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CMS RVU26D · Effective 2026-10-01

28280 in Modesto

Office / nonfacility

$521.99

Base rate per service

Facility setting

$329.07

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 Modesto compare?

In Bakersfield, the office rate for 28280 is $523.66—$1.67 higher than the $521.99 rate in Modesto. Both use the same code, release and participation basis.

28280 across payment areas

Same release and payment basis · bars start at $0

  1. Modesto · This locality

    $521.99

  2. Bakersfield

    $523.66

    $1.67 higher than Modesto

  3. Chico

    $521.99

    The same base rate than Modesto

  4. El Centro

    $522.08

    $0.09 higher than Modesto

  5. Fresno

    $521.99

    The same base rate than Modesto

  6. Hanford-Corcoran

    $521.99

    The same base rate than Modesto

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

    $555.12

    $33.13 higher than Modesto

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, 28280 ranges from $446.07 in Arkansas to $644.12 in San Jose-Sunnyvale-Santa Clara (San Benito Cnty). This is a geographic range, not an average.

The code’s RVUs stay the same in these comparisons. Geographic adjustments to work, practice expense and malpractice change the dollar amount. A city name alone may not identify the payment area for a service address.

Compare all 108 other payment areas

  • Madera

    California · 28280

    Office

    $521.99

    Facility

    $329.07

    The same base rate than Modesto for the office setting.

  • Merced

    California · 28280

    Office

    $521.99

    Facility

    $329.07

    The same base rate than Modesto for the office setting.

  • Napa

    California · 28280

    Office

    $597.47

    Facility

    $365.48

    $75.48 higher than Modesto for the office setting.

  • Oxnard-Thousand Oaks-Ventura

    California · 28280

    Office

    $551.81

    Facility

    $343.76

    $29.82 higher than Modesto for the office setting.

  • Redding

    California · 28280

    Office

    $521.99

    Facility

    $329.07

    The same base rate than Modesto for the office setting.

  • Rest Of California

    California · 28280

    Office

    $521.99

    Facility

    $329.07

    The same base rate than Modesto for the office setting.

  • Riverside-San Bernardino-Ontario

    California · 28280

    Office

    $527.89

    Facility

    $334.96

    $5.90 higher than Modesto for the office setting.

  • Sacramento-Roseville-Folsom

    California · 28280

    Office

    $545.82

    Facility

    $341.10

    $23.83 higher than Modesto for the office setting.

  • Salinas

    California · 28280

    Office

    $543.72

    Facility

    $339.71

    $21.73 higher than Modesto for the office setting.

  • San Diego-Chula Vista-Carlsbad

    California · 28280

    Office

    $554.99

    Facility

    $344.47

    $33.00 higher than Modesto for the office setting.

  • San Francisco-Oakland-Berkeley (Marin Cnty)

    California · 28280

    Office

    $630.33

    Facility

    $382.14

    $108.34 higher than Modesto for the office setting.

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

    California · 28280

    Office

    $629.71

    Facility

    $381.52

    $107.72 higher than Modesto for the office setting.

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

    California · 28280

    Office

    $644.12

    Facility

    $390.30

    $122.13 higher than Modesto for the office setting.

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

    California · 28280

    Office

    $641.62

    Facility

    $387.79

    $119.63 higher than Modesto for the office setting.

  • San Luis Obispo-Paso Robles

    California · 28280

    Office

    $535.16

    Facility

    $334.68

    $13.17 higher than Modesto for the office setting.

  • Santa Cruz-Watsonville

    California · 28280

    Office

    $559.14

    Facility

    $345.27

    $37.15 higher than Modesto for the office setting.

  • Santa Maria-Santa Barbara

    California · 28280

    Office

    $545.35

    Facility

    $340.10

    $23.36 higher than Modesto for the office setting.

  • Santa Rosa-Petaluma

    California · 28280

    Office

    $564.68

    Facility

    $348.53

    $42.69 higher than Modesto for the office setting.

  • Stockton

    California · 28280

    Office

    $521.99

    Facility

    $329.07

    The same base rate than Modesto for the office setting.

  • Vallejo

    California · 28280

    Office

    $596.59

    Facility

    $364.59

    $74.60 higher than Modesto for the office setting.

