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CMS RVU26D · Effective 2026-10-01

G0168 in Delaware

Office / nonfacility

$104.24

Base rate per service

Facility setting

$13.82

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?

G0168 across payment areas

Same release and payment basis · bars start at $0

  1. Delaware · This locality

    $104.24

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

    $122.23

    $17.99 higher than Delaware

  3. Dc + Md/Va Suburbs

    $122.94

    $18.70 higher than Delaware

  4. Miami

    $112.94

    $8.70 higher than Delaware

  5. Chicago

    $109.11

    $4.87 higher than Delaware

  6. Manhattan

    $122.65

    $18.41 higher than Delaware

  7. Alaska*

    $115.56

    $11.32 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, G0168 ranges from $91.27 in Arkansas to $146.75 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 · G0168

    Office

    $92.88

    Facility

    $12.80

    $11.36 lower than Delaware for the office setting.

  • Arkansas

    Arkansas · G0168

    Office

    $91.27

    Facility

    $12.66

    $12.97 lower than Delaware for the office setting.

  • Arizona

    Arizona · G0168

    Office

    $102.32

    Facility

    $13.64

    $1.92 lower than Delaware for the office setting.

  • Bakersfield

    California · G0168

    Office

    $113.77

    Facility

    $13.46

    $9.53 higher than Delaware for the office setting.

  • Chico

    California · G0168

    Office

    $113.58

    Facility

    $13.27

    $9.34 higher than Delaware for the office setting.

  • El Centro

    California · G0168

    Office

    $113.59

    Facility

    $13.29

    $9.35 higher than Delaware for the office setting.

  • Fresno

    California · G0168

    Office

    $113.58

    Facility

    $13.27

    $9.34 higher than Delaware for the office setting.

  • Hanford-Corcoran

    California · G0168

    Office

    $113.58

    Facility

    $13.27

    $9.34 higher than Delaware for the office setting.

  • Madera

    California · G0168

    Office

    $113.58

    Facility

    $13.27

    $9.34 higher than Delaware for the office setting.

  • Merced

    California · G0168

    Office

    $113.58

    Facility

    $13.27

    $9.34 higher than Delaware for the office setting.

  • Modesto

    California · G0168

    Office

    $113.58

    Facility

    $13.27

    $9.34 higher than Delaware for the office setting.

  • Napa

    California · G0168

    Office

    $134.66

    Facility

    $14.04

    $30.42 higher than Delaware for the office setting.

  • Oxnard-Thousand Oaks-Ventura

    California · G0168

    Office

    $121.91

    Facility

    $13.73

    $17.67 higher than Delaware for the office setting.

  • Redding

    California · G0168

    Office

    $113.58

    Facility

    $13.27

    $9.34 higher than Delaware for the office setting.

  • Rest Of California

    California · G0168

    Office

    $113.58

    Facility

    $13.27

    $9.34 higher than Delaware for the office setting.

  • Riverside-San Bernardino-Ontario

    California · G0168

    Office

    $114.33

    Facility

    $14.03

    $10.09 higher than Delaware for the office setting.

  • Sacramento-Roseville-Folsom

    California · G0168

    Office

    $120.01

    Facility

    $13.58

    $15.77 higher than Delaware for the office setting.

  • Salinas

    California · G0168

    Office

    $119.59

    Facility

    $13.52

    $15.35 higher than Delaware for the office setting.

  • San Diego-Chula Vista-Carlsbad

    California · G0168

    Office

    $123.04

    Facility

    $13.59

    $18.80 higher than Delaware for the office setting.

  • San Francisco-Oakland-Berkeley (Marin Cnty)

    California · G0168

    Office

    $143.44

    Facility

    $14.40

    $39.20 higher than Delaware for the office setting.

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

    California · G0168

    Office

    $143.36

    Facility

    $14.32

    $39.12 higher than Delaware for the office setting.

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

    California · G0168

    Office

    $146.75

    Facility

    $14.78

    $42.51 higher than Delaware for the office setting.

