CPT 90834 · GEOGRAPHY
Reimbursement by state and locality.
Medicine (CPT® descriptor withheld: AMA licence required). Every Medicare locality under CMS Medicare PFS · October 2026, priced with the official GPCI for that locality. Non-facility and facility amounts, non-QP conversion factor.
Highest
$158.15
AK · ALASKA*
Median
$114.80
across 109 localities
Lowest
$109.66
AR · ARKANSAS
Spread
44%
highest vs lowest
All 109 localities
National $113.90| Rank | State | Locality | Non-facility | Facility | vs national |
|---|---|---|---|---|---|
| 1 | AK | ALASKA* | $158.15 | $134.67 | +38.8% |
| 2 | CA | SAN JOSE-SUNNYVALE-SANTA CLARA (SAN BENITO CNTY) | $135.25 | $103.46 | +18.7% |
| 3 | CA | SAN JOSE-SUNNYVALE-SANTA CLARA (SANTA CLARA CNTY) | $135.15 | $103.37 | +18.7% |
| 4 | CA | SAN FRANCISCO-OAKLAND-BERKELEY (MARIN CNTY) | $133.03 | $101.94 | +16.8% |
| 5 | CA | SAN FRANCISCO-OAKLAND-BERKELEY (SAN FRANCISCO/SAN MATEO/ALAMEDA/CONTRA COSTA CNTY) | $133.00 | $101.92 | +16.8% |
| 6 | CA | NAPA | $127.77 | $98.72 | +12.2% |
| 7 | CA | VALLEJO | $127.74 | $98.68 | +12.2% |
| 8 | NY | NYC SUBURBS/LONG ISLAND | $125.18 | $98.97 | +9.9% |
| 9 | NY | QUEENS | $124.71 | $98.65 | +9.5% |
| 10 | WA | SEATTLE (KING CNTY) | $124.34 | $97.29 | +9.2% |
| 11 | NY | MANHATTAN | $124.25 | $98.64 | +9.1% |
| 12 | NJ | NORTHERN NJ | $123.77 | $98.19 | +8.7% |
| 13 | DC | DC + MD/VA SUBURBS | $123.52 | $97.56 | +8.4% |
| 14 | MA | METROPOLITAN BOSTON | $122.71 | $96.39 | +7.7% |
| 15 | CA | SANTA ROSA-PETALUMA | $122.47 | $95.40 | +7.5% |
| 16 | CA | LOS ANGELES-LONG BEACH-ANAHEIM (LOS ANGELES/ORANGE CNTY) | $122.25 | $96.17 | +7.3% |
| 17 | CA | SAN DIEGO-CHULA VISTA-CARLSBAD | $121.59 | $95.22 | +6.8% |
| 18 | CA | SANTA CRUZ-WATSONVILLE | $121.34 | $94.56 | +6.5% |
| 19 | CA | SACRAMENTO-ROSEVILLE-FOLSOM | $121.18 | $95.55 | +6.4% |
| 20 | CA | OXNARD-THOUSAND OAKS-VENTURA | $121.08 | $95.03 | +6.3% |
| 21 | CA | SALINAS | $120.65 | $95.10 | +5.9% |
| 22 | CA | SANTA MARIA-SANTA BARBARA | $120.58 | $94.88 | +5.9% |
| 23 | NY | POUGHKPSIE/N NYC SUBURBS | $120.52 | $96.38 | +5.8% |
| 24 | NJ | REST OF NEW JERSEY | $119.93 | $95.86 | +5.3% |
| 25 | CA | SAN LUIS OBISPO-PASO ROBLES | $118.89 | $93.79 | +4.4% |
| 26 | OR | PORTLAND | $118.17 | $93.68 | +3.7% |
| 27 | CA | RIVERSIDE-SAN BERNARDINO-ONTARIO | $118.00 | $93.84 | +3.6% |
| 28 | CA | BAKERSFIELD | $117.92 | $93.76 | +3.5% |
| 29 | CT | CONNECTICUT | $117.88 | $94.14 | +3.5% |
| 30 | CA | EL CENTRO | $117.71 | $93.54 | +3.3% |
| 31 | CA | CHICO | $117.70 | $93.54 | +3.3% |
| 32 | CA | FRESNO | $117.70 | $93.54 | +3.3% |
| 33 | CA | HANFORD-CORCORAN | $117.70 | $93.54 | +3.3% |
| 34 | CA | MADERA | $117.70 | $93.54 | +3.3% |
| 35 | CA | MERCED | $117.70 | $93.54 | +3.3% |
| 36 | CA | MODESTO | $117.70 | $93.54 | +3.3% |
| 37 | CA | REDDING | $117.70 | $93.54 | +3.3% |
| 38 | CA | STOCKTON | $117.70 | $93.54 | +3.3% |
| 39 | CA | VISALIA | $117.70 | $93.54 | +3.3% |
| 40 | CA | YUBA CITY | $117.70 | $93.54 | +3.3% |
| 41 | CA | REST OF CALIFORNIA | $117.70 | $93.54 | +3.3% |
| 42 | MD | BALTIMORE/SURR. CNTYS | $117.45 | $93.79 | +3.1% |
| 43 | HI | HAWAII, GUAM | $117.41 | $92.35 | +3.1% |
| 44 | PA | METROPOLITAN PHILADELPHIA | $116.70 | $93.75 | +2.5% |
| 45 | MA | REST OF MASSACHUSETTS | $116.60 | $93.39 | +2.4% |
| 46 | CO | COLORADO | $116.55 | $93.10 | +2.3% |
| 47 | RI | RHODE ISLAND | $116.36 | $93.59 | +2.2% |
| 48 | WA | REST OF WASHINGTON | $116.32 | $93.11 | +2.1% |
