CPT 99203 · GEOGRAPHY
Reimbursement by state and locality.
Evaluation & management (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
$146.95
CA · SAN JOSE-SUNNYVALE-SANTA CLARA (SAN BENITO CNTY)
Median
$119.60
across 109 localities
Lowest
$106.69
AR · ARKANSAS
Spread
38%
highest vs lowest
All 109 localities
National $117.57| Rank | State | Locality | Non-facility | Facility | vs national |
|---|---|---|---|---|---|
| 1 | CA | SAN JOSE-SUNNYVALE-SANTA CLARA (SAN BENITO CNTY) | $146.95 | $80.49 | +25% |
| 2 | CA | SAN JOSE-SUNNYVALE-SANTA CLARA (SANTA CLARA CNTY) | $146.21 | $79.74 | +24.4% |
| 3 | AK | ALASKA* | $145.71 | $96.62 | +23.9% |
| 4 | CA | SAN FRANCISCO-OAKLAND-BERKELEY (MARIN CNTY) | $143.86 | $78.87 | +22.4% |
| 5 | CA | SAN FRANCISCO-OAKLAND-BERKELEY (SAN FRANCISCO/SAN MATEO/ALAMEDA/CONTRA COSTA CNTY) | $143.68 | $78.69 | +22.2% |
| 6 | CA | NAPA | $137.00 | $76.25 | +16.5% |
| 7 | CA | VALLEJO | $136.74 | $75.99 | +16.3% |
| 8 | NY | NYC SUBURBS/LONG ISLAND | $136.68 | $81.88 | +16.3% |
| 9 | NY | QUEENS | $134.05 | $79.57 | +14% |
| 10 | NY | MANHATTAN | $133.65 | $80.09 | +13.7% |
| 11 | WA | SEATTLE (KING CNTY) | $132.61 | $76.05 | +12.8% |
| 12 | DC | DC + MD/VA SUBURBS | $131.52 | $77.23 | +11.9% |
| 13 | NJ | NORTHERN NJ | $130.71 | $77.24 | +11.2% |
| 14 | MA | METROPOLITAN BOSTON | $130.58 | $75.54 | +11.1% |
| 15 | CA | SANTA ROSA-PETALUMA | $130.10 | $73.50 | +10.7% |
| 16 | CA | SANTA CRUZ-WATSONVILLE | $128.85 | $72.85 | +9.6% |
| 17 | CA | LOS ANGELES-LONG BEACH-ANAHEIM (LOS ANGELES/ORANGE CNTY) | $128.72 | $74.20 | +9.5% |
| 18 | CA | SAN DIEGO-CHULA VISTA-CARLSBAD | $128.25 | $73.12 | +9.1% |
| 19 | FL | MIAMI | $128.15 | $80.17 | +9% |
| 20 | CA | OXNARD-THOUSAND OAKS-VENTURA | $127.75 | $73.27 | +8.7% |
| 21 | NY | POUGHKPSIE/N NYC SUBURBS | $126.68 | $76.21 | +7.7% |
| 22 | CA | SACRAMENTO-ROSEVILLE-FOLSOM | $126.60 | $72.99 | +7.7% |
| 23 | CA | SANTA MARIA-SANTA BARBARA | $126.35 | $72.60 | +7.5% |
| 24 | CA | SALINAS | $126.10 | $72.67 | +7.3% |
| 25 | NJ | REST OF NEW JERSEY | $125.64 | $75.30 | +6.9% |
| 26 | IL | CHICAGO | $125.16 | $78.84 | +6.5% |
| 27 | CT | CONNECTICUT | $124.29 | $74.65 | +5.7% |
| 28 | CA | SAN LUIS OBISPO-PASO ROBLES | $124.17 | $71.67 | +5.6% |
| 29 | MD | BALTIMORE/SURR. CNTYS | $123.98 | $74.53 | +5.5% |
| 30 | IL | SUBURBAN CHICAGO | $123.66 | $76.32 | +5.2% |
| 31 | OR | PORTLAND | $123.58 | $72.37 | +5.1% |
| 32 | CA | RIVERSIDE-SAN BERNARDINO-ONTARIO | $123.39 | $72.87 | +5% |
| 33 | HI | HAWAII, GUAM | $123.37 | $70.97 | +4.9% |
| 34 | FL | FORT LAUDERDALE | $122.65 | $75.96 | +4.3% |
| 35 | CA | BAKERSFIELD | $122.14 | $71.62 | +3.9% |