  • Visalia

    California · 28280

    Office

    $521.99

    Facility

    $329.07

    The same base rate than Modesto for the office setting.

  • Yuba City

    California · 28280

    Office

    $521.99

    Facility

    $329.07

    The same base rate than Modesto for the office setting.

  • Dc + Md/Va Suburbs

    District of Columbia · 28280

    Office

    $563.94

    Facility

    $356.59

    $41.95 higher than Modesto for the office setting.

  • Miami

    Florida · 28280

    Office

    $538.14

    Facility

    $354.90

    $16.15 higher than Modesto for the office setting.

  • Chicago

    Illinois · 28280

    Office

    $524.11

    Facility

    $347.21

    $2.12 higher than Modesto for the office setting.

  • Manhattan

    New York · 28280

    Office

    $569.31

    Facility

    $364.77

    $47.32 higher than Modesto for the office setting.

  • Alaska*

    Alaska · 28280

    Office

    $596.66

    Facility

    $409.20

    $74.67 higher than Modesto for the office setting.

  • Alabama

    Alabama · 28280

    Office

    $451.89

    Facility

    $297.87

    $70.10 lower than Modesto for the office setting.

  • Arkansas

    Arkansas · 28280

    Office

    $446.07

    Facility

    $294.87

    $75.92 lower than Modesto for the office setting.

  • Arizona

    Arizona · 28280

    Office

    $485.92

    Facility

    $315.35

    $36.07 lower than Modesto for the office setting.

  • Colorado

    Colorado · 28280

    Office

    $515.74

    Facility

    $328.46

    $6.25 lower than Modesto for the office setting.

  • Connecticut

    Connecticut · 28280

    Office

    $528.85

    Facility

    $339.28

    $6.86 higher than Modesto for the office setting.

  • Delaware

    Delaware · 28280

    Office

    $493.38

    Facility

    $319.47

    $28.61 lower than Modesto for the office setting.

  • Fort Lauderdale

    Florida · 28280

    Office

    $516.56

    Facility

    $338.25

    $5.43 lower than Modesto for the office setting.

  • Rest Of Florida

    Florida · 28280

    Office

    $493.60

    Facility

    $325.33

    $28.39 lower than Modesto for the office setting.

  • Atlanta

    Georgia · 28280

    Office

    $507.05

    Facility

    $328.22

    $14.94 lower than Modesto for the office setting.

  • Rest Of Georgia

    Georgia · 28280

    Office

    $468.39

    Facility

    $311.38

    $53.60 lower than Modesto for the office setting.

  • Hawaii, Guam

    Hawaii · 28280

    Office

    $532.38

    Facility

    $332.24

    $10.39 higher than Modesto for the office setting.

  • Iowa

    Iowa · 28280

    Office

    $461.10

    Facility

    $300.04

    $60.89 lower than Modesto for the office setting.

  • Idaho

    Idaho · 28280

    Office

    $464.00

    Facility

    $302.06

    $57.99 lower than Modesto for the office setting.

  • East St. Louis

    Illinois · 28280

    Office

    $491.79

    Facility

    $329.85

    $30.20 lower than Modesto for the office setting.

  • Rest Of Illinois

    Illinois · 28280

    Office

    $481.52

    Facility

    $320.81

    $40.47 lower than Modesto for the office setting.

  • Suburban Chicago

    Illinois · 28280

    Office

    $521.42

    Facility

    $340.64

    $0.57 lower than Modesto for the office setting.

  • Indiana

    Indiana · 28280

    Office

    $466.38

    Facility

    $303.20

    $55.61 lower than Modesto for the office setting.

  • Kansas

    Kansas · 28280

    Office

    $459.66

    Facility

    $300.53

    $62.33 lower than Modesto for the office setting.

  • Kentucky

    Kentucky · 28280

    Office

    $462.48

    Facility

    $305.99

    $59.51 lower than Modesto for the office setting.

  • New Orleans

    Louisiana · 28280

    Office

    $482.39

    Facility

    $316.75

    $39.60 lower than Modesto for the office setting.

