FeeBase
Log inGet started
Menu
On this page

CMS RVU26D · Effective 2026-10-01

28490 in Delaware

Office / nonfacility

$156.89

Base rate per service

Facility setting

$130.82

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 Delaware compare?

28490 across payment areas

Same release and payment basis · bars start at $0

  1. Delaware · This locality

    $156.89

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

    $179.33

    $22.44 higher than Delaware

  3. Dc + Md/Va Suburbs

    $181.80

    $24.91 higher than Delaware

  4. Miami

    $172.05

    $15.16 higher than Delaware

  5. Chicago

    $166.85

    $9.96 higher than Delaware

  6. Manhattan

    $183.03

    $26.14 higher than Delaware

  7. Alaska*

    $182.61

    $25.72 higher than Delaware

Other payment areas listed in Delaware 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, 28490 ranges from $139.70 in Arkansas to $210.99 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

  • Alabama

    Alabama · 28490

    Office

    $141.83

    Facility

    $118.74

    $15.06 lower than Delaware for the office setting.

  • Arkansas

    Arkansas · 28490

    Office

    $139.70

    Facility

    $117.03

    $17.19 lower than Delaware for the office setting.

  • Arizona

    Arizona · 28490

    Office

    $154.27

    Facility

    $128.71

    $2.62 lower than Delaware for the office setting.

  • Bakersfield

    California · 28490

    Office

    $168.19

    Facility

    $139.27

    $11.30 higher than Delaware for the office setting.

  • Chico

    California · 28490

    Office

    $167.70

    Facility

    $138.78

    $10.81 higher than Delaware for the office setting.

  • El Centro

    California · 28490

    Office

    $167.73

    Facility

    $138.81

    $10.84 higher than Delaware for the office setting.

  • Fresno

    California · 28490

    Office

    $167.70

    Facility

    $138.78

    $10.81 higher than Delaware for the office setting.

  • Hanford-Corcoran

    California · 28490

    Office

    $167.70

    Facility

    $138.78

    $10.81 higher than Delaware for the office setting.

  • Madera

    California · 28490

    Office

    $167.70

    Facility

    $138.78

    $10.81 higher than Delaware for the office setting.

  • Merced

    California · 28490

    Office

    $167.70

    Facility

    $138.78

    $10.81 higher than Delaware for the office setting.

  • Modesto

    California · 28490

    Office

    $167.70

    Facility

    $138.78

    $10.81 higher than Delaware for the office setting.

  • Napa

    California · 28490

    Office

    $194.80

    Facility

    $160.02

    $37.91 higher than Delaware for the office setting.

  • Oxnard-Thousand Oaks-Ventura

    California · 28490

    Office

    $178.49

    Facility

    $147.30

    $21.60 higher than Delaware for the office setting.

  • Redding

    California · 28490

    Office

    $167.70

    Facility

    $138.78

    $10.81 higher than Delaware for the office setting.

  • Rest Of California

    California · 28490

    Office

    $167.70

    Facility

    $138.78

    $10.81 higher than Delaware for the office setting.

  • Riverside-San Bernardino-Ontario

    California · 28490

    Office

    $169.54

    Facility

    $140.62

    $12.65 higher than Delaware for the office setting.

  • Sacramento-Roseville-Folsom

    California · 28490

    Office

    $176.12

    Facility

    $145.43

    $19.23 higher than Delaware for the office setting.

  • Salinas

    California · 28490

    Office

    $175.47

    Facility

    $144.89

    $18.58 higher than Delaware for the office setting.

  • San Diego-Chula Vista-Carlsbad

    California · 28490

    Office

    $179.72

    Facility

    $148.16

    $22.83 higher than Delaware for the office setting.

  • San Francisco-Oakland-Berkeley (Marin Cnty)

    California · 28490

    Office

    $206.31

    Facility

    $169.10

    $49.42 higher than Delaware for the office setting.

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

    California · 28490

    Office

    $206.12

    Facility

    $168.91

    $49.23 higher than Delaware for the office setting.

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

    California · 28490

    Office

    $210.99

    Facility

    $172.94

    $54.10 higher than Delaware for the office setting.

