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Medicare rate data current as of December 23, 2024 (CMS Physician Fee Schedule RVU25A). Next scheduled CMS update: January 2026. About our data

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Reimbursement rates sourced from CMS Medicare Physician Fee Schedule RVU25A. Data accurate as of release date. For informational purposes only — verify with payer contracts before billing decisions.

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Home/CPT codes/96203/By state
CPT 96203Other

Reimbursement by state

Mlt fam grp bhv train ea add

Highest
$7.92
Alaska
Median
$5.82
across 53 states
Lowest
$5.54
Mississippi
Spread
43%
highest vs lowest
RankStateLocalityRatevs Median
1topAlaskaAlaska$7.92+36.1%
2District of ColumbiaWashington DC + MD/VA Suburbs$6.42+10.3%
3WashingtonSeattle (King County)$6.42+10.3%
4New JerseyNorthern NJ$6.40+10.0%
5New YorkManhattanⓘ$6.40+10.0%
6MassachusettsMetro Boston

Methodology

Each state shows the non-facility rate for one representative Medicare locality. Most states have only one locality, but several (CA, NY, TX, FL, IL, MA, MO, NJ, OR, WA, PA) have multiple. For those, we use the largest metropolitan locality. States like California span a wide GPCI range — billers in different California cities should check the locality-specific rate on the main code page.

Rates derived from 2025 CMS Physician Fee Schedule (RVU25A) with 2025 GPCI adjustments. Conversion factor: 32.3465.

← Back to CPT 96203

$6.37
+9.5%
7HawaiiHawaii / Guam$6.11+5.0%
8ConnecticutConnecticut$6.08+4.5%
9CaliforniaLos Angeles-Long Beach-Anaheimⓘ$6.07+4.3%
10OregonPortland$6.07+4.3%
11MarylandBaltimore / Surrounding Counties$6.05+4.0%
12PennsylvaniaMetropolitan Philadelphia$6.02+3.4%
13Rhode IslandRhode Island$6.00+3.1%
14ColoradoColorado$5.96+2.4%
15TexasHoustonⓘ$5.91+1.5%
16IllinoisChicagoⓘ$5.89+1.2%
17New HampshireNew Hampshire$5.89+1.2%
18FloridaMiamiⓘ$5.87+0.9%
19MinnesotaMinnesota$5.87+0.9%
20MaineMaine (rest)$5.85+0.5%
21DelawareDelaware$5.84+0.3%
22Puerto RicoPuerto Rico$5.84+0.3%
23Virgin IslandsVirgin Islands$5.84+0.3%
24MontanaMontana$5.82+0.0%
25NevadaNevada$5.82+0.0%
26North DakotaNorth Dakota$5.82+0.0%
27South DakotaSouth Dakota$5.82+0.0%
28WyomingWyoming$5.82+0.0%
29MichiganDetroit$5.81-0.2%
30VermontVermont$5.81-0.2%
31VirginiaVirginia$5.80-0.3%
32ArizonaArizona$5.77-0.9%
33WisconsinWisconsin$5.74-1.4%
34MissouriSt. Louis$5.72-1.7%
35LouisianaNew Orleans$5.70-2.1%
36UtahUtah$5.69-2.2%
37North CarolinaNorth Carolina$5.68-2.4%
38IndianaIndiana$5.67-2.6%
39NebraskaNebraska$5.66-2.7%
40IowaIowa$5.65-2.9%
41OhioOhio$5.65-2.9%
42South CarolinaSouth Carolina$5.65-2.9%
43IdahoIdaho$5.64-3.1%
44KansasKansas$5.64-3.1%
45New MexicoNew Mexico$5.64-3.1%
46TennesseeTennessee$5.62-3.4%
47OklahomaOklahoma$5.61-3.6%
48GeorgiaGeorgia$5.60-3.8%
49KentuckyKentucky$5.58-4.1%
50AlabamaAlabama$5.57-4.3%
51ArkansasArkansas$5.55-4.6%
52West VirginiaWest Virginia$5.55-4.6%
53lowMississippiMississippi$5.54-4.8%