CPT 90837 · 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
$232.44
AK · ALASKA*
Median
$168.16
across 109 localities
Lowest
$161.03
AR · ARKANSAS
Spread
44%
highest vs lowest
All 109 localities
National $167.00| Rank | State | Locality | Non-facility | Facility | vs national |
|---|---|---|---|---|---|
| 1 | AK | ALASKA* | $232.44 | $198.64 | +39.2% |
| 2 | CA | SAN JOSE-SUNNYVALE-SANTA CLARA (SAN BENITO CNTY) | $198.30 | $152.54 | +18.7% |
| 3 | CA | SAN JOSE-SUNNYVALE-SANTA CLARA (SANTA CLARA CNTY) | $198.21 | $152.45 | +18.7% |
| 4 | CA | SAN FRANCISCO-OAKLAND-BERKELEY (MARIN CNTY) | $195.07 | $150.33 | +16.8% |
| 5 | CA | SAN FRANCISCO-OAKLAND-BERKELEY (SAN FRANCISCO/SAN MATEO/ALAMEDA/CONTRA COSTA CNTY) | $195.05 | $150.31 | +16.8% |
| 6 | CA | NAPA | $187.38 | $145.55 | +12.2% |
| 7 | CA | VALLEJO | $187.34 | $145.52 | +12.2% |
| 8 | NY | NYC SUBURBS/LONG ISLAND | $183.23 | $145.50 | +9.7% |
| 9 | NY | QUEENS | $182.67 | $145.17 | +9.4% |
| 10 | WA | SEATTLE (KING CNTY) | $182.29 | $143.36 | +9.2% |
| 11 | NY | MANHATTAN | $181.97 | $145.10 | +9% |
| 12 | NJ | NORTHERN NJ | $181.42 | $144.61 | +8.6% |
| 13 | DC | DC + MD/VA SUBURBS | $181.03 | $143.65 | +8.4% |
| 14 | MA | METROPOLITAN BOSTON | $179.88 | $142.00 | +7.7% |
| 15 | CA | SANTA ROSA-PETALUMA | $179.62 | $140.66 | +7.6% |
| 16 | CA | LOS ANGELES-LONG BEACH-ANAHEIM (LOS ANGELES/ORANGE CNTY) | $179.29 | $141.75 | +7.4% |
| 17 | CA | SAN DIEGO-CHULA VISTA-CARLSBAD | $178.34 | $140.39 | +6.8% |
| 18 | CA | SANTA CRUZ-WATSONVILLE | $177.96 | $139.41 | +6.6% |
| 19 | CA | SACRAMENTO-ROSEVILLE-FOLSOM | $177.77 | $140.87 | +6.4% |
| 20 | CA | OXNARD-THOUSAND OAKS-VENTURA | $177.58 | $140.08 | +6.3% |
| 21 | CA | SALINAS | $176.98 | $140.21 | +6% |
| 22 | CA | SANTA MARIA-SANTA BARBARA | $176.88 | $139.88 | +5.9% |
| 23 | NY | POUGHKPSIE/N NYC SUBURBS | $176.63 | $141.89 | +5.8% |
| 24 | NJ | REST OF NEW JERSEY | $175.81 | $141.16 | +5.3% |
| 25 | CA | SAN LUIS OBISPO-PASO ROBLES | $174.41 | $138.27 | +4.4% |
| 26 | OR | PORTLAND | $173.30 | $138.05 | +3.8% |
| 27 | CA | RIVERSIDE-SAN BERNARDINO-ONTARIO | $173.03 | $138.25 | +3.6% |
| 28 | CA | BAKERSFIELD | $172.99 | $138.21 | +3.6% |
| 29 | CT | CONNECTICUT | $172.76 | $138.58 | +3.4% |
| 30 | CA | CHICO | $172.69 | $137.91 | +3.4% |
| 31 | CA | EL CENTRO | $172.69 | $137.91 | +3.4% |
| 32 | CA | FRESNO | $172.69 | $137.91 | +3.4% |
| 33 | CA | HANFORD-CORCORAN | $172.69 | $137.91 | +3.4% |
| 34 | CA | MADERA | $172.69 | $137.91 | +3.4% |
| 35 | CA | MERCED | $172.69 | $137.91 | +3.4% |
| 36 | CA | MODESTO | $172.69 | $137.91 | +3.4% |
| 37 | CA | REDDING | $172.69 | $137.91 | +3.4% |
| 38 | CA | STOCKTON | $172.69 | $137.91 | +3.4% |
| 39 | CA | VISALIA | $172.69 | $137.91 | +3.4% |
| 40 | CA | YUBA CITY | $172.69 | $137.91 | +3.4% |
| 41 | CA | REST OF CALIFORNIA | $172.69 | $137.91 | +3.4% |
| 42 | HI | HAWAII, GUAM | $172.21 | $136.14 | +3.1% |
| 43 | MD | BALTIMORE/SURR. CNTYS | $172.11 | $138.06 | +3.1% |
| 44 | PA | METROPOLITAN PHILADELPHIA | $171.05 | $138.02 | +2.4% |
| 45 | MA | REST OF MASSACHUSETTS | $171.01 | $137.60 | +2.4% |
| 46 | CO | COLORADO | $170.94 | $137.18 | +2.4% |
| 47 | RI | RHODE ISLAND | $170.65 | $137.88 | +2.2% |
| 48 | WA | REST OF WASHINGTON | $170.61 | $137.20 | +2.2% |
| 49 | FL | MIAMI | $169.67 | $136.64 | +1.6% |