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

    California · G0168

    Office

    $146.43

    Facility

    $14.46

    $42.19 higher than Delaware for the office setting.

  • San Luis Obispo-Paso Robles

    California · G0168

    Office

    $117.59

    Facility

    $13.35

    $13.35 higher than Delaware for the office setting.

  • Santa Cruz-Watsonville

    California · G0168

    Office

    $124.71

    Facility

    $13.51

    $20.47 higher than Delaware for the office setting.

  • Santa Maria-Santa Barbara

    California · G0168

    Office

    $120.21

    Facility

    $13.50

    $15.97 higher than Delaware for the office setting.

  • Santa Rosa-Petaluma

    California · G0168

    Office

    $126.01

    Facility

    $13.62

    $21.77 higher than Delaware for the office setting.

  • Stockton

    California · G0168

    Office

    $113.58

    Facility

    $13.27

    $9.34 higher than Delaware for the office setting.

  • Vallejo

    California · G0168

    Office

    $134.55

    Facility

    $13.93

    $30.31 higher than Delaware for the office setting.

  • Visalia

    California · G0168

    Office

    $113.58

    Facility

    $13.27

    $9.34 higher than Delaware for the office setting.

  • Yuba City

    California · G0168

    Office

    $113.58

    Facility

    $13.27

    $9.34 higher than Delaware for the office setting.

  • Colorado

    Colorado · G0168

    Office

    $111.12

    Facility

    $13.74

    $6.88 higher than Delaware for the office setting.

  • Connecticut

    Connecticut · G0168

    Office

    $113.41

    Facility

    $14.85

    $9.17 higher than Delaware for the office setting.

  • Fort Lauderdale

    Florida · G0168

    Office

    $108.65

    Facility

    $15.94

    $4.41 higher than Delaware for the office setting.

  • Rest Of Florida

    Florida · G0168

    Office

    $102.62

    Facility

    $15.13

    $1.62 lower than Delaware for the office setting.

  • Atlanta

    Georgia · G0168

    Office

    $107.54

    Facility

    $14.56

    $3.30 higher than Delaware for the office setting.

  • Rest Of Georgia

    Georgia · G0168

    Office

    $95.93

    Facility

    $14.30

    $8.31 lower than Delaware for the office setting.

  • Hawaii, Guam

    Hawaii · G0168

    Office

    $117.33

    Facility

    $13.27

    $13.09 higher than Delaware for the office setting.

  • Iowa

    Iowa · G0168

    Office

    $96.22

    Facility

    $12.48

    $8.02 lower than Delaware for the office setting.

  • Idaho

    Idaho · G0168

    Office

    $96.86

    Facility

    $12.66

    $7.38 lower than Delaware for the office setting.

  • East St. Louis

    Illinois · G0168

    Office

    $100.46

    Facility

    $16.27

    $3.78 lower than Delaware for the office setting.

  • Rest Of Illinois

    Illinois · G0168

    Office

    $98.76

    Facility

    $15.20

    $5.48 lower than Delaware for the office setting.

  • Suburban Chicago

    Illinois · G0168

    Office

    $109.94

    Facility

    $15.95

    $5.70 higher than Delaware for the office setting.

  • Indiana

    Indiana · G0168

    Office

    $97.54

    Facility

    $12.70

    $6.70 lower than Delaware for the office setting.

  • Kansas

    Kansas · G0168

    Office

    $95.44

    Facility

    $12.71

    $8.80 lower than Delaware for the office setting.

  • Kentucky

    Kentucky · G0168

    Office

    $95.00

    Facility

    $13.64

    $9.24 lower than Delaware for the office setting.

  • New Orleans

    Louisiana · G0168

    Office

    $100.37

    Facility

    $14.25

    $3.87 lower than Delaware for the office setting.

  • Rest Of Louisiana

    Louisiana · G0168

    Office

    $94.73

    Facility

    $13.74

    $9.51 lower than Delaware for the office setting.

  • Metropolitan Boston

    Massachusetts · G0168

    Office

    $123.78

    Facility

    $14.51

    $19.54 higher than Delaware for the office setting.

