Both codes cover subcutaneous or intramuscular antineoplastic administration. Choose 96402 for a hormonal antineoplastic agent and 96401 for a nonhormonal agent.
On this page
CMS RVU26D · Effective 2026-10-01
96402 in El Centro
Office / nonfacility
$41.59
Base rate per service
Facility setting
Not available in this setting
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.
Chemotherapy administration
About 96402: Hormonal antineoplastic injection administration
Report this service when a hormonal antineoplastic drug is administered by subcutaneous or intramuscular injection, such as in oncology treatment.
This service covers administration of a hormonal antineoplastic agent by subcutaneous or intramuscular injection. It is commonly performed in an oncology or urology practice for cancer treatment, including administration of agents such as leuprolide, goserelin, or fulvestrant when used as hormonal antineoplastic therapy. The code represents the administration service, not the drug itself.
Select this code based on the agent’s hormonal antineoplastic role and the injection route; a nonhormonal antineoplastic injection uses a different administration code. Record the medication, indication, route, and administration in the clinical documentation. The drug may be reported separately when the practice supplies it and applicable drug-coding requirements are met. Under the CMS rule for this service, it is billed as an incident-to service only when performed under physician supervision.
CMS billing rules for 96402
- Professional and technical components
- Incident-to service: billed only when performed under physician supervision.
Where the value comes from
- Work RVU0.19 · 16%
- Practice expense (office) RVU0.95 · 82%
- Malpractice RVU0.02 · 2%
335.4K
Medicare services in 2024 · #290 by national volume
This summary was written with AI assistance from CMS physician fee schedule data and checked against the CMS billing rules shown here. Rates on this page come directly from CMS files.
96402 compared with similar codes
Office rates for El Centro, from the same CMS release.
Use 96372 for a qualifying therapeutic, prophylactic, or diagnostic injection that is not an antineoplastic administration. Use 96402 for a hormonal antineoplastic agent.
Code 96409 describes antineoplastic administration by intravenous push. Code 96402 applies when the hormonal antineoplastic agent is given subcutaneously or intramuscularly.
The same code, a different location
How does El Centro compare?
In Bakersfield, the office rate for 96402 is $41.65—$0.06 higher than the $41.59 rate in El Centro. Both use the same code, release and participation basis.
96402 across payment areas
Same release and payment basis · bars start at $0
El Centro · This locality
$41.59
$41.65
$0.06 higher than El Centro
$41.59
The same base rate than El Centro
$41.59
The same base rate than El Centro
$41.59
The same base rate than El Centro
$3.00 higher than El Centro
$41.59
The same base rate than El Centro
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, 96402 ranges from $33.95 in Arkansas to $53.16 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 · 96402
Office
$41.59
Facility
Unavailable
The same base rate than El Centro for the office setting.
Modesto
California · 96402
Office
$41.59
Facility
Unavailable
The same base rate than El Centro for the office setting.
Napa
California · 96402
Office
$48.91
Facility
Unavailable
$7.32 higher than El Centro for the office setting.
Oxnard-Thousand Oaks-Ventura
California · 96402
Office
$44.45
Facility
Unavailable
$2.86 higher than El Centro for the office setting.
Redding
California · 96402
Office
$41.59
Facility
Unavailable
The same base rate than El Centro for the office setting.
Rest Of California
California · 96402
Office
$41.59
Facility
Unavailable
The same base rate than El Centro for the office setting.
Riverside-San Bernardino-Ontario
California · 96402
Office
$41.81
Facility
Unavailable
$0.22 higher than El Centro for the office setting.
Sacramento-Roseville-Folsom
California · 96402
Office
$43.84
Facility
Unavailable
$2.25 higher than El Centro for the office setting.
Salinas
California · 96402
Office
$43.68
Facility
Unavailable
$2.09 higher than El Centro for the office setting.
San Diego-Chula Vista-Carlsbad
California · 96402
Office
$44.85
Facility
Unavailable
$3.26 higher than El Centro for the office setting.
San Francisco-Oakland-Berkeley (Marin Cnty)
California · 96402
Office
$52.00
Facility
Unavailable
$10.41 higher than El Centro for the office setting.
San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)
California · 96402
Office
$51.97
Facility
Unavailable
$10.38 higher than El Centro for the office setting.
San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
California · 96402
Office
$53.16
Facility
Unavailable
$11.57 higher than El Centro for the office setting.
San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)
California · 96402
Office
$53.07
Facility
Unavailable
$11.48 higher than El Centro for the office setting.