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

    California · 28490

    Office

    $210.20

    Facility

    $172.15

    $53.31 higher than Delaware for the office setting.

  • San Luis Obispo-Paso Robles

    California · 28490

    Office

    $172.64

    Facility

    $142.58

    $15.75 higher than Delaware for the office setting.

  • Santa Cruz-Watsonville

    California · 28490

    Office

    $181.52

    Facility

    $149.46

    $24.63 higher than Delaware for the office setting.

  • Santa Maria-Santa Barbara

    California · 28490

    Office

    $176.16

    Facility

    $145.39

    $19.27 higher than Delaware for the office setting.

  • Santa Rosa-Petaluma

    California · 28490

    Office

    $183.36

    Facility

    $150.96

    $26.47 higher than Delaware for the office setting.

  • Stockton

    California · 28490

    Office

    $167.70

    Facility

    $138.78

    $10.81 higher than Delaware for the office setting.

  • Vallejo

    California · 28490

    Office

    $194.52

    Facility

    $159.74

    $37.63 higher than Delaware for the office setting.

  • Visalia

    California · 28490

    Office

    $167.70

    Facility

    $138.78

    $10.81 higher than Delaware for the office setting.

  • Yuba City

    California · 28490

    Office

    $167.70

    Facility

    $138.78

    $10.81 higher than Delaware for the office setting.

  • Colorado

    Colorado · 28490

    Office

    $165.22

    Facility

    $137.15

    $8.33 higher than Delaware for the office setting.

  • Connecticut

    Connecticut · 28490

    Office

    $169.46

    Facility

    $141.04

    $12.57 higher than Delaware for the office setting.

  • Fort Lauderdale

    Florida · 28490

    Office

    $164.74

    Facility

    $138.01

    $7.85 higher than Delaware for the office setting.

  • Rest Of Florida

    Florida · 28490

    Office

    $156.45

    Facility

    $131.23

    $0.44 lower than Delaware for the office setting.

  • Atlanta

    Georgia · 28490

    Office

    $161.75

    Facility

    $134.94

    $4.86 higher than Delaware for the office setting.

  • Rest Of Georgia

    Georgia · 28490

    Office

    $147.34

    Facility

    $123.80

    $9.55 lower than Delaware for the office setting.

  • Hawaii, Guam

    Hawaii · 28490

    Office

    $172.00

    Facility

    $142.00

    $15.11 higher than Delaware for the office setting.

  • Iowa

    Iowa · 28490

    Office

    $145.46

    Facility

    $121.32

    $11.43 lower than Delaware for the office setting.

  • Idaho

    Idaho · 28490

    Office

    $146.47

    Facility

    $122.19

    $10.42 lower than Delaware for the office setting.

  • East St. Louis

    Illinois · 28490

    Office

    $155.22

    Facility

    $130.94

    $1.67 lower than Delaware for the office setting.

  • Rest Of Illinois

    Illinois · 28490

    Office

    $151.85

    Facility

    $127.76

    $5.04 lower than Delaware for the office setting.

  • Suburban Chicago

    Illinois · 28490

    Office

    $166.41

    Facility

    $139.31

    $9.52 higher than Delaware for the office setting.

  • Indiana

    Indiana · 28490

    Office

    $147.35

    Facility

    $122.89

    $9.54 lower than Delaware for the office setting.

  • Kansas

    Kansas · 28490

    Office

    $144.81

    Facility

    $120.95

    $12.08 lower than Delaware for the office setting.

  • Kentucky

    Kentucky · 28490

    Office

    $145.42

    Facility

    $121.96

    $11.47 lower than Delaware for the office setting.

  • New Orleans

    Louisiana · 28490

    Office

    $152.65

    Facility

    $127.82

    $4.24 lower than Delaware for the office setting.

  • Rest Of Louisiana

    Louisiana · 28490

    Office

    $145.20

    Facility

    $121.85

    $11.69 lower than Delaware for the office setting.

  • Metropolitan Boston

    Massachusetts · 28490

    Office

    $181.88

    Facility

    $150.38

    $24.99 higher than Delaware for the office setting.