  • Rest Of Louisiana

    Louisiana · 28280

    Office

    $462.03

    Facility

    $306.25

    $59.96 lower than Modesto for the office setting.

  • Metropolitan Boston

    Massachusetts · 28280

    Office

    $562.56

    Facility

    $352.39

    $40.57 higher than Modesto for the office setting.

  • Rest Of Massachusetts

    Massachusetts · 28280

    Office

    $513.36

    Facility

    $328.01

    $8.63 lower than Modesto for the office setting.

  • Baltimore/Surr. Cntys

    Maryland · 28280

    Office

    $527.42

    Facility

    $338.55

    $5.43 higher than Modesto for the office setting.

  • Rest Of Maryland

    Maryland · 28280

    Office

    $501.94

    Facility

    $323.81

    $20.05 lower than Modesto for the office setting.

  • Rest Of Maine

    Maine · 28280

    Office

    $466.69

    Facility

    $304.75

    $55.30 lower than Modesto for the office setting.

  • Southern Maine

    Maine · 28280

    Office

    $488.60

    Facility

    $314.16

    $33.39 lower than Modesto for the office setting.

  • Detroit

    Michigan · 28280

    Office

    $499.66

    Facility

    $329.80

    $22.33 lower than Modesto for the office setting.

  • Rest Of Michigan

    Michigan · 28280

    Office

    $473.69

    Facility

    $312.98

    $48.30 lower than Modesto for the office setting.

  • Minnesota

    Minnesota · 28280

    Office

    $494.19

    Facility

    $313.06

    $27.80 lower than Modesto for the office setting.

  • Metropolitan Kansas City

    Missouri · 28280

    Office

    $478.91

    Facility

    $313.62

    $43.08 lower than Modesto for the office setting.

  • Metropolitan St. Louis

    Missouri · 28280

    Office

    $483.34

    Facility

    $315.77

    $38.65 lower than Modesto for the office setting.

  • Rest Of Missouri

    Missouri · 28280

    Office

    $455.27

    Facility

    $303.54

    $66.72 lower than Modesto for the office setting.

  • Mississippi

    Mississippi · 28280

    Office

    $450.73

    Facility

    $299.17

    $71.26 lower than Modesto for the office setting.

  • Montana**

    Montana · 28280

    Office

    $497.97

    Facility

    $321.95

    $24.02 lower than Modesto for the office setting.

  • North Carolina

    North Carolina · 28280

    Office

    $470.98

    Facility

    $306.75

    $51.01 lower than Modesto for the office setting.

  • North Dakota**

    North Dakota · 28280

    Office

    $487.29

    Facility

    $311.27

    $34.70 lower than Modesto for the office setting.

  • Nebraska

    Nebraska · 28280

    Office

    $463.20

    Facility

    $300.74

    $58.79 lower than Modesto for the office setting.

  • New Hampshire

    New Hampshire · 28280

    Office

    $508.31

    Facility

    $325.07

    $13.68 lower than Modesto for the office setting.

  • Northern Nj

    New Jersey · 28280

    Office

    $559.18

    Facility

    $355.00

    $37.19 higher than Modesto for the office setting.

  • Rest Of New Jersey

    New Jersey · 28280

    Office

    $534.88

    Facility

    $342.67

    $12.89 higher than Modesto for the office setting.

  • New Mexico

    New Mexico · 28280

    Office

    $476.21

    Facility

    $314.80

    $45.78 lower than Modesto for the office setting.

  • Nevada**

    Nevada · 28280

    Office

    $495.30

    Facility

    $319.10

    $26.69 lower than Modesto for the office setting.

  • Nyc Suburbs/Long Island

    New York · 28280

    Office

    $582.47

    Facility

    $373.18

    $60.48 higher than Modesto for the office setting.

  • Poughkpsie/N Nyc Suburbs

    New York · 28280

    Office

    $538.71

    Facility

    $345.96

    $16.72 higher than Modesto for the office setting.

  • Queens

    New York · 28280

    Office

    $572.84

    Facility

    $364.78

    $50.85 higher than Modesto for the office setting.

  • Rest Of New York

    New York · 28280

    Office

    $477.34

    Facility

    $310.11

    $44.65 lower than Modesto for the office setting.