San Luis Obispo-Paso Robles
California · 96402
Office
$42.95
Facility
Unavailable
$1.36 higher than El Centro for the office setting.
Santa Cruz-Watsonville
California · 96402
Office
$45.39
Facility
Unavailable
$3.80 higher than El Centro for the office setting.
Santa Maria-Santa Barbara
California · 96402
Office
$43.88
Facility
Unavailable
$2.29 higher than El Centro for the office setting.
Santa Rosa-Petaluma
California · 96402
Office
$45.86
Facility
Unavailable
$4.27 higher than El Centro for the office setting.
Stockton
California · 96402
Office
$41.59
Facility
Unavailable
The same base rate than El Centro for the office setting.
Vallejo
California · 96402
Office
$48.87
Facility
Unavailable
$7.28 higher than El Centro for the office setting.
Visalia
California · 96402
Office
$41.59
Facility
Unavailable
The same base rate than El Centro for the office setting.
Yuba City
California · 96402
Office
$41.59
Facility
Unavailable
The same base rate than El Centro for the office setting.
Dc + Md/Va Suburbs
District of Columbia · 96402
Office
$44.81
Facility
Unavailable
$3.22 higher than El Centro for the office setting.
Miami
Florida · 96402
Office
$41.07
Facility
Unavailable
$0.52 lower than El Centro for the office setting.
Chicago
Illinois · 96402
Office
$39.81
Facility
Unavailable
$1.78 lower than El Centro for the office setting.
Manhattan
New York · 96402
Office
$44.68
Facility
Unavailable
$3.09 higher than El Centro for the office setting.
Alaska*
Alaska · 96402
Office
$43.68
Facility
Unavailable
$2.09 higher than El Centro for the office setting.
Alabama
Alabama · 96402
Office
$34.49
Facility
Unavailable
$7.10 lower than El Centro for the office setting.
Arkansas
Arkansas · 96402
Office
$33.95
Facility
Unavailable
$7.64 lower than El Centro for the office setting.
Arizona
Arizona · 96402
Office
$37.67
Facility
Unavailable
$3.92 lower than El Centro for the office setting.
Colorado
Colorado · 96402
Office
$40.71
Facility
Unavailable
$0.88 lower than El Centro for the office setting.
Connecticut
Connecticut · 96402
Office
$41.46
Facility
Unavailable
$0.13 lower than El Centro for the office setting.
Delaware
Delaware · 96402
Office
$38.33
Facility
Unavailable
$3.26 lower than El Centro for the office setting.
Fort Lauderdale
Florida · 96402
Office
$39.70
Facility
Unavailable
$1.89 lower than El Centro for the office setting.
Rest Of Florida
Florida · 96402
Office
$37.68
Facility
Unavailable
$3.91 lower than El Centro for the office setting.
Atlanta
Georgia · 96402
Office
$39.41
Facility
Unavailable
$2.18 lower than El Centro for the office setting.
Rest Of Georgia
Georgia · 96402
Office
$35.45
Facility
Unavailable
$6.14 lower than El Centro for the office setting.
Hawaii, Guam
Hawaii · 96402
Office
$42.81
Facility
Unavailable
$1.22 higher than El Centro for the office setting.
Iowa
Iowa · 96402
Office
$35.65
Facility
Unavailable
$5.94 lower than El Centro for the office setting.
Idaho
Idaho · 96402
Office
$35.85
Facility
Unavailable
$5.74 lower than El Centro for the office setting.
East St. Louis
Illinois · 96402
Office
$36.88
Facility
Unavailable
$4.71 lower than El Centro for the office setting.
Rest Of Illinois
Illinois · 96402
Office
$36.36
Facility
Unavailable
$5.23 lower than El Centro for the office setting.
Suburban Chicago
Illinois · 96402
Office
$40.16
Facility
Unavailable
$1.43 lower than El Centro for the office setting.
Indiana
Indiana · 96402
Office
$36.09
Facility
Unavailable
$5.50 lower than El Centro for the office setting.
Kansas
Kansas · 96402
Office
$35.37
Facility
Unavailable
$6.22 lower than El Centro for the office setting.
Kentucky
Kentucky · 96402
Office
$35.17
Facility
Unavailable
$6.42 lower than El Centro for the office setting.
New Orleans
Louisiana · 96402
Office
$36.96
Facility
Unavailable
$4.63 lower than El Centro for the office setting.
Rest Of Louisiana
Louisiana · 96402
Office
$35.07
Facility
Unavailable
$6.52 lower than El Centro for the office setting.
