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CMS RVU26D · Effective 2026-10-01

28645 in Modesto

Office / nonfacility

$694.35

Base rate per service

Facility setting

$469.58

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 28645 is $697.03—$2.68 higher than the $694.35 rate in Modesto. Both use the same code, release and participation basis.

28645 across payment areas

Same release and payment basis · bars start at $0

  1. Modesto · This locality

    $694.35

  2. Bakersfield

    $697.03

    $2.68 higher than Modesto

  3. Chico

    $694.35

    The same base rate than Modesto

  4. El Centro

    $694.50

    $0.15 higher than Modesto

  5. Fresno

    $694.35

    The same base rate than Modesto

  6. Hanford-Corcoran

    $694.35

    The same base rate than Modesto

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

    $738.30

    $43.95 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, 28645 ranges from $596.20 in Arkansas to $853.24 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 · 28645

    Office

    $694.35

    Facility

    $469.58

    The same base rate than Modesto for the office setting.

  • Merced

    California · 28645

    Office

    $694.35

    Facility

    $469.58

    The same base rate than Modesto for the office setting.

  • Napa

    California · 28645

    Office

    $792.15

    Facility

    $521.85

    $97.80 higher than Modesto for the office setting.

  • Oxnard-Thousand Oaks-Ventura

    California · 28645

    Office

    $733.53

    Facility

    $491.12

    $39.18 higher than Modesto for the office setting.

  • Redding

    California · 28645

    Office

    $694.35

    Facility

    $469.58

    The same base rate than Modesto for the office setting.

  • Rest Of California

    California · 28645

    Office

    $694.35

    Facility

    $469.58

    The same base rate than Modesto for the office setting.

  • Riverside-San Bernardino-Ontario

    California · 28645

    Office

    $704.12

    Facility

    $479.36

    $9.77 higher than Modesto for the office setting.

  • Sacramento-Roseville-Folsom

    California · 28645

    Office

    $725.36

    Facility

    $486.85

    $31.01 higher than Modesto for the office setting.

  • Salinas

    California · 28645

    Office

    $722.57

    Facility

    $484.88

    $28.22 higher than Modesto for the office setting.

  • San Diego-Chula Vista-Carlsbad

    California · 28645

    Office

    $737.09

    Facility

    $491.82

    $42.74 higher than Modesto for the office setting.

  • San Francisco-Oakland-Berkeley (Marin Cnty)

    California · 28645

    Office

    $834.68

    Facility

    $545.52

    $140.33 higher than Modesto for the office setting.

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

    California · 28645

    Office

    $833.66

    Facility

    $544.50

    $139.31 higher than Modesto for the office setting.

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

    California · 28645

    Office

    $853.24

    Facility

    $557.52

    $158.89 higher than Modesto for the office setting.

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

    California · 28645

    Office

    $849.06

    Facility

    $553.34

    $154.71 higher than Modesto for the office setting.

  • San Luis Obispo-Paso Robles

    California · 28645

    Office

    $711.30

    Facility

    $477.71

    $16.95 higher than Modesto for the office setting.

  • Santa Cruz-Watsonville

    California · 28645

    Office

    $742.22

    Facility

    $493.05

    $47.87 higher than Modesto for the office setting.

  • Santa Maria-Santa Barbara

    California · 28645

    Office

    $724.61

    Facility

    $485.48

    $30.26 higher than Modesto for the office setting.

  • Santa Rosa-Petaluma

    California · 28645

    Office

    $749.53

    Facility

    $497.69

    $55.18 higher than Modesto for the office setting.

  • Stockton

    California · 28645

    Office

    $694.35

    Facility

    $469.58

    The same base rate than Modesto for the office setting.

  • Vallejo

    California · 28645

    Office

    $790.67

    Facility

    $520.38

    $96.32 higher than Modesto for the office setting.

  • Visalia

    California · 28645

    Office

    $694.35

    Facility

    $469.58

    The same base rate than Modesto for the office setting.

  • Yuba City

    California · 28645

    Office

    $694.35

    Facility

    $469.58

    The same base rate than Modesto for the office setting.