| 49 | FL | MIAMI | $116.06 | $93.11 | +1.9% |
| 50 | IL | SUBURBAN CHICAGO | $115.76 | $93.12 | +1.6% |
| 51 | TX | AUSTIN | $115.60 | $92.28 | +1.5% |
| 52 | IL | CHICAGO | $115.50 | $93.34 | +1.4% |
| 53 | MD | REST OF MARYLAND | $115.03 | $92.72 | +1% |
| 54 | NH | NEW HAMPSHIRE | $114.95 | $92.00 | +0.9% |
| 55 | FL | FORT LAUDERDALE | $114.80 | $92.47 | +0.8% |
| 56 | GA | ATLANTA | $114.73 | $92.33 | +0.7% |
| 57 | TX | HOUSTON | $114.64 | $92.75 | +0.6% |
| 58 | TX | DALLAS | $114.46 | $92.50 | +0.5% |
| 59 | TX | GALVESTON | $114.27 | $92.38 | +0.3% |
| 60 | MN | MINNESOTA | $114.23 | $91.55 | +0.3% |
| 61 | PR | PUERTO RICO | $114.19 | $91.90 | +0.3% |
| 62 | TX | FORT WORTH | $114.19 | $92.46 | +0.3% |
| 63 | VI | VIRGIN ISLANDS | $114.19 | $91.90 | +0.3% |
| 64 | TX | BRAZORIA | $114.18 | $92.34 | +0.2% |
| 65 | DE | DELAWARE | $113.92 | $92.14 | 0% |
| 66 | MT | MONTANA** | $113.90 | $91.85 | 0% |
| 67 | NV | NEVADA** | $113.81 | $91.75 | -0.1% |
| 68 | WY | WYOMING** | $113.72 | $91.68 | -0.2% |
| 69 | OR | REST OF OREGON | $113.59 | $91.63 | -0.3% |
| 70 | ND | NORTH DAKOTA** | $113.50 | $91.46 | -0.4% |
| 71 | SD | SOUTH DAKOTA** | $113.45 | $91.41 | -0.4% |
| 72 | ME | SOUTHERN MAINE | $113.40 | $91.55 | -0.4% |
| 73 | MI | DETROIT | $113.39 | $92.11 | -0.4% |
| 74 | VT | VERMONT | $113.29 | $91.47 | -0.5% |
| 75 | VA | VIRGINIA | $113.23 | $91.56 | -0.6% |
| 76 | FL | REST OF FLORIDA | $113.01 | $91.94 | -0.8% |
| 77 | AZ | ARIZONA | $112.94 | $91.58 | -0.8% |
| 78 | MO | METROPOLITAN ST. LOUIS | $112.57 | $91.58 | -1.2% |
| 79 | TX | REST OF TEXAS | $112.42 | $91.50 | -1.3% |
| 80 | IL | EAST ST. LOUIS | $112.36 | $92.08 | -1.4% |
| 81 | LA | NEW ORLEANS | $112.35 | $91.61 | -1.4% |
| 82 | NY | REST OF NEW YORK | $112.31 | $91.37 | -1.4% |
| 83 | WI | WISCONSIN | $112.27 | $91.15 | -1.4% |
| 84 | MO | METROPOLITAN KANSAS CITY | $112.19 | $91.49 | -1.5% |
| 85 | UT | UTAH | $112.17 | $91.44 | -1.5% |
| 86 | IL | REST OF ILLINOIS | $111.86 | $91.73 | -1.8% |
| 87 | NC | NORTH CAROLINA | $111.80 | $91.23 | -1.8% |
| 88 | NM | NEW MEXICO | $111.73 | $91.52 | -1.9% |
| 89 | SC | SOUTH CAROLINA | $111.69 | $91.32 | -1.9% |
| 90 | PA | REST OF PENNSYLVANIA | $111.59 | $91.35 | -2% |
| 91 | MI | REST OF MICHIGAN | $111.57 | $91.44 | -2% |
| 92 | IN | INDIANA | $111.53 | $91.09 | -2.1% |
| 93 | OH | OHIO | $111.49 | $91.36 | -2.1% |
| 94 | ME | REST OF MAINE | $111.43 | $91.15 | -2.2% |
| 95 | NE | NEBRASKA | $111.35 | $91.00 | -2.2% |
| 96 | TX | BEAUMONT | $111.35 | $91.29 | -2.2% |
| 97 | ID | IDAHO | $111.33 | $91.05 | -2.3% |
| 98 | IA | IOWA | $111.14 | $90.97 | -2.4% |
| 99 | TN | TENNESSEE | $111.07 | $91.03 | -2.5% |
| 100 | GA | REST OF GEORGIA | $111.03 | $91.37 | -2.5% |
| 101 | KS | KANSAS | $110.90 | $90.98 | -2.6% |
| 102 | OK | OKLAHOMA | $110.78 | $91.10 | -2.7% |
| 103 | KY | KENTUCKY | $110.76 | $91.17 | -2.8% |
| 104 | LA | REST OF LOUISIANA | $110.68 | $91.17 | -2.8% |
| 105 | WV | WEST VIRGINIA | $110.55 | $91.40 | -2.9% |
| 106 | AL | ALABAMA | $110.14 | $90.85 | -3.3% |
| 107 | MO | REST OF MISSOURI | $110.05 | $91.05 | -3.4% |
| 108 | MS | MISSISSIPPI | $109.87 | $90.89 | -3.5% |
| 109 | AR | ARKANSAS | $109.66 | $90.73 | -3.7% |
States with several localities (California, New York, Texas, Florida and others) show each one; check the locality you bill under rather than a state average. Amounts are before payer adjustments, sequestration and cost sharing.