Metropolitan Boston
Massachusetts · 96402
Office
$45.09
Facility
Unavailable
$3.50 higher than El Centro for the office setting.
Rest Of Massachusetts
Massachusetts · 96402
Office
$40.39
Facility
Unavailable
$1.20 lower than El Centro for the office setting.
Baltimore/Surr. Cntys
Maryland · 96402
Office
$41.32
Facility
Unavailable
$0.27 lower than El Centro for the office setting.
Rest Of Maryland
Maryland · 96402
Office
$39.13
Facility
Unavailable
$2.46 lower than El Centro for the office setting.
Rest Of Maine
Maine · 96402
Office
$35.95
Facility
Unavailable
$5.64 lower than El Centro for the office setting.
Southern Maine
Maine · 96402
Office
$38.21
Facility
Unavailable
$3.38 lower than El Centro for the office setting.
Detroit
Michigan · 96402
Office
$38.09
Facility
Unavailable
$3.50 lower than El Centro for the office setting.
Rest Of Michigan
Michigan · 96402
Office
$36.07
Facility
Unavailable
$5.52 lower than El Centro for the office setting.
Minnesota
Minnesota · 96402
Office
$39.19
Facility
Unavailable
$2.40 lower than El Centro for the office setting.
Metropolitan Kansas City
Missouri · 96402
Office
$36.79
Facility
Unavailable
$4.80 lower than El Centro for the office setting.
Metropolitan St. Louis
Missouri · 96402
Office
$37.22
Facility
Unavailable
$4.37 lower than El Centro for the office setting.
Rest Of Missouri
Missouri · 96402
Office
$34.35
Facility
Unavailable
$7.24 lower than El Centro for the office setting.
Mississippi
Mississippi · 96402
Office
$34.16
Facility
Unavailable
$7.43 lower than El Centro for the office setting.
Montana**
Montana · 96402
Office
$38.74
Facility
Unavailable
$2.85 lower than El Centro for the office setting.
North Carolina
North Carolina · 96402
Office
$36.38
Facility
Unavailable
$5.21 lower than El Centro for the office setting.
North Dakota**
North Dakota · 96402
Office
$38.35
Facility
Unavailable
$3.24 lower than El Centro for the office setting.
Nebraska
Nebraska · 96402
Office
$35.89
Facility
Unavailable
$5.70 lower than El Centro for the office setting.
New Hampshire
New Hampshire · 96402
Office
$39.96
Facility
Unavailable
$1.63 lower than El Centro for the office setting.
Northern Nj
New Jersey · 96402
Office
$44.27
Facility
Unavailable
$2.68 higher than El Centro for the office setting.
Rest Of New Jersey
New Jersey · 96402
Office
$41.98
Facility
Unavailable
$0.39 higher than El Centro for the office setting.
New Mexico
New Mexico · 96402
Office
$36.25
Facility
Unavailable
$5.34 lower than El Centro for the office setting.
Nevada**
Nevada · 96402
Office
$38.67
Facility
Unavailable
$2.92 lower than El Centro for the office setting.
Nyc Suburbs/Long Island
New York · 96402
Office
$45.72
Facility
Unavailable
$4.13 higher than El Centro for the office setting.
Poughkpsie/N Nyc Suburbs
New York · 96402
Office
$42.19
Facility
Unavailable
$0.60 higher than El Centro for the office setting.
Queens
New York · 96402
Office
$45.22
Facility
Unavailable
$3.63 higher than El Centro for the office setting.
Rest Of New York
New York · 96402
Office
$36.96
Facility
Unavailable
$4.63 lower than El Centro for the office setting.
Ohio
Ohio · 96402
Office
$35.99
Facility
Unavailable
$5.60 lower than El Centro for the office setting.
Oklahoma
Oklahoma · 96402
Office
$35.20
Facility
Unavailable
$6.39 lower than El Centro for the office setting.
Portland
Oregon · 96402
Office
$42.20
Facility
Unavailable
$0.61 higher than El Centro for the office setting.
Rest Of Oregon
Oregon · 96402
Office
$38.42
Facility
Unavailable
$3.17 lower than El Centro for the office setting.
Metropolitan Philadelphia
Pennsylvania · 96402
Office
$40.29
Facility
Unavailable
$1.30 lower than El Centro for the office setting.
Rest Of Pennsylvania
Pennsylvania · 96402
Office
$36.11
Facility
Unavailable
$5.48 lower than El Centro for the office setting.
