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CMS RVU26D · Effective 2026-10-01

76513 in Modesto

Office / nonfacility

$81.90

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.

The same code, a different location

How does Modesto compare?

In Bakersfield, the office rate for 76513 is $81.99—$0.09 higher than the $81.90 rate in Modesto. Both use the same code, release and participation basis.

76513 across payment areas

Same release and payment basis · bars start at $0

  1. Modesto · This locality

    $81.90

  2. Bakersfield

    $81.99

    $0.09 higher than Modesto

  3. Chico

    $81.90

    The same base rate than Modesto

  4. El Centro

    $81.90

    The same base rate than Modesto

  5. Fresno

    $81.90

    The same base rate than Modesto

  6. Hanford-Corcoran

    $81.90

    The same base rate than Modesto

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

    $87.34

    $5.44 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, 76513 ranges from $68.25 in Arkansas to $103.15 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 · 76513

    Office

    $81.90

    Facility

    Unavailable

    The same base rate than Modesto for the office setting.

  • Merced

    California · 76513

    Office

    $81.90

    Facility

    Unavailable

    The same base rate than Modesto for the office setting.

  • Napa

    California · 76513

    Office

    $95.25

    Facility

    Unavailable

    $13.35 higher than Modesto for the office setting.

  • Oxnard-Thousand Oaks-Ventura

    California · 76513

    Office

    $87.00

    Facility

    Unavailable

    $5.10 higher than Modesto for the office setting.

  • Redding

    California · 76513

    Office

    $81.90

    Facility

    Unavailable

    The same base rate than Modesto for the office setting.

  • Rest Of California

    California · 76513

    Office

    $81.90

    Facility

    Unavailable

    The same base rate than Modesto for the office setting.

  • Riverside-San Bernardino-Ontario

    California · 76513

    Office

    $82.13

    Facility

    Unavailable

    $0.23 higher than Modesto for the office setting.

  • Sacramento-Roseville-Folsom

    California · 76513

    Office

    $86.03

    Facility

    Unavailable

    $4.13 higher than Modesto for the office setting.

  • Salinas

    California · 76513

    Office

    $85.71

    Facility

    Unavailable

    $3.81 higher than Modesto for the office setting.

  • San Diego-Chula Vista-Carlsbad

    California · 76513

    Office

    $87.77

    Facility

    Unavailable

    $5.87 higher than Modesto for the office setting.

  • San Francisco-Oakland-Berkeley (Marin Cnty)

    California · 76513

    Office

    $101.01

    Facility

    Unavailable

    $19.11 higher than Modesto for the office setting.

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

    California · 76513

    Office

    $100.98

    Facility

    Unavailable

    $19.08 higher than Modesto for the office setting.

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

    California · 76513

    Office

    $103.15

    Facility

    Unavailable

    $21.25 higher than Modesto for the office setting.

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

    California · 76513

    Office

    $103.06

    Facility

    Unavailable

    $21.16 higher than Modesto for the office setting.

  • San Luis Obispo-Paso Robles

    California · 76513

    Office

    $84.31

    Facility

    Unavailable

    $2.41 higher than Modesto for the office setting.

  • Santa Cruz-Watsonville

    California · 76513

    Office

    $88.66

    Facility

    Unavailable

    $6.76 higher than Modesto for the office setting.

  • Santa Maria-Santa Barbara

    California · 76513

    Office

    $86.04

    Facility

    Unavailable

    $4.14 higher than Modesto for the office setting.

  • Santa Rosa-Petaluma

    California · 76513

    Office

    $89.56

    Facility

    Unavailable

    $7.66 higher than Modesto for the office setting.

  • Stockton

    California · 76513

    Office

    $81.90

    Facility

    Unavailable

    The same base rate than Modesto for the office setting.

  • Vallejo

    California · 76513

    Office

    $95.21

    Facility

    Unavailable

    $13.31 higher than Modesto for the office setting.

  • Visalia

    California · 76513

    Office

    $81.90

    Facility

    Unavailable

    The same base rate than Modesto for the office setting.