  • Dc + Md/Va Suburbs

    District of Columbia · 28645

    Office

    $752.98

    Facility

    $511.39

    $58.63 higher than Modesto for the office setting.

  • Miami

    Florida · 28645

    Office

    $728.47

    Facility

    $514.98

    $34.12 higher than Modesto for the office setting.

  • Chicago

    Illinois · 28645

    Office

    $708.94

    Facility

    $502.84

    $14.59 higher than Modesto for the office setting.

  • Manhattan

    New York · 28645

    Office

    $763.31

    Facility

    $525.01

    $68.96 higher than Modesto for the office setting.

  • Alaska*

    Alaska · 28645

    Office

    $799.55

    Facility

    $581.14

    $105.20 higher than Modesto for the office setting.

  • Alabama

    Alabama · 28645

    Office

    $604.04

    Facility

    $424.59

    $90.31 lower than Modesto for the office setting.

  • Arkansas

    Arkansas · 28645

    Office

    $596.20

    Facility

    $420.03

    $98.15 lower than Modesto for the office setting.

  • Arizona

    Arizona · 28645

    Office

    $649.80

    Facility

    $451.08

    $44.55 lower than Modesto for the office setting.

  • Colorado

    Colorado · 28645

    Office

    $687.89

    Facility

    $469.69

    $6.46 lower than Modesto for the office setting.

  • Connecticut

    Connecticut · 28645

    Office

    $707.85

    Facility

    $486.98

    $13.50 higher than Modesto for the office setting.

  • Delaware

    Delaware · 28645

    Office

    $659.79

    Facility

    $457.17

    $34.56 lower than Modesto for the office setting.

  • Fort Lauderdale

    Florida · 28645

    Office

    $695.76

    Facility

    $488.01

    $1.41 higher than Modesto for the office setting.

  • Rest Of Florida

    Florida · 28645

    Office

    $664.13

    Facility

    $468.07

    $30.22 lower than Modesto for the office setting.

  • Atlanta

    Georgia · 28645

    Office

    $679.42

    Facility

    $471.06

    $14.93 lower than Modesto for the office setting.

  • Rest Of Georgia

    Georgia · 28645

    Office

    $629.55

    Facility

    $446.62

    $64.80 lower than Modesto for the office setting.

  • Hawaii, Guam

    Hawaii · 28645

    Office

    $707.69

    Facility

    $474.51

    $13.34 higher than Modesto for the office setting.

  • Iowa

    Iowa · 28645

    Office

    $614.72

    Facility

    $427.07

    $79.63 lower than Modesto for the office setting.

  • Idaho

    Idaho · 28645

    Office

    $618.98

    Facility

    $430.30

    $75.37 lower than Modesto for the office setting.

  • East St. Louis

    Illinois · 28645

    Office

    $665.30

    Facility

    $476.62

    $29.05 lower than Modesto for the office setting.

  • Rest Of Illinois

    Illinois · 28645

    Office

    $648.98

    Facility

    $461.74

    $45.37 lower than Modesto for the office setting.

  • Suburban Chicago

    Illinois · 28645

    Office

    $701.89

    Facility

    $491.27

    $7.54 higher than Modesto for the office setting.

  • Indiana

    Indiana · 28645

    Office

    $622.13

    Facility

    $432.01

    $72.22 lower than Modesto for the office setting.

  • Kansas

    Kansas · 28645

    Office

    $613.60

    Facility

    $428.21

    $80.75 lower than Modesto for the office setting.

  • Kentucky

    Kentucky · 28645

    Office

    $620.04

    Facility

    $437.73

    $74.31 lower than Modesto for the office setting.

  • New Orleans

    Louisiana · 28645

    Office

    $647.18

    Facility

    $454.20

    $47.17 lower than Modesto for the office setting.

  • Rest Of Louisiana

    Louisiana · 28645

    Office

    $619.76

    Facility

    $438.26

    $74.59 lower than Modesto for the office setting.

