No office rate
Use 32601 for diagnostic thoracoscopy without the mediastinal mass biopsy described here. When the surgeon biopsies the mediastinal target, select the biopsy service.
On this page
CMS RVU26D · Effective 2026-10-01
32606 in Redding
Office / nonfacility
Not available in this setting
Base rate per service
Facility setting
$409.74
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.
Thoracic surgery
About 32606: Thoracoscopic mediastinal mass biopsy
Report this service when a surgeon uses thoracoscopy to obtain biopsy tissue from a mediastinal mass or lesion for diagnostic evaluation.
A thoracic surgeon uses a scope and instruments introduced through chest-wall ports to inspect the chest and obtain tissue from a mediastinal mass or lesion. The specimen may help evaluate an abnormality seen on imaging or clarify a suspected mediastinal disease. The service is generally performed in an operating room with the patient under anesthesia; it is not the code for sampling a lung nodule, pulmonary infiltrate, pleura, or pericardial sac.
Select the code according to the sampled target and thoracoscopic approach, and document the mediastinal site, the biopsy performed, and the operative findings. Biopsies of multiple portions of a mediastinal mass during the same session are reported as the procedure, not as separate units for each specimen. CMS assigns a 0-day global period, so same-day preoperative and postoperative care is included. When other procedures are performed in the same session, the highest-valued procedure is paid in full and the others are subject to the standard 50% multiple-procedure reduction. Modifier 50 is inappropriate. Assistant-at-surgery payment requires documented medical necessity; co-surgeons and team surgery are not permitted.
CMS billing rules for 32606
- Global period
- Minor procedure with a 0-day global period: same-day preoperative and postoperative care is included.
- Multiple procedures
- Standard multiple procedure reduction: the highest-valued procedure is paid in full and others at 50% when performed in the same session.
- Bilateral procedures
- Bilateral adjustment does not apply; the descriptor or anatomy makes modifier 50 inappropriate.
- Assistant at surgery
- Assistant at surgery is paid only with documentation of medical necessity.
- Co-surgeons
- Co-surgeons not permitted.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU8.18 · 64%
- Practice expense (office) RVU2.60 · 20%
- Malpractice RVU2.05 · 16%
208
Medicare services in 2024 · #4290 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.
32606 compared with similar codes
Office rates for Redding, from the same CMS release.
No office rate
32607 is for thoracoscopic biopsy of a pulmonary infiltrate. This code is selected when the tissue comes from a mediastinal mass or lesion.
No office rate
32608 describes biopsy of a lung nodule. Choose this code for a mediastinal mass biopsy, not a nodule within lung parenchyma.
No office rate
32662 describes thoracoscopic excision of a mediastinal lesion. This code applies when the surgeon obtains biopsy tissue rather than performing the excision service.
The same code, a different location
How does Redding compare?
32606 across payment areas
Same release and payment basis · bars start at $0
Redding · This locality
Unavailable
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
No comparable rate is available in this setting.
Other payment areas listed in California appear first, followed by selected cross-country examples. The chart compares amounts, not distance.
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 · 32606
Office
Unavailable
Facility
$409.74
No comparable office rate is available.
Merced
California · 32606
Office
Unavailable
Facility
$409.74
No comparable office rate is available.
Modesto
California · 32606
Office
Unavailable
Facility
$409.74
No comparable office rate is available.
Napa
California · 32606
Office
Unavailable
Facility
$439.67
No comparable office rate is available.
Oxnard-Thousand Oaks-Ventura
California · 32606
Office
Unavailable
Facility
$426.18
No comparable office rate is available.
Rest Of California
California · 32606
Office
Unavailable
Facility
$409.74
No comparable office rate is available.
Riverside-San Bernardino-Ontario
California · 32606
Office
Unavailable
Facility
$431.72
No comparable office rate is available.
Sacramento-Roseville-Folsom
California · 32606
Office
Unavailable
Facility
$420.75
No comparable office rate is available.
Salinas
California · 32606
Office
Unavailable
Facility
$419.04
No comparable office rate is available.
San Diego-Chula Vista-Carlsbad
California · 32606
Office
Unavailable
Facility
$422.39
No comparable office rate is available.
San Francisco-Oakland-Berkeley (Marin Cnty)
California · 32606
Office
Unavailable
Facility
$453.05
No comparable office rate is available.