  • Yuba City

    California · 76513

    Office

    $81.90

    Facility

    Unavailable

    The same base rate than Modesto for the office setting.

  • Dc + Md/Va Suburbs

    District of Columbia · 76513

    Office

    $87.62

    Facility

    Unavailable

    $5.72 higher than Modesto for the office setting.

  • Miami

    Florida · 76513

    Office

    $79.81

    Facility

    Unavailable

    $2.09 lower than Modesto for the office setting.

  • Chicago

    Illinois · 76513

    Office

    $77.77

    Facility

    Unavailable

    $4.13 lower than Modesto for the office setting.

  • Manhattan

    New York · 76513

    Office

    $87.23

    Facility

    Unavailable

    $5.33 higher than Modesto for the office setting.

  • Alaska*

    Alaska · 76513

    Office

    $89.69

    Facility

    Unavailable

    $7.79 higher than Modesto for the office setting.

  • Alabama

    Alabama · 76513

    Office

    $69.18

    Facility

    Unavailable

    $12.72 lower than Modesto for the office setting.

  • Arkansas

    Arkansas · 76513

    Office

    $68.25

    Facility

    Unavailable

    $13.65 lower than Modesto for the office setting.

  • Arizona

    Arizona · 76513

    Office

    $74.65

    Facility

    Unavailable

    $7.25 lower than Modesto for the office setting.

  • Colorado

    Colorado · 76513

    Office

    $80.17

    Facility

    Unavailable

    $1.73 lower than Modesto for the office setting.

  • Connecticut

    Connecticut · 76513

    Office

    $81.34

    Facility

    Unavailable

    $0.56 lower than Modesto for the office setting.

  • Delaware

    Delaware · 76513

    Office

    $75.85

    Facility

    Unavailable

    $6.05 lower than Modesto for the office setting.

  • Fort Lauderdale

    Florida · 76513

    Office

    $77.76

    Facility

    Unavailable

    $4.14 lower than Modesto for the office setting.

  • Rest Of Florida

    Florida · 76513

    Office

    $74.36

    Facility

    Unavailable

    $7.54 lower than Modesto for the office setting.

  • Atlanta

    Georgia · 76513

    Office

    $77.58

    Facility

    Unavailable

    $4.32 lower than Modesto for the office setting.

  • Rest Of Georgia

    Georgia · 76513

    Office

    $70.56

    Facility

    Unavailable

    $11.34 lower than Modesto for the office setting.

  • Hawaii, Guam

    Hawaii · 76513

    Office

    $83.89

    Facility

    Unavailable

    $1.99 higher than Modesto for the office setting.

  • Iowa

    Iowa · 76513

    Office

    $71.32

    Facility

    Unavailable

    $10.58 lower than Modesto for the office setting.

  • Idaho

    Idaho · 76513

    Office

    $71.65

    Facility

    Unavailable

    $10.25 lower than Modesto for the office setting.

  • East St. Louis

    Illinois · 76513

    Office

    $72.68

    Facility

    Unavailable

    $9.22 lower than Modesto for the office setting.

  • Rest Of Illinois

    Illinois · 76513

    Office

    $71.98

    Facility

    Unavailable

    $9.92 lower than Modesto for the office setting.

  • Suburban Chicago

    Illinois · 76513

    Office

    $78.66

    Facility

    Unavailable

    $3.24 lower than Modesto for the office setting.

  • Indiana

    Indiana · 76513

    Office

    $72.05

    Facility

    Unavailable

    $9.85 lower than Modesto for the office setting.

  • Kansas

    Kansas · 76513

    Office

    $70.77

    Facility

    Unavailable

    $11.13 lower than Modesto for the office setting.

  • Kentucky

    Kentucky · 76513

    Office

    $70.20

    Facility

    Unavailable

    $11.70 lower than Modesto for the office setting.

  • New Orleans

    Louisiana · 76513

    Office

    $73.27

    Facility

    Unavailable

    $8.63 lower than Modesto for the office setting.