  • Metropolitan Boston

    Massachusetts · 28645

    Office

    $749.43

    Facility

    $504.56

    $55.08 higher than Modesto for the office setting.

  • Rest Of Massachusetts

    Massachusetts · 28645

    Office

    $685.01

    Facility

    $469.06

    $9.34 lower than Modesto for the office setting.

  • Baltimore/Surr. Cntys

    Maryland · 28645

    Office

    $706.12

    Facility

    $486.07

    $11.77 higher than Modesto for the office setting.

  • Rest Of Maryland

    Maryland · 28645

    Office

    $671.03

    Facility

    $463.49

    $23.32 lower than Modesto for the office setting.

  • Rest Of Maine

    Maine · 28645

    Office

    $623.45

    Facility

    $434.78

    $70.90 lower than Modesto for the office setting.

  • Southern Maine

    Maine · 28645

    Office

    $651.71

    Facility

    $448.47

    $42.64 lower than Modesto for the office setting.

  • Detroit

    Michigan · 28645

    Office

    $673.18

    Facility

    $475.27

    $21.17 lower than Modesto for the office setting.

  • Rest Of Michigan

    Michigan · 28645

    Office

    $635.94

    Facility

    $448.70

    $58.41 lower than Modesto for the office setting.

  • Minnesota

    Minnesota · 28645

    Office

    $656.61

    Facility

    $445.59

    $37.74 lower than Modesto for the office setting.

  • Metropolitan Kansas City

    Missouri · 28645

    Office

    $641.61

    Facility

    $449.04

    $52.74 lower than Modesto for the office setting.

  • Metropolitan St. Louis

    Missouri · 28645

    Office

    $647.49

    Facility

    $452.25

    $46.86 lower than Modesto for the office setting.

  • Rest Of Missouri

    Missouri · 28645

    Office

    $611.18

    Facility

    $434.40

    $83.17 lower than Modesto for the office setting.

  • Mississippi

    Mississippi · 28645

    Office

    $603.72

    Facility

    $427.14

    $90.63 lower than Modesto for the office setting.

  • Montana**

    Montana · 28645

    Office

    $666.29

    Facility

    $461.21

    $28.06 lower than Modesto for the office setting.

  • North Carolina

    North Carolina · 28645

    Office

    $629.09

    Facility

    $437.75

    $65.26 lower than Modesto for the office setting.

  • North Dakota**

    North Dakota · 28645

    Office

    $648.49

    Facility

    $443.41

    $45.86 lower than Modesto for the office setting.

  • Nebraska

    Nebraska · 28645

    Office

    $617.30

    Facility

    $428.01

    $77.05 lower than Modesto for the office setting.

  • New Hampshire

    New Hampshire · 28645

    Office

    $678.75

    Facility

    $465.26

    $15.60 lower than Modesto for the office setting.

  • Northern Nj

    New Jersey · 28645

    Office

    $746.71

    Facility

    $508.81

    $52.36 higher than Modesto for the office setting.

  • Rest Of New Jersey

    New Jersey · 28645

    Office

    $715.21

    Facility

    $491.26

    $20.86 higher than Modesto for the office setting.

  • New Mexico

    New Mexico · 28645

    Office

    $639.68

    Facility

    $451.62

    $54.67 lower than Modesto for the office setting.

  • Nevada**

    Nevada · 28645

    Office

    $661.72

    Facility

    $456.44

    $32.63 lower than Modesto for the office setting.

  • Nyc Suburbs/Long Island

    New York · 28645

    Office

    $782.10

    Facility

    $538.26

    $87.75 higher than Modesto for the office setting.

  • Poughkpsie/N Nyc Suburbs

    New York · 28645

    Office

    $721.00

    Facility

    $496.44

    $26.65 higher than Modesto for the office setting.

  • Queens

    New York · 28645

    Office

    $766.86

    Facility

    $524.46

    $72.51 higher than Modesto for the office setting.

  • Rest Of New York

    New York · 28645

    Office

    $637.71

    Facility

    $442.89

    $56.64 lower than Modesto for the office setting.