  • Rest Of Massachusetts

    Massachusetts · G0168

    Office

    $110.17

    Facility

    $13.80

    $5.93 higher than Delaware for the office setting.

  • Baltimore/Surr. Cntys

    Maryland · G0168

    Office

    $113.06

    Facility

    $14.86

    $8.82 higher than Delaware for the office setting.

  • Rest Of Maryland

    Maryland · G0168

    Office

    $106.57

    Facility

    $13.96

    $2.33 higher than Delaware for the office setting.

  • Rest Of Maine

    Maine · G0168

    Office

    $97.21

    Facility

    $13.01

    $7.03 lower than Delaware for the office setting.

  • Southern Maine

    Maine · G0168

    Office

    $103.85

    Facility

    $13.15

    $0.39 lower than Delaware for the office setting.

  • Detroit

    Michigan · G0168

    Office

    $103.89

    Facility

    $15.57

    $0.35 lower than Delaware for the office setting.

  • Rest Of Michigan

    Michigan · G0168

    Office

    $97.74

    Facility

    $14.18

    $6.50 lower than Delaware for the office setting.

  • Minnesota

    Minnesota · G0168

    Office

    $106.60

    Facility

    $12.43

    $2.36 higher than Delaware for the office setting.

  • Metropolitan Kansas City

    Missouri · G0168

    Office

    $99.81

    Facility

    $13.87

    $4.43 lower than Delaware for the office setting.

  • Metropolitan St. Louis

    Missouri · G0168

    Office

    $101.08

    Facility

    $13.95

    $3.16 lower than Delaware for the office setting.

  • Rest Of Missouri

    Missouri · G0168

    Office

    $92.63

    Facility

    $13.74

    $11.61 lower than Delaware for the office setting.

  • Mississippi

    Mississippi · G0168

    Office

    $91.98

    Facility

    $13.19

    $12.26 lower than Delaware for the office setting.

  • Montana**

    Montana · G0168

    Office

    $105.54

    Facility

    $14.02

    $1.30 higher than Delaware for the office setting.

  • North Carolina

    North Carolina · G0168

    Office

    $98.46

    Facility

    $13.07

    $5.78 lower than Delaware for the office setting.

  • North Dakota**

    North Dakota · G0168

    Office

    $104.16

    Facility

    $12.64

    $0.08 lower than Delaware for the office setting.

  • Nebraska

    Nebraska · G0168

    Office

    $96.92

    Facility

    $12.45

    $7.32 lower than Delaware for the office setting.

  • New Hampshire

    New Hampshire · G0168

    Office

    $109.08

    Facility

    $13.80

    $4.84 higher than Delaware for the office setting.

  • Northern Nj

    New Jersey · G0168

    Office

    $121.25

    Facility

    $15.09

    $17.01 higher than Delaware for the office setting.

  • Rest Of New Jersey

    New Jersey · G0168

    Office

    $114.75

    Facility

    $14.81

    $10.51 higher than Delaware for the office setting.

  • New Mexico

    New Mexico · G0168

    Office

    $98.28

    Facility

    $14.36

    $5.96 lower than Delaware for the office setting.

  • Nevada**

    Nevada · G0168

    Office

    $105.25

    Facility

    $13.64

    $1.01 higher than Delaware for the office setting.

  • Nyc Suburbs/Long Island

    New York · G0168

    Office

    $125.80

    Facility

    $16.99

    $21.56 higher than Delaware for the office setting.

  • Poughkpsie/N Nyc Suburbs

    New York · G0168

    Office

    $115.34

    Facility

    $15.13

    $11.10 higher than Delaware for the office setting.

  • Queens

    New York · G0168

    Office

    $124.18

    Facility

    $16.01

    $19.94 higher than Delaware for the office setting.

  • Rest Of New York

    New York · G0168

    Office

    $100.19

    Facility

    $13.25

    $4.05 lower than Delaware for the office setting.

  • Ohio

    Ohio · G0168

    Office

    $97.46

    Facility

    $13.90

    $6.78 lower than Delaware for the office setting.