San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)
California · 32606
Office
Unavailable
Facility
$450.72
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
California · 32606
Office
Unavailable
Facility
$465.20
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)
California · 32606
Office
Unavailable
Facility
$455.68
No comparable office rate is available.
San Luis Obispo-Paso Robles
California · 32606
Office
Unavailable
Facility
$413.48
No comparable office rate is available.
Santa Cruz-Watsonville
California · 32606
Office
Unavailable
Facility
$421.17
No comparable office rate is available.
Santa Maria-Santa Barbara
California · 32606
Office
Unavailable
Facility
$418.83
No comparable office rate is available.
Santa Rosa-Petaluma
California · 32606
Office
Unavailable
Facility
$424.76
No comparable office rate is available.
Stockton
California · 32606
Office
Unavailable
Facility
$409.74
No comparable office rate is available.
Vallejo
California · 32606
Office
Unavailable
Facility
$436.32
No comparable office rate is available.
Visalia
California · 32606
Office
Unavailable
Facility
$409.74
No comparable office rate is available.
Yuba City
California · 32606
Office
Unavailable
Facility
$409.74
No comparable office rate is available.
Dc + Md/Va Suburbs
District of Columbia · 32606
Office
Unavailable
Facility
$466.48
No comparable office rate is available.
Miami
Florida · 32606
Office
Unavailable
Facility
$536.79
No comparable office rate is available.
Chicago
Illinois · 32606
Office
Unavailable
Facility
$519.55
No comparable office rate is available.
Manhattan
New York · 32606
Office
Unavailable
Facility
$500.21
No comparable office rate is available.
Alaska*
Alaska · 32606
Office
Unavailable
Facility
$540.04
No comparable office rate is available.
Alabama
Alabama · 32606
Office
Unavailable
Facility
$387.96
No comparable office rate is available.
Arkansas
Arkansas · 32606
Office
Unavailable
Facility
$383.08
No comparable office rate is available.
Arizona
Arizona · 32606
Office
Unavailable
Facility
$415.98
No comparable office rate is available.
Colorado
Colorado · 32606
Office
Unavailable
Facility
$422.37
No comparable office rate is available.
Connecticut
Connecticut · 32606
Office
Unavailable
Facility
$455.06
No comparable office rate is available.
Delaware
Delaware · 32606
Office
Unavailable
Facility
$421.94
No comparable office rate is available.
Fort Lauderdale
Florida · 32606
Office
Unavailable
Facility
$484.99
No comparable office rate is available.
Rest Of Florida
Florida · 32606
Office
Unavailable
Facility
$459.15
No comparable office rate is available.
Atlanta
Georgia · 32606
Office
Unavailable
Facility
$444.51
No comparable office rate is available.
Rest Of Georgia
Georgia · 32606
Office
Unavailable
Facility
$432.30
No comparable office rate is available.
Hawaii, Guam
Hawaii · 32606
Office
Unavailable
Facility
$411.60
No comparable office rate is available.
Iowa
Iowa · 32606
Office
Unavailable
Facility
$379.86
No comparable office rate is available.
Idaho
Idaho · 32606
Office
Unavailable
Facility
$385.50
No comparable office rate is available.
East St. Louis
Illinois · 32606
Office
Unavailable
Facility
$491.02
No comparable office rate is available.
Rest Of Illinois
Illinois · 32606
Office
Unavailable
Facility
$459.53
No comparable office rate is available.
Suburban Chicago
Illinois · 32606
Office
Unavailable
Facility
$485.65
No comparable office rate is available.
Indiana
Indiana · 32606
Office
Unavailable
Facility
$387.00
No comparable office rate is available.
Kansas
Kansas · 32606
Office
Unavailable
Facility
$386.23
No comparable office rate is available.
Kentucky
Kentucky · 32606
Office
Unavailable
Facility
$413.07
No comparable office rate is available.
New Orleans
Louisiana · 32606
Office
Unavailable
Facility
$432.72
No comparable office rate is available.
Rest Of Louisiana
Louisiana · 32606
Office
Unavailable
Facility
$415.67
No comparable office rate is available.
Metropolitan Boston
Massachusetts · 32606
Office
Unavailable
Facility
$449.05
No comparable office rate is available.
Rest Of Massachusetts
Massachusetts · 32606
Office
Unavailable
Facility
$423.61
No comparable office rate is available.