  • Ohio

    Ohio · 28645

    Office

    $632.30

    Facility

    $445.06

    $62.05 lower than Modesto for the office setting.

  • Oklahoma

    Oklahoma · 28645

    Office

    $617.47

    Facility

    $434.33

    $76.88 lower than Modesto for the office setting.

  • Portland

    Oregon · 28645

    Office

    $706.28

    Facility

    $478.43

    $11.93 higher than Modesto for the office setting.

  • Rest Of Oregon

    Oregon · 28645

    Office

    $655.84

    Facility

    $451.58

    $38.51 lower than Modesto for the office setting.

  • Metropolitan Philadelphia

    Pennsylvania · 28645

    Office

    $692.67

    Facility

    $479.18

    $1.68 lower than Modesto for the office setting.

  • Rest Of Pennsylvania

    Pennsylvania · 28645

    Office

    $632.38

    Facility

    $444.11

    $61.97 lower than Modesto for the office setting.

  • Puerto Rico

    Puerto Rico · 28645

    Office

    $670.23

    Facility

    $462.90

    $24.12 lower than Modesto for the office setting.

  • Rhode Island

    Rhode Island · 28645

    Office

    $680.71

    Facility

    $468.86

    $13.64 lower than Modesto for the office setting.

  • South Carolina

    South Carolina · 28645

    Office

    $631.88

    Facility

    $442.39

    $62.47 lower than Modesto for the office setting.

  • South Dakota**

    South Dakota · 28645

    Office

    $646.39

    Facility

    $441.31

    $47.96 lower than Modesto for the office setting.

  • Tennessee

    Tennessee · 28645

    Office

    $616.56

    Facility

    $430.14

    $77.79 lower than Modesto for the office setting.

  • Austin

    Texas · 28645

    Office

    $686.26

    Facility

    $469.29

    $8.09 lower than Modesto for the office setting.

  • Beaumont

    Texas · 28645

    Office

    $628.74

    Facility

    $442.12

    $65.61 lower than Modesto for the office setting.

  • Brazoria

    Texas · 28645

    Office

    $658.12

    Facility

    $454.89

    $36.23 lower than Modesto for the office setting.

  • Dallas

    Texas · 28645

    Office

    $662.68

    Facility

    $458.42

    $31.67 lower than Modesto for the office setting.

  • Fort Worth

    Texas · 28645

    Office

    $659.13

    Facility

    $456.92

    $35.22 lower than Modesto for the office setting.

  • Galveston

    Texas · 28645

    Office

    $660.36

    Facility

    $456.71

    $33.99 lower than Modesto for the office setting.

  • Houston

    Texas · 28645

    Office

    $676.83

    Facility

    $473.18

    $17.52 lower than Modesto for the office setting.

  • Rest Of Texas

    Texas · 28645

    Office

    $643.33

    Facility

    $448.71

    $51.02 lower than Modesto for the office setting.

  • Utah

    Utah · 28645

    Office

    $639.63

    Facility

    $446.86

    $54.72 lower than Modesto for the office setting.

  • Virginia

    Virginia · 28645

    Office

    $650.81

    Facility

    $449.21

    $43.54 lower than Modesto for the office setting.

  • Virgin Islands

    United States Virgin Islands · 28645

    Office

    $670.23

    Facility

    $462.90

    $24.12 lower than Modesto for the office setting.

  • Vermont

    Vermont · 28645

    Office

    $647.56

    Facility

    $444.53

    $46.79 lower than Modesto for the office setting.

  • Rest Of Washington

    Washington · 28645

    Office

    $683.20

    Facility

    $467.25

    $11.15 lower than Modesto for the office setting.

  • Seattle (King Cnty)

    Washington · 28645

    Office

    $762.42

    Facility

    $510.79

    $68.07 higher than Modesto for the office setting.

  • Wisconsin

    Wisconsin · 28645

    Office

    $628.99

    Facility

    $432.52

    $65.36 lower than Modesto for the office setting.

  • West Virginia

    West Virginia · 28645

    Office

    $627.67

    Facility

    $449.46

    $66.68 lower than Modesto for the office setting.

