On this page
CMS RVU26D · Effective 2026-10-01
37285 Medicare reimbursement rates in California
Compare 37285 physician payment amounts across CMS localities, including office and facility settings.
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.
What does Medicare pay for 37285 in California?
California has 29 payment localities in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the 29 payment areas shown below, using the same CMS release.
Office / nonfacility
$3033.15–$3961.13
29 of 29 localities have a supported rate.
Lowest: Chico
Highest: San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
A spread of $927.98 per service.
Facility setting
$144.46–$160.50
29 of 29 localities have a supported rate.
Lowest: Chico
Highest: San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
A spread of $16.04 per service.
These are locality ranges, not averages or address-specific quotes. A facility-setting amount covers the physician service; it does not include a hospital’s separate bill. Choose a locality below to inspect its calculation, compare other payment areas, or price a percentage of Medicare.
Where 37285 pays more and less in California
29 payment localities
$3033.15 to $3961.13
CPT Category I
About 37285
CMS billing rules for 37285
- Global period
- Add-on code: billed only together with a primary procedure and paid within that procedure's global period.
- Bilateral procedures
- Bilateral procedure with modifier 50 is paid at 150%.
Where the value comes from
- Work RVU3.34 · 4%
- Practice expense (office) RVU79.40 · 95%
- Malpractice RVU0.73 · 1%
Compare 37285 by payment locality
Find the payment area for your service address, then open its rate page for calculation inputs, release history and the percentage-of-Medicare tool. A city may cross payment-area boundaries; the ZIP lookup above helps resolve the location.
29 of 29 payment localities
| Payment locality | Office | Facility |
|---|---|---|
| Bakersfield | Office $3035.15 | Facility $146.47 |
| Chico | Office $3033.15 | Facility $144.46 |
| El Centro | Office $3033.27 | Facility $144.58 |
| Fresno | Office $3033.15 | Facility $144.46 |
| Hanford-Corcoran | Office $3033.15 | Facility $144.46 |
| Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty) | Office $3269.68 | Facility $151.68 |
| Madera | Office $3033.15 | Facility $144.46 |
| Merced | Office $3033.15 | Facility $144.46 |
| Modesto | Office $3033.15 | Facility $144.46 |
| Napa | Office $3626.35 | Facility $152.54 |
| Oxnard-Thousand Oaks-Ventura | Office $3264.57 | Facility $149.22 |
| Redding | Office $3033.15 | Facility $144.46 |
| Rest Of California | Office $3033.15 | Facility $144.46 |
| Riverside-San Bernardino-Ontario | Office $3040.99 | Facility $152.30 |
| Sacramento-Roseville-Folsom | Office $3212.96 | Facility $147.68 |
| Salinas | Office $3201.79 | Facility $147.06 |
| San Diego-Chula Vista-Carlsbad | Office $3299.95 | Facility $147.70 |
| San Francisco-Oakland-Berkeley (Marin Cnty) | Office $3872.71 | Facility $156.43 |
| San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty) | Office $3871.88 | Facility $155.60 |
| San Jose-Sunnyvale-Santa Clara (San Benito Cnty) | Office $3961.13 | Facility $160.50 |
| San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty) | Office $3957.74 | Facility $157.11 |
| San Luis Obispo-Paso Robles | Office $3147.19 | Facility $145.17 |
| Santa Cruz-Watsonville | Office $3349.19 | Facility $146.86 |
| Santa Maria-Santa Barbara | Office $3220.02 | Facility $146.84 |
| Santa Rosa-Petaluma | Office $3384.67 | Facility $148.07 |
| Stockton | Office $3033.15 | Facility $144.46 |
| Vallejo | Office $3625.16 | Facility $151.35 |
| Visalia | Office $3033.15 | Facility $144.46 |
| Yuba City | Office $3033.15 | Facility $144.46 |
Need rates for a whole code list?
Fee-sheet and API access are in early access. Tell us which codes and locations your team needs.
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.