Baltimore/Surr. Cntys
Maryland · 32606
Office
Unavailable
Facility
$455.47
No comparable office rate is available.
Rest Of Maryland
Maryland · 32606
Office
Unavailable
Facility
$426.69
No comparable office rate is available.
Rest Of Maine
Maine · 32606
Office
Unavailable
Facility
$395.70
No comparable office rate is available.
Southern Maine
Maine · 32606
Office
Unavailable
Facility
$402.49
No comparable office rate is available.
Detroit
Michigan · 32606
Office
Unavailable
Facility
$472.47
No comparable office rate is available.
Rest Of Michigan
Michigan · 32606
Office
Unavailable
Facility
$429.81
No comparable office rate is available.
Minnesota
Minnesota · 32606
Office
Unavailable
Facility
$382.85
No comparable office rate is available.
Metropolitan Kansas City
Missouri · 32606
Office
Unavailable
Facility
$421.66
No comparable office rate is available.
Metropolitan St. Louis
Missouri · 32606
Office
Unavailable
Facility
$424.50
No comparable office rate is available.
Rest Of Missouri
Missouri · 32606
Office
Unavailable
Facility
$414.77
No comparable office rate is available.
Mississippi
Mississippi · 32606
Office
Unavailable
Facility
$398.59
No comparable office rate is available.
Montana**
Montana · 32606
Office
Unavailable
Facility
$428.40
No comparable office rate is available.
North Carolina
North Carolina · 32606
Office
Unavailable
Facility
$398.00
No comparable office rate is available.
North Dakota**
North Dakota · 32606
Office
Unavailable
Facility
$387.86
No comparable office rate is available.
Nebraska
Nebraska · 32606
Office
Unavailable
Facility
$379.26
No comparable office rate is available.
New Hampshire
New Hampshire · 32606
Office
Unavailable
Facility
$423.54
No comparable office rate is available.
Northern Nj
New Jersey · 32606
Office
Unavailable
Facility
$464.30
No comparable office rate is available.
Rest Of New Jersey
New Jersey · 32606
Office
Unavailable
Facility
$454.09
No comparable office rate is available.
New Mexico
New Mexico · 32606
Office
Unavailable
Facility
$435.09
No comparable office rate is available.
Nevada**
Nevada · 32606
Office
Unavailable
Facility
$417.19
No comparable office rate is available.
Nyc Suburbs/Long Island
New York · 32606
Office
Unavailable
Facility
$521.11
No comparable office rate is available.
Poughkpsie/N Nyc Suburbs
New York · 32606
Office
Unavailable
Facility
$463.46
No comparable office rate is available.
Queens
New York · 32606
Office
Unavailable
Facility
$492.09
No comparable office rate is available.
Rest Of New York
New York · 32606
Office
Unavailable
Facility
$403.86
No comparable office rate is available.
Ohio
Ohio · 32606
Office
Unavailable
Facility
$421.53
No comparable office rate is available.
Oklahoma
Oklahoma · 32606
Office
Unavailable
Facility
$403.97
No comparable office rate is available.
Portland
Oregon · 32606
Office
Unavailable
Facility
$425.02
No comparable office rate is available.
Rest Of Oregon
Oregon · 32606
Office
Unavailable
Facility
$407.85
No comparable office rate is available.
Metropolitan Philadelphia
Pennsylvania · 32606
Office
Unavailable
Facility
$450.23
No comparable office rate is available.
Rest Of Pennsylvania
Pennsylvania · 32606
Office
Unavailable
Facility
$417.65
No comparable office rate is available.
Puerto Rico
Puerto Rico · 32606
Office
Unavailable
Facility
$428.46
No comparable office rate is available.
Rhode Island
Rhode Island · 32606
Office
Unavailable
Facility
$429.20
No comparable office rate is available.
South Carolina
South Carolina · 32606
Office
Unavailable
Facility
$411.66
No comparable office rate is available.
South Dakota**
South Dakota · 32606
Office
Unavailable
Facility
$383.07
No comparable office rate is available.
Tennessee
Tennessee · 32606
Office
Unavailable
Facility
$388.93
No comparable office rate is available.
Austin
Texas · 32606
Office
Unavailable
Facility
$426.31
No comparable office rate is available.
Beaumont
Texas · 32606
Office
Unavailable
Facility
$415.86
No comparable office rate is available.