  • Wyoming**

    Wyoming · 28645

    Office

    $658.53

    Facility

    $453.45

    $35.82 lower than Modesto for the office setting.

See how rates vary across the country

28645 · 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.

$596.20

$799.55

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

View all state and territory rates as a table
State / territoryRate rangeLocalities
AK$799.551
AL$604.041
AR$596.201
AZ$649.801
CA$694.35–$853.2429
CO$687.891
CT$707.851
DC$752.981
DE$659.791
FL$664.13–$728.473
GA$629.55–$679.422
GU$707.691
HI$707.691
IA$614.721
ID$618.981
IL$648.98–$708.944
IN$622.131
KS$613.601
KY$620.041
LA$619.76–$647.182
MA$685.01–$749.432
MD$671.03–$752.983
ME$623.45–$651.712
MI$635.94–$673.182
MN$656.611
MO$611.18–$647.493
MS$603.721
MT$666.291
NC$629.091
ND$648.491
NE$617.301
NH$678.751
NJ$715.21–$746.712
NM$639.681
NV$661.721
NY$637.71–$782.105
OH$632.301
OK$617.471
OR$655.84–$706.282
PA$632.38–$692.672
PR$670.231
RI$680.711
SC$631.881
SD$646.391
TN$616.561
TX$628.74–$686.268
UT$639.631
VA$650.81–$752.982
VI$670.231
VT$647.561
WA$683.20–$762.422
WI$628.991
WV$627.671
WY$658.531

Explore 28645 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 28645 in Modesto, the physician’s office rate is $694.35 and the facility-setting rate is $469.58: a difference of $224.77.

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 28645 in Modesto. This uses the base rate on this page, so the locality and release stay consistent.

Reference amount per service

$763.79

$694.35 × 110% = $763.79

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 28645 in Modesto.

PPRRVU2026_Oct_nonQPP.csv

3,240

Code
28645
Physician work
7.25
Practice expense
11.80
Malpractice
0.90

GPCI2026.csv

16

Locality
Modesto
Physician work
1.017
Practice expense
1.096
Malpractice
0.536
Office / nonfacility calculation for 28645 in Modesto
ComponentRVULocality factorAdjusted
Physician work7.25× 1.0177.3732
Practice expense11.80× 1.09612.9328
Malpractice0.90× 0.5360.4824
Total RVUs20.7885
Conversion factor× 33.4009

Office / nonfacility rate, Modesto$694.35

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

Open 28645 in the RVU calculator →

Explore RVUs, geographic factors and the full formula

Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work7.251.017
Practice expense11.81.096
Malpractice0.90.536

(7.25 × 1.017 + 11.8 × 1.096 + 0.9 × 0.536) × $33.4009 = $694.35

Facility

Facility calculation inputs
ComponentRVULocal GPCI
Work7.251.017
Practice expense5.661.096
Malpractice0.90.536

(7.25 × 1.017 + 5.66 × 1.096 + 0.9 × 0.536) × $33.4009 = $469.58

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

28645 · Office / nonfacility

$694.35

Effective 2026-10-01

The base rate is $36.31 higher than on 2025-10-01, moving from $658.04 to $694.35 (5.5%).

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

    $658.04changed to$694.35

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 7.44 changed to 7.25
    • Practice expense RVU 11.28 changed to 11.80
    • Malpractice RVU 0.84 changed to 0.90
    • 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: $658.04

    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$694.35$469.58RVU26D
2026-07-01$694.35$469.58RVU26C
2026-04-01$694.35$469.58RVU26B
2026-01-01$694.35$469.58RVU26A
2025-10-01$658.04$491.88RVU25D
2025-07-01$658.04$491.88RVU25C
2025-04-01$658.04$491.88RVU25B
2025-01-01$658.04$491.88RVU25A

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 28645PPRRVU2026_Oct_nonQPP.csv, line 3,240 (RVU26D)
Geographic factors for ModestoGPCI2026.csv, line 16 (RVU26D)
Open CMS sourceHow this rate is calculatedBuild a fee sheet