  • Rest Of Massachusetts

    Massachusetts · 28490

    Office

    $164.20

    Facility

    $136.42

    $7.31 higher than Delaware for the office setting.

  • Baltimore/Surr. Cntys

    Maryland · 28490

    Office

    $169.00

    Facility

    $140.68

    $12.11 higher than Delaware for the office setting.

  • Rest Of Maryland

    Maryland · 28490

    Office

    $159.95

    Facility

    $133.24

    $3.06 higher than Delaware for the office setting.

  • Rest Of Maine

    Maine · 28490

    Office

    $147.32

    Facility

    $123.04

    $9.57 lower than Delaware for the office setting.

  • Southern Maine

    Maine · 28490

    Office

    $155.52

    Facility

    $129.38

    $1.37 lower than Delaware for the office setting.

  • Detroit

    Michigan · 28490

    Office

    $158.53

    Facility

    $133.06

    $1.64 higher than Delaware for the office setting.

  • Rest Of Michigan

    Michigan · 28490

    Office

    $149.39

    Facility

    $125.30

    $7.50 lower than Delaware for the office setting.

  • Minnesota

    Minnesota · 28490

    Office

    $157.99

    Facility

    $130.84

    $1.10 higher than Delaware for the office setting.

  • Metropolitan Kansas City

    Missouri · 28490

    Office

    $151.51

    Facility

    $126.74

    $5.38 lower than Delaware for the office setting.

  • Metropolitan St. Louis

    Missouri · 28490

    Office

    $153.15

    Facility

    $128.03

    $3.74 lower than Delaware for the office setting.

  • Rest Of Missouri

    Missouri · 28490

    Office

    $142.65

    Facility

    $119.91

    $14.24 lower than Delaware for the office setting.

  • Mississippi

    Mississippi · 28490

    Office

    $141.20

    Facility

    $118.48

    $15.69 lower than Delaware for the office setting.

  • Montana**

    Montana · 28490

    Office

    $158.64

    Facility

    $132.26

    $1.75 higher than Delaware for the office setting.

  • North Carolina

    North Carolina · 28490

    Office

    $148.91

    Facility

    $124.29

    $7.98 lower than Delaware for the office setting.

  • North Dakota**

    North Dakota · 28490

    Office

    $155.28

    Facility

    $128.89

    $1.61 lower than Delaware for the office setting.

  • Nebraska

    Nebraska · 28490

    Office

    $146.28

    Facility

    $121.92

    $10.61 lower than Delaware for the office setting.

  • New Hampshire

    New Hampshire · 28490

    Office

    $162.66

    Facility

    $135.19

    $5.77 higher than Delaware for the office setting.

  • Northern Nj

    New Jersey · 28490

    Office

    $179.82

    Facility

    $149.21

    $22.93 higher than Delaware for the office setting.

  • Rest Of New Jersey

    New Jersey · 28490

    Office

    $171.30

    Facility

    $142.48

    $14.41 higher than Delaware for the office setting.

  • New Mexico

    New Mexico · 28490

    Office

    $150.26

    Facility

    $126.06

    $6.63 lower than Delaware for the office setting.

  • Nevada**

    Nevada · 28490

    Office

    $157.82

    Facility

    $131.41

    $0.93 higher than Delaware for the office setting.

  • Nyc Suburbs/Long Island

    New York · 28490

    Office

    $187.67

    Facility

    $156.30

    $30.78 higher than Delaware for the office setting.

  • Poughkpsie/N Nyc Suburbs

    New York · 28490

    Office

    $172.48

    Facility

    $143.58

    $15.59 higher than Delaware for the office setting.

  • Queens

    New York · 28490

    Office

    $184.51

    Facility

    $153.32

    $27.62 higher than Delaware for the office setting.

  • Rest Of New York

    New York · 28490

    Office

    $151.22

    Facility

    $126.16

    $5.67 lower than Delaware for the office setting.

  • Ohio

    Ohio · 28490

    Office

    $148.70

    Facility

    $124.61

    $8.19 lower than Delaware for the office setting.

  • Oklahoma

    Oklahoma · 28490

    Office

    $145.09

    Facility

    $121.53

    $11.80 lower than Delaware for the office setting.