  • Ohio

    Ohio · 28280

    Office

    $471.50

    Facility

    $310.80

    $50.49 lower than Modesto for the office setting.

  • Oklahoma

    Oklahoma · 28280

    Office

    $461.21

    Facility

    $304.02

    $60.78 lower than Modesto for the office setting.

  • Portland

    Oregon · 28280

    Office

    $530.17

    Facility

    $334.61

    $8.18 higher than Modesto for the office setting.

  • Rest Of Oregon

    Oregon · 28280

    Office

    $491.43

    Facility

    $316.11

    $30.56 lower than Modesto for the office setting.

  • Metropolitan Philadelphia

    Pennsylvania · 28280

    Office

    $517.17

    Facility

    $333.93

    $4.82 lower than Modesto for the office setting.

  • Rest Of Pennsylvania

    Pennsylvania · 28280

    Office

    $471.90

    Facility

    $310.31

    $50.09 lower than Modesto for the office setting.

  • Puerto Rico

    Puerto Rico · 28280

    Office

    $501.11

    Facility

    $323.15

    $20.88 lower than Modesto for the office setting.

  • Rhode Island

    Rhode Island · 28280

    Office

    $509.47

    Facility

    $327.64

    $12.52 lower than Modesto for the office setting.

  • South Carolina

    South Carolina · 28280

    Office

    $472.02

    Facility

    $309.38

    $49.97 lower than Modesto for the office setting.

  • South Dakota**

    South Dakota · 28280

    Office

    $486.03

    Facility

    $310.01

    $35.96 lower than Modesto for the office setting.

  • Tennessee

    Tennessee · 28280

    Office

    $461.78

    Facility

    $301.78

    $60.21 lower than Modesto for the office setting.

  • Austin

    Texas · 28280

    Office

    $514.06

    Facility

    $327.83

    $7.93 lower than Modesto for the office setting.

  • Beaumont

    Texas · 28280

    Office

    $469.16

    Facility

    $308.98

    $52.83 lower than Modesto for the office setting.

  • Brazoria

    Texas · 28280

    Office

    $492.67

    Facility

    $318.23

    $29.32 lower than Modesto for the office setting.

  • Dallas

    Texas · 28280

    Office

    $495.78

    Facility

    $320.47

    $26.21 lower than Modesto for the office setting.

  • Fort Worth

    Texas · 28280

    Office

    $492.96

    Facility

    $319.40

    $29.03 lower than Modesto for the office setting.

  • Galveston

    Texas · 28280

    Office

    $494.15

    Facility

    $319.36

    $27.84 lower than Modesto for the office setting.

  • Houston

    Texas · 28280

    Office

    $504.03

    Facility

    $329.24

    $17.96 lower than Modesto for the office setting.

  • Rest Of Texas

    Texas · 28280

    Office

    $480.64

    Facility

    $313.59

    $41.35 lower than Modesto for the office setting.

  • Utah

    Utah · 28280

    Office

    $477.79

    Facility

    $312.33

    $44.20 lower than Modesto for the office setting.

  • Virginia

    Virginia · 28280

    Office

    $487.50

    Facility

    $314.47

    $34.49 lower than Modesto for the office setting.

  • Virgin Islands

    United States Virgin Islands · 28280

    Office

    $501.11

    Facility

    $323.15

    $20.88 lower than Modesto for the office setting.

  • Vermont

    Vermont · 28280

    Office

    $486.03

    Facility

    $311.77

    $35.96 lower than Modesto for the office setting.

  • Rest Of Washington

    Washington · 28280

    Office

    $512.19

    Facility

    $326.84

    $9.80 lower than Modesto for the office setting.

  • Seattle (King Cnty)

    Washington · 28280

    Office

    $572.92

    Facility

    $356.94

    $50.93 higher than Modesto for the office setting.

  • Wisconsin

    Wisconsin · 28280

    Office

    $472.66

    Facility

    $304.03

    $49.33 lower than Modesto for the office setting.

  • West Virginia

    West Virginia · 28280

    Office

    $465.66

    Facility

    $312.69

    $56.33 lower than Modesto for the office setting.

