CPT code 119762026 Medicare rate & RVUs in Texas
CPT 11976 pays $138.85–$150.31 in the office ($78.31–$84.31 in a facility) across 8 Medicare payment localities in Texas under the 2026 Medicare fee schedule. Compare each area, the RVU math and payer benchmarks.
Medicare pays $138.85–$150.31 for 11976 in the office in Texas, from Beaumont to Houston. Which amount applies depends on the service address.
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 5 sections
Where 11976 pays more and less in Texas
The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.
8 payment localities
$138.85 to $150.31
8 of 8 payment localities
| Payment locality | Office | Facility |
|---|---|---|
| Austin | $150.16 | $79.83 |
| Beaumont | $138.85 | $78.37 |
| Brazoria | $144.18 | $78.31 |
| Dallas | $145.42 | $79.21 |
| Fort Worth | $144.76 | $79.22 |
| Galveston | $144.82 | $78.82 |
| Houston | $150.31 | $84.31 |
| Rest Of Texas | $141.65 | $78.58 |
How the 11976 rate is calculated
Each of 11976’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.
How the rate is built · 11976
RVUs × geographic indexes × conversion factor
Work1.74
1.74 RVUs× 1.000 GPCI
Practice expense2.35
2.35 RVUs× 1.000 GPCI
Malpractice0.30
0.30 RVUs× 1.000 GPCI
Adjusted RVUs
4.3900
Conversion factor
$33.4009
Medicare rate
$146.63
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 11976
The CMS indicators that decide how 11976 is paid alongside other services.
CMS payment indicators · 11976
Code 11976
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 000 | Same-day global: pre- and post-op care on the day of the procedure is included. |
| Multiple procedures | 2 | Standard reduction: highest-valued procedure at 100%, others at 50%. |
| Bilateral (modifier 50) | 0 | The 150% bilateral adjustment doesn’t apply. |
| Assistant at surgery (80/81/82/AS) | 0 | Not paid without supporting documentation. |
| Co-surgeons (62) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
What modifiers do to the payment
Modifier 51 · payment effect
With and without the modifier
11976 without 51 · national office
$146.63
11976-51 · Second procedure: 50%
$73.32
When this isn’t the highest-valued procedure in the session, Medicare pays 50% of its fee schedule amount (the highest is paid at 100%).
Where these rates come from
FeeBase calculates base physician payments from CMS work, practice-expense and malpractice RVUs, adjusted by each locality’s geographic indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.
CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027
Show the CMS file lines behind this rate
Fee sheets
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