  • Portland

    Oregon · 28490

    Office

    $170.56

    Facility

    $141.25

    $13.67 higher than Delaware for the office setting.

  • Rest Of Oregon

    Oregon · 28490

    Office

    $156.51

    Facility

    $130.23

    $0.38 lower than Delaware for the office setting.

  • Metropolitan Philadelphia

    Pennsylvania · 28490

    Office

    $165.15

    Facility

    $137.68

    $8.26 higher than Delaware for the office setting.

  • Rest Of Pennsylvania

    Pennsylvania · 28490

    Office

    $148.92

    Facility

    $124.70

    $7.97 lower than Delaware for the office setting.

  • Puerto Rico

    Puerto Rico · 28490

    Office

    $159.83

    Facility

    $133.16

    $2.94 higher than Delaware for the office setting.

  • Rhode Island

    Rhode Island · 28490

    Office

    $162.56

    Facility

    $135.30

    $5.67 higher than Delaware for the office setting.

  • South Carolina

    South Carolina · 28490

    Office

    $149.07

    Facility

    $124.69

    $7.82 lower than Delaware for the office setting.

  • South Dakota**

    South Dakota · 28490

    Office

    $154.88

    Facility

    $128.50

    $2.01 lower than Delaware for the office setting.

  • Tennessee

    Tennessee · 28490

    Office

    $145.57

    Facility

    $121.58

    $11.32 lower than Delaware for the office setting.

  • Austin

    Texas · 28490

    Office

    $164.75

    Facility

    $136.83

    $7.86 higher than Delaware for the office setting.

  • Beaumont

    Texas · 28490

    Office

    $147.91

    Facility

    $123.90

    $8.98 lower than Delaware for the office setting.

  • Brazoria

    Texas · 28490

    Office

    $156.68

    Facility

    $130.53

    $0.21 lower than Delaware for the office setting.

  • Dallas

    Texas · 28490

    Office

    $157.73

    Facility

    $131.45

    $0.84 higher than Delaware for the office setting.

  • Fort Worth

    Texas · 28490

    Office

    $156.66

    Facility

    $130.64

    $0.23 lower than Delaware for the office setting.

  • Galveston

    Texas · 28490

    Office

    $157.18

    Facility

    $130.98

    $0.29 higher than Delaware for the office setting.

  • Houston

    Texas · 28490

    Office

    $160.29

    Facility

    $134.09

    $3.40 higher than Delaware for the office setting.

  • Rest Of Texas

    Texas · 28490

    Office

    $152.24

    Facility

    $127.20

    $4.65 lower than Delaware for the office setting.

  • Utah

    Utah · 28490

    Office

    $151.18

    Facility

    $126.38

    $5.71 lower than Delaware for the office setting.

  • Virginia

    Virginia · 28490

    Office

    $155.03

    Facility

    $129.09

    $1.86 lower than Delaware for the office setting.

  • Virgin Islands

    United States Virgin Islands · 28490

    Office

    $159.83

    Facility

    $133.16

    $2.94 higher than Delaware for the office setting.

  • Vermont

    Vermont · 28490

    Office

    $154.70

    Facility

    $128.58

    $2.19 lower than Delaware for the office setting.

  • Rest Of Washington

    Washington · 28490

    Office

    $163.88

    Facility

    $136.10

    $6.99 higher than Delaware for the office setting.

  • Seattle (King Cnty)

    Washington · 28490

    Office

    $185.60

    Facility

    $153.22

    $28.71 higher than Delaware for the office setting.

  • Wisconsin

    Wisconsin · 28490

    Office

    $149.90

    Facility

    $124.62

    $6.99 lower than Delaware for the office setting.

  • West Virginia

    West Virginia · 28490

    Office

    $146.05

    Facility

    $123.12

    $10.84 lower than Delaware for the office setting.

  • Wyoming**

    Wyoming · 28490

    Office

    $157.18

    Facility

    $130.79

    $0.29 higher than Delaware for the office setting.

See how rates vary across the country

28490 · 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.