  • Rest Of Louisiana

    Louisiana · 76513

    Office

    $70.01

    Facility

    Unavailable

    $11.89 lower than Modesto for the office setting.

  • Metropolitan Boston

    Massachusetts · 76513

    Office

    $88.11

    Facility

    Unavailable

    $6.21 higher than Modesto for the office setting.

  • Rest Of Massachusetts

    Massachusetts · 76513

    Office

    $79.64

    Facility

    Unavailable

    $2.26 lower than Modesto for the office setting.

  • Baltimore/Surr. Cntys

    Maryland · 76513

    Office

    $81.06

    Facility

    Unavailable

    $0.84 lower than Modesto for the office setting.

  • Rest Of Maryland

    Maryland · 76513

    Office

    $77.30

    Facility

    Unavailable

    $4.60 lower than Modesto for the office setting.

  • Rest Of Maine

    Maine · 76513

    Office

    $71.75

    Facility

    Unavailable

    $10.15 lower than Modesto for the office setting.

  • Southern Maine

    Maine · 76513

    Office

    $75.74

    Facility

    Unavailable

    $6.16 lower than Modesto for the office setting.

  • Detroit

    Michigan · 76513

    Office

    $74.98

    Facility

    Unavailable

    $6.92 lower than Modesto for the office setting.

  • Rest Of Michigan

    Michigan · 76513

    Office

    $71.69

    Facility

    Unavailable

    $10.21 lower than Modesto for the office setting.

  • Minnesota

    Minnesota · 76513

    Office

    $77.65

    Facility

    Unavailable

    $4.25 lower than Modesto for the office setting.

  • Metropolitan Kansas City

    Missouri · 76513

    Office

    $73.05

    Facility

    Unavailable

    $8.85 lower than Modesto for the office setting.

  • Metropolitan St. Louis

    Missouri · 76513

    Office

    $73.80

    Facility

    Unavailable

    $8.10 lower than Modesto for the office setting.

  • Rest Of Missouri

    Missouri · 76513

    Office

    $68.73

    Facility

    Unavailable

    $13.17 lower than Modesto for the office setting.

  • Mississippi

    Mississippi · 76513

    Office

    $68.51

    Facility

    Unavailable

    $13.39 lower than Modesto for the office setting.

  • Montana**

    Montana · 76513

    Office

    $76.49

    Facility

    Unavailable

    $5.41 lower than Modesto for the office setting.

  • North Carolina

    North Carolina · 76513

    Office

    $72.49

    Facility

    Unavailable

    $9.41 lower than Modesto for the office setting.

  • North Dakota**

    North Dakota · 76513

    Office

    $76.09

    Facility

    Unavailable

    $5.81 lower than Modesto for the office setting.

  • Nebraska

    Nebraska · 76513

    Office

    $71.75

    Facility

    Unavailable

    $10.15 lower than Modesto for the office setting.

  • New Hampshire

    New Hampshire · 76513

    Office

    $78.71

    Facility

    Unavailable

    $3.19 lower than Modesto for the office setting.

  • Northern Nj

    New Jersey · 76513

    Office

    $86.75

    Facility

    Unavailable

    $4.85 higher than Modesto for the office setting.

  • Rest Of New Jersey

    New Jersey · 76513

    Office

    $82.50

    Facility

    Unavailable

    $0.60 higher than Modesto for the office setting.

  • New Mexico

    New Mexico · 76513

    Office

    $71.96

    Facility

    Unavailable

    $9.94 lower than Modesto for the office setting.

  • Nevada**

    Nevada · 76513

    Office

    $76.43

    Facility

    Unavailable

    $5.47 lower than Modesto for the office setting.

  • Nyc Suburbs/Long Island

    New York · 76513

    Office

    $88.93

    Facility

    Unavailable

    $7.03 higher than Modesto for the office setting.

  • Poughkpsie/N Nyc Suburbs

    New York · 76513

    Office

    $82.85

    Facility

    Unavailable

    $0.95 higher than Modesto for the office setting.

  • Queens

    New York · 76513

    Office

    $88.26

    Facility

    Unavailable

    $6.36 higher than Modesto for the office setting.