Brazoria
Texas · 32606
Office
Unavailable
Facility
$414.87
No comparable office rate is available.
Dallas
Texas · 32606
Office
Unavailable
Facility
$420.92
No comparable office rate is available.
Fort Worth
Texas · 32606
Office
Unavailable
Facility
$420.94
No comparable office rate is available.
Galveston
Texas · 32606
Office
Unavailable
Facility
$418.33
No comparable office rate is available.
Houston
Texas · 32606
Office
Unavailable
Facility
$455.86
No comparable office rate is available.
Rest Of Texas
Texas · 32606
Office
Unavailable
Facility
$417.46
No comparable office rate is available.
Utah
Utah · 32606
Office
Unavailable
Facility
$416.34
No comparable office rate is available.
Virginia
Virginia · 32606
Office
Unavailable
Facility
$406.93
No comparable office rate is available.
Virgin Islands
United States Virgin Islands · 32606
Office
Unavailable
Facility
$428.46
No comparable office rate is available.
Vermont
Vermont · 32606
Office
Unavailable
Facility
$393.84
No comparable office rate is available.
Rest Of Washington
Washington · 32606
Office
Unavailable
Facility
$420.32
No comparable office rate is available.
Seattle (King Cnty)
Washington · 32606
Office
Unavailable
Facility
$449.38
No comparable office rate is available.
Wisconsin
Wisconsin · 32606
Office
Unavailable
Facility
$377.50
No comparable office rate is available.
West Virginia
West Virginia · 32606
Office
Unavailable
Facility
$446.67
No comparable office rate is available.
Wyoming**
Wyoming · 32606
Office
Unavailable
Facility
$410.73
No comparable office rate is available.
See how rates vary across the country
32606 · 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.
View all state and territory rates as a table
| State / territory | Rate range | Localities |
|---|---|---|
| AK | No published base rate | 1 |
| AL | No published base rate | 1 |
| AR | No published base rate | 1 |
| AZ | No published base rate | 1 |
| CA | No published base rate | 29 |
| CO | No published base rate | 1 |
| CT | No published base rate | 1 |
| DC | No published base rate | 1 |
| DE | No published base rate | 1 |
| FL | No published base rate | 3 |
| GA | No published base rate | 2 |
| GU | No published base rate | 1 |
| HI | No published base rate | 1 |
| IA | No published base rate | 1 |
| ID | No published base rate | 1 |
| IL | No published base rate | 4 |
| IN | No published base rate | 1 |
| KS | No published base rate | 1 |
| KY | No published base rate | 1 |
| LA | No published base rate | 2 |
| MA | No published base rate | 2 |
| MD | No published base rate | 3 |
| ME | No published base rate | 2 |
| MI | No published base rate | 2 |
| MN | No published base rate | 1 |
| MO | No published base rate | 3 |
| MS | No published base rate | 1 |
| MT | No published base rate | 1 |
| NC | No published base rate | 1 |
| ND | No published base rate | 1 |
| NE | No published base rate | 1 |
| NH | No published base rate | 1 |
| NJ | No published base rate | 2 |
| NM | No published base rate | 1 |
| NV | No published base rate | 1 |
| NY | No published base rate | 5 |
| OH | No published base rate | 1 |
| OK | No published base rate | 1 |
| OR | No published base rate | 2 |
| PA | No published base rate | 2 |
| PR | No published base rate | 1 |
| RI | No published base rate | 1 |
| SC | No published base rate | 1 |
| SD | No published base rate | 1 |
| TN | No published base rate | 1 |
| TX | No published base rate | 8 |
| UT | No published base rate | 1 |
| VA | No published base rate | 2 |
| VI | No published base rate | 1 |
| VT | No published base rate | 1 |
| WA | No published base rate | 2 |
| WI | No published base rate | 1 |
| WV | No published base rate | 1 |
| WY | No published base rate | 1 |
Where does this rate apply?
Redding is a Medicare payment area. Our Census mapping connects it to 32 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 32606 in Redding. This uses the base rate on this page, so the locality and release stay consistent.
Reference amount per service
$450.71
$409.74 × 110% = $450.71
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 32606 in Redding.