$139.70

$189.35

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

View all state and territory rates as a table
State / territoryRate rangeLocalities
AK$182.611
AL$141.831
AR$139.701
AZ$154.271
CA$167.70–$210.9929
CO$165.221
CT$169.461
DC$181.801
DE$156.891
FL$156.45–$172.053
GA$147.34–$161.752
GU$172.001
HI$172.001
IA$145.461
ID$146.471
IL$151.85–$166.854
IN$147.351
KS$144.811
KY$145.421
LA$145.20–$152.652
MA$164.20–$181.882
MD$159.95–$181.803
ME$147.32–$155.522
MI$149.39–$158.532
MN$157.991
MO$142.65–$153.153
MS$141.201
MT$158.641
NC$148.911
ND$155.281
NE$146.281
NH$162.661
NJ$171.30–$179.822
NM$150.261
NV$157.821
NY$151.22–$187.675
OH$148.701
OK$145.091
OR$156.51–$170.562
PA$148.92–$165.152
PR$159.831
RI$162.561
SC$149.071
SD$154.881
TN$145.571
TX$147.91–$164.758
UT$151.181
VA$155.03–$181.802
VI$159.831
VT$154.701
WA$163.88–$185.602
WI$149.901
WV$146.051
WY$157.181

Explore 28490 on the national rate map →

Where does this rate apply?

Delaware is a Medicare payment area. Our Census mapping connects it to 79 cities and communities in Delaware, 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 Delaware →

Why are the office and facility amounts different?

For 28490 in Delaware, the physician’s office rate is $156.89 and the facility-setting rate is $130.82: a difference of $26.07.

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 28490 in Delaware. This uses the base rate on this page, so the locality and release stay consistent.

Reference amount per service

$172.58

$156.89 × 110% = $172.58

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 28490 in Delaware.

PPRRVU2026_Oct_nonQPP.csv

3,216

Code
28490
Physician work
1.14
Practice expense
3.44
Malpractice
0.17

GPCI2026.csv

40

Locality
Delaware
Physician work
1.005
Practice expense
0.988
Malpractice
0.899
Office / nonfacility calculation for 28490 in Delaware
ComponentRVULocality factorAdjusted
Physician work1.14× 1.0051.1457
Practice expense3.44× 0.9883.3987
Malpractice0.17× 0.8990.1528
Total RVUs4.6972
Conversion factor× 33.4009

Office / nonfacility rate, Delaware$156.89

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

Open 28490 in the RVU calculator →

Explore RVUs, geographic factors and the full formula

Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work1.141.005
Practice expense3.440.988
Malpractice0.170.899

(1.14 × 1.005 + 3.44 × 0.988 + 0.17 × 0.899) × $33.4009 = $156.89

Facility

Facility calculation inputs
ComponentRVULocal GPCI
Work1.141.005
Practice expense2.650.988
Malpractice0.170.899

(1.14 × 1.005 + 2.65 × 0.988 + 0.17 × 0.899) × $33.4009 = $130.82

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

28490 · Office / nonfacility

$156.89

Effective 2026-10-01

The base rate is $13.36 higher than on 2025-10-01, moving from $143.53 to $156.89 (9.3%).

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

    $143.53changed to$156.89

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 1.17 changed to 1.14
    • Practice expense RVU 3.13 changed to 3.44
    • Malpractice RVU 0.16 changed to 0.17
    • Work GPCI 1.009 changed to 1.005
    • Practice expense GPCI 0.992 changed to 0.988
    • Malpractice GPCI 0.949 changed to 0.899

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    Earliest loaded release: $143.53

    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$156.89$130.82RVU26D
2026-07-01$156.89$130.82RVU26C
2026-04-01$156.89$130.82RVU26B
2026-01-01$156.89$130.82RVU26A
2025-10-01$143.53$126.53RVU25D
2025-07-01$143.53$126.53RVU25C
2025-04-01$143.53$126.53RVU25B
2025-01-01$143.53$126.53RVU25A

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 28490PPRRVU2026_Oct_nonQPP.csv, line 3,216 (RVU26D)
Geographic factors for DelawareGPCI2026.csv, line 40 (RVU26D)
Open CMS sourceHow this rate is calculatedBuild a fee sheet