  • Wyoming**

    Wyoming · 28280

    Office

    $493.32

    Facility

    $317.30

    $28.67 lower than Modesto for the office setting.

See how rates vary across the country

28280 · 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.

$446.07

$596.66

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

View all state and territory rates as a table
State / territoryRate rangeLocalities
AK$596.661
AL$451.891
AR$446.071
AZ$485.921
CA$521.99–$644.1229
CO$515.741
CT$528.851
DC$563.941
DE$493.381
FL$493.60–$538.143
GA$468.39–$507.052
GU$532.381
HI$532.381
IA$461.101
ID$464.001
IL$481.52–$524.114
IN$466.381
KS$459.661
KY$462.481
LA$462.03–$482.392
MA$513.36–$562.562
MD$501.94–$563.943
ME$466.69–$488.602
MI$473.69–$499.662
MN$494.191
MO$455.27–$483.343
MS$450.731
MT$497.971
NC$470.981
ND$487.291
NE$463.201
NH$508.311
NJ$534.88–$559.182
NM$476.211
NV$495.301
NY$477.34–$582.475
OH$471.501
OK$461.211
OR$491.43–$530.172
PA$471.90–$517.172
PR$501.111
RI$509.471
SC$472.021
SD$486.031
TN$461.781
TX$469.16–$514.068
UT$477.791
VA$487.50–$563.942
VI$501.111
VT$486.031
WA$512.19–$572.922
WI$472.661
WV$465.661
WY$493.321

Explore 28280 on the national rate map →

Where does this rate apply?

Modesto is a Medicare payment area. Our Census mapping connects it to 33 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 28280 in Modesto, the physician’s office rate is $521.99 and the facility-setting rate is $329.07: a difference of $192.92.

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 28280 in Modesto. This uses the base rate on this page, so the locality and release stay consistent.

Reference amount per service

$574.19

$521.99 × 110% = $574.19

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 28280 in Modesto.

PPRRVU2026_Oct_nonQPP.csv

3,167

Code
28280
Physician work
5.20
Practice expense
9.17
Malpractice
0.54

GPCI2026.csv

16

Locality
Modesto
Physician work
1.017
Practice expense
1.096
Malpractice
0.536
Office / nonfacility calculation for 28280 in Modesto
ComponentRVULocality factorAdjusted
Physician work5.20× 1.0175.2884
Practice expense9.17× 1.09610.0503
Malpractice0.54× 0.5360.2894
Total RVUs15.6282
Conversion factor× 33.4009

Office / nonfacility rate, Modesto$521.99

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

Open 28280 in the RVU calculator →

Explore RVUs, geographic factors and the full formula

Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work5.21.017
Practice expense9.171.096
Malpractice0.540.536

(5.2 × 1.017 + 9.17 × 1.096 + 0.54 × 0.536) × $33.4009 = $521.99

Facility

Facility calculation inputs
ComponentRVULocal GPCI
Work5.21.017
Practice expense3.91.096
Malpractice0.540.536

(5.2 × 1.017 + 3.9 × 1.096 + 0.54 × 0.536) × $33.4009 = $329.07

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

28280 · Office / nonfacility

$521.99

Effective 2026-10-01

The base rate is $18.14 higher than on 2025-10-01, moving from $503.85 to $521.99 (3.6%).

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

    $503.85changed to$521.99

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 5.33 changed to 5.20
    • Practice expense RVU 9.04 changed to 9.17
    • Malpractice RVU 0.52 changed to 0.54
    • 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: $503.85

    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$521.99$329.07RVU26D
2026-07-01$521.99$329.07RVU26C
2026-04-01$521.99$329.07RVU26B
2026-01-01$521.99$329.07RVU26A
2025-10-01$503.85$344.75RVU25D
2025-07-01$503.85$344.75RVU25C
2025-04-01$503.85$344.75RVU25B
2025-01-01$503.85$344.75RVU25A

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 28280PPRRVU2026_Oct_nonQPP.csv, line 3,167 (RVU26D)
Geographic factors for ModestoGPCI2026.csv, line 16 (RVU26D)
Open CMS sourceHow this rate is calculatedBuild a fee sheet