  • Oklahoma

    Oklahoma · G0168

    Office

    $95.05

    Facility

    $13.33

    $9.19 lower than Delaware for the office setting.

  • Portland

    Oregon · G0168

    Office

    $115.45

    Facility

    $13.78

    $11.21 higher than Delaware for the office setting.

  • Rest Of Oregon

    Oregon · G0168

    Office

    $104.48

    Facility

    $13.33

    $0.24 higher than Delaware for the office setting.

  • Metropolitan Philadelphia

    Pennsylvania · G0168

    Office

    $110.00

    Facility

    $14.73

    $5.76 higher than Delaware for the office setting.

  • Rest Of Pennsylvania

    Pennsylvania · G0168

    Office

    $97.78

    Facility

    $13.76

    $6.46 lower than Delaware for the office setting.

  • Puerto Rico

    Puerto Rico · G0168

    Office

    $106.54

    Facility

    $14.01

    $2.30 higher than Delaware for the office setting.

  • Rhode Island

    Rhode Island · G0168

    Office

    $108.56

    Facility

    $14.02

    $4.32 higher than Delaware for the office setting.

  • South Carolina

    South Carolina · G0168

    Office

    $98.11

    Facility

    $13.55

    $6.13 lower than Delaware for the office setting.

  • South Dakota**

    South Dakota · G0168

    Office

    $103.99

    Facility

    $12.48

    $0.25 lower than Delaware for the office setting.

  • Tennessee

    Tennessee · G0168

    Office

    $95.98

    Facility

    $12.79

    $8.26 lower than Delaware for the office setting.

  • Austin

    Texas · G0168

    Office

    $110.71

    Facility

    $13.88

    $6.47 higher than Delaware for the office setting.

  • Beaumont

    Texas · G0168

    Office

    $96.99

    Facility

    $13.71

    $7.25 lower than Delaware for the office setting.

  • Brazoria

    Texas · G0168

    Office

    $104.27

    Facility

    $13.58

    $0.03 higher than Delaware for the office setting.

  • Dallas

    Texas · G0168

    Office

    $104.93

    Facility

    $13.78

    $0.69 higher than Delaware for the office setting.

  • Fort Worth

    Texas · G0168

    Office

    $104.03

    Facility

    $13.79

    $0.21 lower than Delaware for the office setting.

  • Galveston

    Texas · G0168

    Office

    $104.57

    Facility

    $13.69

    $0.33 higher than Delaware for the office setting.

  • Houston

    Texas · G0168

    Office

    $105.85

    Facility

    $14.98

    $1.61 higher than Delaware for the office setting.

  • Rest Of Texas

    Texas · G0168

    Office

    $100.57

    Facility

    $13.72

    $3.67 lower than Delaware for the office setting.

  • Utah

    Utah · G0168

    Office

    $99.72

    Facility

    $13.69

    $4.52 lower than Delaware for the office setting.

  • Virginia

    Virginia · G0168

    Office

    $103.28

    Facility

    $13.31

    $0.96 lower than Delaware for the office setting.

  • Virgin Islands

    United States Virgin Islands · G0168

    Office

    $106.54

    Facility

    $14.01

    $2.30 higher than Delaware for the office setting.

  • Vermont

    Vermont · G0168

    Office

    $103.46

    Facility

    $12.86

    $0.78 lower than Delaware for the office setting.

  • Rest Of Washington

    Washington · G0168

    Office

    $110.06

    Facility

    $13.69

    $5.82 higher than Delaware for the office setting.

  • Seattle (King Cnty)

    Washington · G0168

    Office

    $126.77

    Facility

    $14.48

    $22.53 higher than Delaware for the office setting.

  • Wisconsin

    Wisconsin · G0168

    Office

    $100.01

    Facility

    $12.34

    $4.23 lower than Delaware for the office setting.

  • West Virginia

    West Virginia · G0168

    Office

    $94.35

    Facility

    $14.82

    $9.89 lower than Delaware for the office setting.