  • Rest Of New York

    New York · 76513

    Office

    $73.48

    Facility

    Unavailable

    $8.42 lower than Modesto for the office setting.

  • Ohio

    Ohio · 76513

    Office

    $71.61

    Facility

    Unavailable

    $10.29 lower than Modesto for the office setting.

  • Oklahoma

    Oklahoma · 76513

    Office

    $70.33

    Facility

    Unavailable

    $11.57 lower than Modesto for the office setting.

  • Portland

    Oregon · 76513

    Office

    $82.86

    Facility

    Unavailable

    $0.96 higher than Modesto for the office setting.

  • Rest Of Oregon

    Oregon · 76513

    Office

    $76.07

    Facility

    Unavailable

    $5.83 lower than Modesto for the office setting.

  • Metropolitan Philadelphia

    Pennsylvania · 76513

    Office

    $79.27

    Facility

    Unavailable

    $2.63 lower than Modesto for the office setting.

  • Rest Of Pennsylvania

    Pennsylvania · 76513

    Office

    $71.85

    Facility

    Unavailable

    $10.05 lower than Modesto for the office setting.

  • Puerto Rico

    Puerto Rico · 76513

    Office

    $77.10

    Facility

    Unavailable

    $4.80 lower than Modesto for the office setting.

  • Rhode Island

    Rhode Island · 76513

    Office

    $78.64

    Facility

    Unavailable

    $3.26 lower than Modesto for the office setting.

  • South Carolina

    South Carolina · 76513

    Office

    $72.12

    Facility

    Unavailable

    $9.78 lower than Modesto for the office setting.

  • South Dakota**

    South Dakota · 76513

    Office

    $76.04

    Facility

    Unavailable

    $5.86 lower than Modesto for the office setting.

  • Tennessee

    Tennessee · 76513

    Office

    $71.07

    Facility

    Unavailable

    $10.83 lower than Modesto for the office setting.

  • Austin

    Texas · 76513

    Office

    $79.71

    Facility

    Unavailable

    $2.19 lower than Modesto for the office setting.

  • Beaumont

    Texas · 76513

    Office

    $71.39

    Facility

    Unavailable

    $10.51 lower than Modesto for the office setting.

  • Brazoria

    Texas · 76513

    Office

    $75.99

    Facility

    Unavailable

    $5.91 lower than Modesto for the office setting.

  • Dallas

    Texas · 76513

    Office

    $76.35

    Facility

    Unavailable

    $5.55 lower than Modesto for the office setting.

  • Fort Worth

    Texas · 76513

    Office

    $75.79

    Facility

    Unavailable

    $6.11 lower than Modesto for the office setting.

  • Galveston

    Texas · 76513

    Office

    $76.14

    Facility

    Unavailable

    $5.76 lower than Modesto for the office setting.

  • Houston

    Texas · 76513

    Office

    $76.50

    Facility

    Unavailable

    $5.40 lower than Modesto for the office setting.

  • Rest Of Texas

    Texas · 76513

    Office

    $73.56

    Facility

    Unavailable

    $8.34 lower than Modesto for the office setting.

  • Utah

    Utah · 76513

    Office

    $73.05

    Facility

    Unavailable

    $8.85 lower than Modesto for the office setting.

  • Virginia

    Virginia · 76513

    Office

    $75.34

    Facility

    Unavailable

    $6.56 lower than Modesto for the office setting.

  • Virgin Islands

    United States Virgin Islands · 76513

    Office

    $77.10

    Facility

    Unavailable

    $4.80 lower than Modesto for the office setting.

  • Vermont

    Vermont · 76513

    Office

    $75.60

    Facility

    Unavailable

    $6.30 lower than Modesto for the office setting.

  • Rest Of Washington

    Washington · 76513

    Office

    $79.56

    Facility

    Unavailable

    $2.34 lower than Modesto for the office setting.

  • Seattle (King Cnty)

    Washington · 76513

    Office

    $90.09

    Facility

    Unavailable

    $8.19 higher than Modesto for the office setting.

