160.331
WY$167.521

Explore G9986 on the national rate map →

Where does this rate apply?

Chico is a Medicare payment area. Our Census mapping connects it to 30 cities and communities in California, 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 California →

Why are the office and facility amounts different?

For G9986 in Chico, the physician’s office rate is $176.10 and the facility-setting rate is $102.89: a difference of $73.21.

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 G9986 in Chico. This uses the base rate on this page, so the locality and release stay consistent.

Reference amount per service

$193.71

$176.10 × 110% = $193.71

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 G9986 in Chico.

PPRRVU2026_Oct_nonQPP.csv

16,308

Code
G9986
Physician work
2.11
Practice expense
2.75
Malpractice
0.21

GPCI2026.csv

9

Locality
Chico
Physician work
1.017
Practice expense
1.096
Malpractice
0.536
Office / nonfacility calculation for G9986 in Chico
ComponentRVULocality factorAdjusted
Physician work2.11× 1.0172.1459
Practice expense2.75× 1.0963.0140
Malpractice0.21× 0.5360.1126
Total RVUs5.2724
Conversion factor× 33.4009

Office / nonfacility rate, Chico$176.10

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

Open G9986 in the RVU calculator →

Explore RVUs, geographic factors and the full formula

Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work2.111.017
Practice expense2.751.096
Malpractice0.210.536

(2.11 × 1.017 + 2.75 × 1.096 + 0.21 × 0.536) × $33.4009 = $176.10

Facility

Facility calculation inputs
ComponentRVULocal GPCI
Work2.111.017
Practice expense0.751.096
Malpractice0.210.536

(2.11 × 1.017 + 0.75 × 1.096 + 0.21 × 0.536) × $33.4009 = $102.89

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

G9986 · Office / nonfacility

$176.10

Effective 2026-10-01

The base rate is $17.53 higher than on 2025-10-01, moving from $158.57 to $176.10 (11.1%).

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

    $158.57changed to$176.10

    • Conversion factor 32.3465 changed to 33.4009
    • Practice expense RVU 2.42 changed to 2.75
    • Work GPCI 1.014 changed to 1.017
    • Practice expense GPCI 1.093 changed to 1.096
    • Malpractice GPCI 0.560 changed to 0.536

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    Earliest loaded release: $158.57

    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$176.10$102.89RVU26D
2026-07-01$176.10$102.89RVU26C
2026-04-01$176.10$102.89RVU26B
2026-01-01$176.10$102.89RVU26A
2025-10-01$158.57$118.26RVU25D
2025-07-01$158.57$118.26RVU25C
2025-04-01$158.57$118.26RVU25B
2025-01-01$158.57$118.26RVU25A

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 G9986PPRRVU2026_Oct_nonQPP.csv, line 16,308 (RVU26D)
Geographic factors for ChicoGPCI2026.csv, line 9 (RVU26D)
Open CMS sourceHow this rate is calculatedBuild a fee sheet