  • Wyoming**

    Wyoming · G0168

    Office

    $104.94

    Facility

    $13.42

    $0.70 higher than Delaware for the office setting.

See how rates vary across the country

G0168 · 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.

$91.27

$130.17

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

View all state and territory rates as a table
State / territoryRate rangeLocalities
AK$115.561
AL$92.881
AR$91.271
AZ$102.321
CA$113.58–$146.7529
CO$111.121
CT$113.411
DC$122.941
DE$104.241
FL$102.62–$112.943
GA$95.93–$107.542
GU$117.331
HI$117.331
IA$96.221
ID$96.861
IL$98.76–$109.944
IN$97.541
KS$95.441
KY$95.001
LA$94.73–$100.372
MA$110.17–$123.782
MD$106.57–$122.943
ME$97.21–$103.852
MI$97.74–$103.892
MN$106.601
MO$92.63–$101.083
MS$91.981
MT$105.541
NC$98.461
ND$104.161
NE$96.921
NH$109.081
NJ$114.75–$121.252
NM$98.281
NV$105.251
NY$100.19–$125.805
OH$97.461
OK$95.051
OR$104.48–$115.452
PA$97.78–$110.002
PR$106.541
RI$108.561
SC$98.111
SD$103.991
TN$95.981
TX$96.99–$110.718
UT$99.721
VA$103.28–$122.942
VI$106.541
VT$103.461
WA$110.06–$126.772
WI$100.011
WV$94.351
WY$104.941

Explore G0168 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 G0168 in Delaware, the physician’s office rate is $104.24 and the facility-setting rate is $13.82: a difference of $90.42.

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 G0168 in Delaware. This uses the base rate on this page, so the locality and release stay consistent.

Reference amount per service

$114.66

$104.24 × 110% = $114.66

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 G0168 in Delaware.

PPRRVU2026_Oct_nonQPP.csv

15,126

Code
G0168
Physician work
0.30
Practice expense
2.79
Malpractice
0.07

GPCI2026.csv

40

Locality
Delaware
Physician work
1.005
Practice expense
0.988
Malpractice
0.899
Office / nonfacility calculation for G0168 in Delaware
ComponentRVULocality factorAdjusted
Physician work0.30× 1.0050.3015
Practice expense2.79× 0.9882.7565
Malpractice0.07× 0.8990.0629
Total RVUs3.1210
Conversion factor× 33.4009

Office / nonfacility rate, Delaware$104.24

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

Open G0168 in the RVU calculator →

Explore RVUs, geographic factors and the full formula

Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work0.31.005
Practice expense2.790.988
Malpractice0.070.899

(0.3 × 1.005 + 2.79 × 0.988 + 0.07 × 0.899) × $33.4009 = $104.24

Facility

Facility calculation inputs
ComponentRVULocal GPCI
Work0.31.005
Practice expense0.050.988
Malpractice0.070.899

(0.3 × 1.005 + 0.05 × 0.988 + 0.07 × 0.899) × $33.4009 = $13.82

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

G0168 · Office / nonfacility

$104.24

Effective 2026-10-01

The base rate is $9.16 higher than on 2025-10-01, moving from $95.08 to $104.24 (9.6%).

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

    $95.08changed to$104.24

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 0.31 changed to 0.30
    • Practice expense RVU 2.60 changed to 2.79
    • Malpractice RVU 0.05 changed to 0.07
    • 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: $95.08

    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$104.24$13.82RVU26D
2026-07-01$104.24$13.82RVU26C
2026-04-01$104.24$13.82RVU26B
2026-01-01$104.24$13.82RVU26A
2025-10-01$95.08$13.90RVU25D
2025-07-01$95.08$13.90RVU25C
2025-04-01$95.08$13.90RVU25B
2025-01-01$95.08$13.90RVU25A

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 G0168PPRRVU2026_Oct_nonQPP.csv, line 15,126 (RVU26D)
Geographic factors for DelawareGPCI2026.csv, line 40 (RVU26D)
Open CMS sourceHow this rate is calculatedBuild a fee sheet