  • Wisconsin

    Wisconsin · 76513

    Office

    $73.67

    Facility

    Unavailable

    $8.23 lower than Modesto for the office setting.

  • West Virginia

    West Virginia · 76513

    Office

    $69.43

    Facility

    Unavailable

    $12.47 lower than Modesto for the office setting.

  • Wyoming**

    Wyoming · 76513

    Office

    $76.31

    Facility

    Unavailable

    $5.59 lower than Modesto for the office setting.

See how rates vary across the country

76513 · 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.

$68.25

$92.53

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

View all state and territory rates as a table
State / territoryRate rangeLocalities
AK$89.691
AL$69.181
AR$68.251
AZ$74.651
CA$81.90–$103.1529
CO$80.171
CT$81.341
DC$87.621
DE$75.851
FL$74.36–$79.813
GA$70.56–$77.582
GU$83.891
HI$83.891
IA$71.321
ID$71.651
IL$71.98–$78.664
IN$72.051
KS$70.771
KY$70.201
LA$70.01–$73.272
MA$79.64–$88.112
MD$77.30–$87.623
ME$71.75–$75.742
MI$71.69–$74.982
MN$77.651
MO$68.73–$73.803
MS$68.511
MT$76.491
NC$72.491
ND$76.091
NE$71.751
NH$78.711
NJ$82.50–$86.752
NM$71.961
NV$76.431
NY$73.48–$88.935
OH$71.611
OK$70.331
OR$76.07–$82.862
PA$71.85–$79.272
PR$77.101
RI$78.641
SC$72.121
SD$76.041
TN$71.071
TX$71.39–$79.718
UT$73.051
VA$75.34–$87.622
VI$77.101
VT$75.601
WA$79.56–$90.092
WI$73.671
WV$69.431
WY$76.311

Explore 76513 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 →

Use this rate

What is a percentage of Medicare worth?

Turn a percentage into dollars for 76513 in Modesto. This uses the base rate on this page, so the locality and release stay consistent.

Reference amount per service

$90.09

$81.90 × 110% = $90.09

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 76513 in Modesto.

PPRRVU2026_Oct_nonQPP.csv

8,715

Code
76513
Physician work
0.59
Practice expense
1.68
Malpractice
0.02

GPCI2026.csv

16

Locality
Modesto
Physician work
1.017
Practice expense
1.096
Malpractice
0.536
Office / nonfacility calculation for 76513 in Modesto
ComponentRVULocality factorAdjusted
Physician work0.59× 1.0170.6000
Practice expense1.68× 1.0961.8413
Malpractice0.02× 0.5360.0107
Total RVUs2.4520
Conversion factor× 33.4009

Office / nonfacility rate, Modesto$81.90

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

Open 76513 in the RVU calculator →

Explore RVUs, geographic factors and the full formula

Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work0.591.017
Practice expense1.681.096
Malpractice0.020.536

(0.59 × 1.017 + 1.68 × 1.096 + 0.02 × 0.536) × $33.4009 = $81.90

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

76513 · Office / nonfacility

$81.90

Effective 2026-10-01

The base rate is $4.94 higher than on 2025-10-01, moving from $76.96 to $81.90 (6.4%).

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

    $76.96changed to$81.90

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 0.60 changed to 0.59
    • Practice expense RVU 1.61 changed to 1.68
    • 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: $76.96

    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$81.90Not available in this settingRVU26D
2026-07-01$81.90Not available in this settingRVU26C
2026-04-01$81.90Not available in this settingRVU26B
2026-01-01$81.90Not available in this settingRVU26A
2025-10-01$76.96Not available in this settingRVU25D
2025-07-01$76.96Not available in this settingRVU25C
2025-04-01$76.96Not available in this settingRVU25B
2025-01-01$76.96Not available in this settingRVU25A

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 76513PPRRVU2026_Oct_nonQPP.csv, line 8,715 (RVU26D)
Geographic factors for ModestoGPCI2026.csv, line 16 (RVU26D)
Open CMS sourceHow this rate is calculatedBuild a fee sheet