PPRRVU2026_Oct_nonQPP.csv
3,742
- Code
- 32606
- Physician work
- 8.18
- Practice expense
- 2.60
- Malpractice
- 2.05
GPCI2026.csv
19
- Locality
- Redding
- Physician work
- 1.017
- Practice expense
- 1.096
- Malpractice
- 0.536
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 8.18 | × 1.017 | 8.3191 |
| Practice expense | 2.60 | × 1.096 | 2.8496 |
| Malpractice | 2.05 | × 0.536 | 1.0988 |
| Total RVUs | 12.2675 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Redding$409.74
Open 32606 in the RVU calculator →
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 8.18 | 1.017 |
| Practice expense | 2.6 | 1.096 |
| Malpractice | 2.05 | 0.536 |
(8.18 × 1.017 + 2.6 × 1.096 + 2.05 × 0.536) × $33.4009 = $409.74
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
32606 · Office / nonfacility
Rate unavailable
Effective 2026-10-01
A rate is unavailable in one of these releases, so a change cannot be calculated.
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
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 | Not available in this setting | $409.74 | RVU26D |
| 2026-07-01 | Not available in this setting | $409.74 | RVU26C |
| 2026-04-01 | Not available in this setting | $409.74 | RVU26B |
| 2026-01-01 | Not available in this setting | $409.74 | RVU26A |
| 2025-10-01 | Not available in this setting | $426.69 | RVU25D |
| 2025-07-01 | Not available in this setting | $426.69 | RVU25C |
| 2025-04-01 | Not available in this setting | $426.69 | RVU25B |
| 2025-01-01 | Not available in this setting | $426.69 | RVU25A |
32606 billing questions
How is this different from a thoracoscopic lung biopsy code?
Use this code when the sampled target is a mediastinal mass or lesion. Codes 32607 and 32608 describe biopsy of a pulmonary infiltrate and lung nodule, respectively.
Can multiple mediastinal biopsy specimens be billed as multiple units?
The service covers biopsy of the mediastinal target, including multiple biopsy samples obtained during the same session. Do not count each specimen as a separate unit.
Is a separate diagnostic thoracoscopy also reported?
When the thoracoscopy includes biopsy of the mediastinal mass, report the biopsy service rather than separately reporting diagnostic thoracoscopy for the same operative inspection.
Can modifier 50 be used when both sides are sampled?
No. CMS identifies bilateral adjustment as inappropriate for this code; modifier 50 is not appropriate.
What documentation supports this code?
The operative report should identify the mediastinal target, confirm that the surgeon obtained biopsy tissue, and describe the thoracoscopic approach.
When is an assistant-at-surgery payable?
CMS payment for an assistant at surgery requires documentation of medical necessity. Co-surgeons and team surgery are not permitted.
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.
3,73932562,,Lyse chest fibrin subq day,A,,1.21,1.41,,0.27,,0.13,2.75,1.61,0,000,0.00,0.00,0.00,2,0,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,74032601,,Thoracoscopy diagnostic,A,,5.36,1.96,NA,1.96,,1.31,8.63,8.63,0,000,0.00,0.00,0.00,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,74132604,,Thoracoscopy wbx sac,A,,8.55,2.65,NA,2.65,,2.15,13.35,13.35,0,000,0.00,0.00,0.00,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,74232606,,Thoracoscopy w/bx med space,A,,8.18,2.60,NA,2.60,,2.05,12.83,12.83,0,000,0.00,0.00,0.00,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,74332607,,Thoracoscopy w/bx infiltrate,A,,5.36,1.97,NA,1.97,,1.33,8.66,8.66,0,000,0.00,0.00,0.00,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,74432608,,Thoracoscopy w/bx nodule,A,,6.67,2.23,NA,2.23,,1.67,10.57,10.57,0,000,0.00,0.00,0.00,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,74532609,,Thoracoscopy w/bx pleura,A,,4.47,1.73,NA,1.73,,0.95,7.15,7.15,0,000,0.00,0.00,0.00,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1601112,CA,60,MODESTO,1.017,1.096,0.536
1701112,CA,51,NAPA,1.063,1.318,0.508
1801182,CA,17,OXNARD-THOUSAND OAKS-VENTURA,1.028,1.182,0.623
1901112,CA,61,REDDING,1.017,1.096,0.536
2001112,CA,62,RIVERSIDE-SAN BERNARDINO-ONTARIO,1.018,1.096,0.853
2101112,CA,63,SACRAMENTO-ROSEVILLE-FOLSOM,1.036,1.163,0.536
2201112,CA,64,SALINAS,1.031,1.159,0.536