| 50 | TX | AUSTIN | $169.51 | $135.93 | +1.5% |
| 51 | IL | SUBURBAN CHICAGO | $169.49 | $136.90 | +1.5% |
| 52 | IL | CHICAGO | $168.95 | $137.06 | +1.2% |
| 53 | MD | REST OF MARYLAND | $168.69 | $136.58 | +1% |
| 54 | NH | NEW HAMPSHIRE | $168.56 | $135.53 | +0.9% |
| 55 | GA | ATLANTA | $168.16 | $135.92 | +0.7% |
| 56 | FL | FORT LAUDERDALE | $168.07 | $135.92 | +0.6% |
| 57 | TX | HOUSTON | $167.99 | $136.48 | +0.6% |
| 58 | TX | DALLAS | $167.89 | $136.28 | +0.5% |
| 59 | MN | MINNESOTA | $167.70 | $135.05 | +0.4% |
| 60 | TX | GALVESTON | $167.62 | $136.11 | +0.4% |
| 61 | TX | BRAZORIA | $167.51 | $136.06 | +0.3% |
| 62 | TX | FORT WORTH | $167.49 | $136.21 | +0.3% |
| 63 | PR | PUERTO RICO | $167.44 | $135.36 | +0.3% |
| 64 | VI | VIRGIN ISLANDS | $167.44 | $135.36 | +0.3% |
| 65 | DE | DELAWARE | $167.09 | $135.74 | +0.1% |
| 66 | MT | MONTANA** | $167.00 | $135.27 | 0% |
| 67 | NV | NEVADA** | $166.93 | $135.17 | 0% |
| 68 | WY | WYOMING** | $166.83 | $135.10 | -0.1% |
| 69 | OR | REST OF OREGON | $166.65 | $135.04 | -0.2% |
| 70 | ND | NORTH DAKOTA** | $166.61 | $134.88 | -0.2% |
| 71 | SD | SOUTH DAKOTA** | $166.56 | $134.83 | -0.3% |
| 72 | ME | SOUTHERN MAINE | $166.40 | $134.95 | -0.4% |
| 73 | VT | VERMONT | $166.27 | $134.86 | -0.4% |
| 74 | VA | VIRGINIA | $166.13 | $134.94 | -0.5% |
| 75 | MI | DETROIT | $166.06 | $135.44 | -0.6% |
| 76 | AZ | ARIZONA | $165.67 | $134.92 | -0.8% |
| 77 | FL | REST OF FLORIDA | $165.58 | $135.24 | -0.9% |
| 78 | MO | METROPOLITAN ST. LOUIS | $165.08 | $134.87 | -1.1% |
| 79 | TX | REST OF TEXAS | $164.90 | $134.78 | -1.3% |
| 80 | WI | WISCONSIN | $164.86 | $134.46 | -1.3% |
| 81 | NY | REST OF NEW YORK | $164.80 | $134.66 | -1.3% |
| 82 | LA | NEW ORLEANS | $164.73 | $134.87 | -1.4% |
| 83 | MO | METROPOLITAN KANSAS CITY | $164.54 | $134.75 | -1.5% |
| 84 | UT | UTAH | $164.53 | $134.70 | -1.5% |
| 85 | IL | EAST ST. LOUIS | $164.48 | $135.28 | -1.5% |
| 86 | NC | NORTH CAROLINA | $164.08 | $134.47 | -1.7% |
| 87 | IL | REST OF ILLINOIS | $163.89 | $134.92 | -1.9% |
| 88 | SC | SOUTH CAROLINA | $163.86 | $134.54 | -1.9% |
| 89 | NM | NEW MEXICO | $163.81 | $134.71 | -1.9% |
| 90 | IN | INDIANA | $163.74 | $134.32 | -2% |
| 91 | PA | REST OF PENNSYLVANIA | $163.68 | $134.55 | -2% |
| 92 | MI | REST OF MICHIGAN | $163.60 | $134.63 | -2% |
| 93 | ME | REST OF MAINE | $163.55 | $134.35 | -2.1% |
| 94 | OH | OHIO | $163.52 | $134.55 | -2.1% |
| 95 | NE | NEBRASKA | $163.50 | $134.22 | -2.1% |
| 96 | ID | IDAHO | $163.45 | $134.25 | -2.1% |
| 97 | TX | BEAUMONT | $163.35 | $134.47 | -2.2% |
| 98 | IA | IOWA | $163.19 | $134.16 | -2.3% |
| 99 | TN | TENNESSEE | $163.05 | $134.20 | -2.4% |
| 100 | KS | KANSAS | $162.83 | $134.14 | -2.5% |
| 101 | GA | REST OF GEORGIA | $162.80 | $134.50 | -2.5% |
| 102 | OK | OKLAHOMA | $162.57 | $134.23 | -2.7% |
| 103 | KY | KENTUCKY | $162.50 | $134.29 | -2.7% |
| 104 | LA | REST OF LOUISIANA | $162.37 | $134.29 | -2.8% |
| 105 | WV | WEST VIRGINIA | $162.04 | $134.47 | -3% |
| 106 | AL | ALABAMA | $161.70 | $133.94 | -3.2% |
| 107 | MO | REST OF MISSOURI | $161.46 | $134.10 | -3.3% |
| 108 | MS | MISSISSIPPI | $161.26 | $133.94 | -3.4% |
| 109 | AR | ARKANSAS | $161.03 | $133.77 | -3.6% |
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.