Puerto Rico
Puerto Rico · 96402
Office
$39.08
Facility
Unavailable
$2.51 lower than El Centro for the office setting.
Rhode Island
Rhode Island · 96402
Office
$39.84
Facility
Unavailable
$1.75 lower than El Centro for the office setting.
South Carolina
South Carolina · 96402
Office
$36.23
Facility
Unavailable
$5.36 lower than El Centro for the office setting.
South Dakota**
South Dakota · 96402
Office
$38.30
Facility
Unavailable
$3.29 lower than El Centro for the office setting.
Tennessee
Tennessee · 96402
Office
$35.55
Facility
Unavailable
$6.04 lower than El Centro for the office setting.
Austin
Texas · 96402
Office
$40.52
Facility
Unavailable
$1.07 lower than El Centro for the office setting.
Beaumont
Texas · 96402
Office
$35.84
Facility
Unavailable
$5.75 lower than El Centro for the office setting.
Brazoria
Texas · 96402
Office
$38.36
Facility
Unavailable
$3.23 lower than El Centro for the office setting.
Dallas
Texas · 96402
Office
$38.58
Facility
Unavailable
$3.01 lower than El Centro for the office setting.
Fort Worth
Texas · 96402
Office
$38.27
Facility
Unavailable
$3.32 lower than El Centro for the office setting.
Galveston
Texas · 96402
Office
$38.46
Facility
Unavailable
$3.13 lower than El Centro for the office setting.
Houston
Texas · 96402
Office
$38.82
Facility
Unavailable
$2.77 lower than El Centro for the office setting.
Rest Of Texas
Texas · 96402
Office
$37.06
Facility
Unavailable
$4.53 lower than El Centro for the office setting.
Utah
Utah · 96402
Office
$36.77
Facility
Unavailable
$4.82 lower than El Centro for the office setting.
Virginia
Virginia · 96402
Office
$38.01
Facility
Unavailable
$3.58 lower than El Centro for the office setting.
Virgin Islands
United States Virgin Islands · 96402
Office
$39.08
Facility
Unavailable
$2.51 lower than El Centro for the office setting.
Vermont
Vermont · 96402
Office
$38.10
Facility
Unavailable
$3.49 lower than El Centro for the office setting.
Rest Of Washington
Washington · 96402
Office
$40.35
Facility
Unavailable
$1.24 lower than El Centro for the office setting.
Seattle (King Cnty)
Washington · 96402
Office
$46.14
Facility
Unavailable
$4.55 higher than El Centro for the office setting.
Wisconsin
Wisconsin · 96402
Office
$36.95
Facility
Unavailable
$4.64 lower than El Centro for the office setting.
West Virginia
West Virginia · 96402
Office
$34.88
Facility
Unavailable
$6.71 lower than El Centro for the office setting.
Wyoming**
Wyoming · 96402
Office
$38.57
Facility
Unavailable
$3.02 lower than El Centro for the office setting.
See how rates vary across the country
96402 · Office / nonfacility · Non-QP. Choose a state to explore its payment localities. A range means the amount varies within that state.
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.
$33.95
$47.38
Color shows the midpoint of each state’s locality range.
View all state and territory rates as a table
| State / territory | Rate range | Localities |
|---|---|---|
| AK | $43.68 | 1 |
| AL | $34.49 | 1 |
| AR | $33.95 | 1 |
| AZ | $37.67 | 1 |
| CA | $41.59–$53.16 | 29 |
| CO | $40.71 | 1 |
| CT | $41.46 | 1 |
| DC | $44.81 | 1 |
| DE | $38.33 | 1 |
| FL | $37.68–$41.07 | 3 |
| GA | $35.45–$39.41 | 2 |
| GU | $42.81 | 1 |
| HI | $42.81 | 1 |
| IA | $35.65 | 1 |
| ID | $35.85 | 1 |
| IL | $36.36–$40.16 | 4 |
| IN | $36.09 | 1 |
| KS | $35.37 | 1 |
| KY | $35.17 | 1 |
| LA | $35.07–$36.96 | 2 |
| MA | $40.39–$45.09 | 2 |
| MD | $39.13–$44.81 | 3 |
| ME | $35.95–$38.21 | 2 |
| MI | $36.07–$38.09 | 2 |
| MN | $39.19 | 1 |
| MO | $34.35–$37.22 | 3 |
| MS | $34.16 | 1 |
| MT | $38.74 | 1 |
| NC | $36.38 | 1 |
| ND | $38.35 | 1 |
| NE | $35.89 | 1 |
| NH | $39.96 | 1 |
| NJ | $41.98–$44.27 | 2 |
| NM | $36.25 | 1 |
| NV | $38.67 | 1 |
| NY | $36.96–$45.72 | 5 |
| OH | $35.99 | 1 |
| OK | $35.20 | 1 |
| OR | $38.42–$42.20 | 2 |
| PA | $36.11–$40.29 | 2 |
| PR | $39.08 | 1 |
| RI | $39.84 | 1 |
| SC | $36.23 | 1 |
| SD | $38.30 | 1 |
| TN | $35.55 | 1 |
| TX | $35.84–$40.52 | 8 |
| UT | $36.77 | 1 |
| VA | $38.01–$44.81 | 2 |
| VI | $39.08 | 1 |
| VT | $38.10 | 1 |
| WA | $40.35–$46.14 | 2 |
| WI | $36.95 | 1 |
| WV | $34.88 | 1 |
| WY | $38.57 | 1 |
Where does this rate apply?
El Centro is a Medicare payment area. Our Census mapping connects it to 18 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.
Use this rate
What is a percentage of Medicare worth?
Turn a percentage into dollars for 96402 in El Centro. This uses the base rate on this page, so the locality and release stay consistent.
Reference amount per service
$45.75
$41.59 × 110% = $45.75
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.
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 96402 in El Centro.
PPRRVU2026_Oct_nonQPP.csv
12,796
- Code
- 96402
- Physician work
- 0.19
- Practice expense
- 0.95
- Malpractice
- 0.02
GPCI2026.csv
10
- Locality
- El Centro
- Physician work
- 1.017
- Practice expense
- 1.096
- Malpractice
- 0.541
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 0.19 | × 1.017 | 0.1932 |
| Practice expense | 0.95 | × 1.096 | 1.0412 |
| Malpractice | 0.02 | × 0.541 | 0.0108 |
| Total RVUs | 1.2453 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, El Centro$41.59
Open 96402 in the RVU calculator →
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 0.19 | 1.017 |
| Practice expense | 0.95 | 1.096 |
| Malpractice | 0.02 | 0.541 |
(0.19 × 1.017 + 0.95 × 1.096 + 0.02 × 0.541) × $33.4009 = $41.59
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
96402 · Office / nonfacility
$41.59
Effective 2026-10-01
The base rate is $4.23 higher than on 2025-10-01, moving from $37.36 to $41.59 (11.3%).
It is unchanged from the immediately preceding available release, effective 2026-07-01.
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
January 1, 2026
RVU26A
$37.36changed to$41.59
- Conversion factor 32.3465 changed to 33.4009
- Practice expense RVU 0.87 changed to 0.95
- Work GPCI 1.014 changed to 1.017
- Practice expense GPCI 1.093 changed to 1.096
- Malpractice GPCI 0.570 changed to 0.541
Held through RVU26B, RVU26C, RVU26D.
January 1, 2025
RVU25A
Earliest loaded release: $37.36
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 from | Office / nonfacility | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | $41.59 | Not available in this setting | RVU26D |
| 2026-07-01 | $41.59 | Not available in this setting | RVU26C |
| 2026-04-01 | $41.59 | Not available in this setting | RVU26B |
| 2026-01-01 | $41.59 | Not available in this setting | RVU26A |
| 2025-10-01 | $37.36 | Not available in this setting | RVU25D |
| 2025-07-01 | $37.36 | Not available in this setting | RVU25C |
| 2025-04-01 | $37.36 | Not available in this setting | RVU25B |
| 2025-01-01 | $37.36 | Not available in this setting | RVU25A |
96402 billing questions
How does this differ from 96401?
Use 96402 for a hormonal antineoplastic agent given subcutaneously or intramuscularly. Code 96401 is for a nonhormonal antineoplastic agent by those routes.
Can the drug be billed separately?
The administration code covers the injection service, not the medication. When the practice supplies the drug, report the appropriate drug code separately if applicable.
Can this be billed for any subcutaneous or intramuscular injection?
No. The agent must be a hormonal antineoplastic drug. A routine therapeutic injection, such as a non-antineoplastic medication, is not reported with this code.
What documentation supports reporting 96402?
Document the hormonal antineoplastic agent, its cancer-treatment indication, the subcutaneous or intramuscular route, and that the injection was administered.
What supervision is required for Medicare billing?
CMS specifies that this incident-to service is billed only when performed under physician supervision.
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.