| 36 | PA | METROPOLITAN PHILADELPHIA | $121.97 | $73.99 | +3.7% |
| 37 | CA | EL CENTRO | $121.67 | $71.15 | +3.5% |
| 38 | CA | CHICO | $121.64 | $71.13 | +3.5% |
| 39 | CA | FRESNO | $121.64 | $71.13 | +3.5% |
| 40 | CA | HANFORD-CORCORAN | $121.64 | $71.13 | +3.5% |
| 41 | CA | MADERA | $121.64 | $71.13 | +3.5% |
| 42 | CA | MERCED | $121.64 | $71.13 | +3.5% |
| 43 | CA | MODESTO | $121.64 | $71.13 | +3.5% |
| 44 | CA | REDDING | $121.64 | $71.13 | +3.5% |
| 45 | CA | STOCKTON | $121.64 | $71.13 | +3.5% |
| 46 | CA | VISALIA | $121.64 | $71.13 | +3.5% |
| 47 | CA | YUBA CITY | $121.64 | $71.13 | +3.5% |
| 48 | CA | REST OF CALIFORNIA | $121.64 | $71.13 | +3.5% |
| 49 | CO | COLORADO | $120.80 | $71.76 | +2.7% |
| 50 | TX | AUSTIN | $120.48 | $71.71 | +2.5% |
| 51 | MA | REST OF MASSACHUSETTS | $120.46 | $71.92 | +2.5% |
| 52 | WA | REST OF WASHINGTON | $120.10 | $71.57 | +2.2% |
| 53 | RI | RHODE ISLAND | $119.95 | $72.33 | +2% |
| 54 | GA | ATLANTA | $119.75 | $72.92 | +1.9% |
| 55 | TX | HOUSTON | $119.60 | $73.83 | +1.7% |
| 56 | NH | NEW HAMPSHIRE | $119.31 | $71.33 | +1.5% |
| 57 | MI | DETROIT | $119.18 | $74.70 | +1.4% |
| 58 | MD | REST OF MARYLAND | $118.37 | $71.73 | +0.7% |
| 59 | IL | EAST ST. LOUIS | $118.29 | $75.88 | +0.6% |
| 60 | PR | PUERTO RICO | $118.14 | $71.54 | +0.5% |
| 61 | VI | VIRGIN ISLANDS | $118.14 | $71.54 | +0.5% |
| 62 | FL | REST OF FLORIDA | $117.67 | $73.61 | +0.1% |
| 63 | MT | MONTANA** | $117.56 | $71.47 | 0% |
| 64 | TX | DALLAS | $117.06 | $71.15 | -0.4% |
| 65 | NV | NEVADA** | $116.74 | $70.60 | -0.7% |
| 66 | TX | GALVESTON | $116.67 | $70.90 | -0.8% |
| 67 | DE | DELAWARE | $116.59 | $71.05 | -0.8% |
| 68 | TX | FORT WORTH | $116.54 | $71.09 | -0.9% |
| 69 | TX | BRAZORIA | $116.29 | $70.62 | -1.1% |
| 70 | WY | WYOMING** | $116.18 | $70.09 | -1.2% |
| 71 | OR | REST OF OREGON | $115.75 | $69.84 | -1.5% |
| 72 | MN | MINNESOTA | $115.51 | $68.08 | -1.8% |
| 73 | IL | REST OF ILLINOIS | $115.47 | $73.38 | -1.8% |
| 74 | ME | SOUTHERN MAINE | $115.07 | $69.39 | -2.1% |
| 75 | VA | VIRGINIA | $115.00 | $69.69 | -2.2% |
| 76 | AZ | ARIZONA | $114.98 | $70.31 | -2.2% |
| 77 | LA | NEW ORLEANS | $114.83 | $71.46 | -2.3% |
| 78 | MO | METROPOLITAN ST. LOUIS | $114.76 | $70.88 | -2.4% |
| 79 | ND | NORTH DAKOTA** | $114.40 | $68.30 | -2.7% |
| 80 | VT | VERMONT | $114.34 | $68.71 | -2.7% |
| 81 | TX | REST OF TEXAS | $114.05 | $70.31 | -3% |
| 82 | SD | SOUTH DAKOTA** | $114.02 | $67.93 | -3% |
| 83 | MO | METROPOLITAN KANSAS CITY | $113.86 | $70.58 | -3.2% |
| 84 | NM | NEW MEXICO | $113.77 | $71.50 | -3.2% |
| 85 | UT | UTAH | $113.50 | $70.17 | -3.5% |
| 86 | MI | REST OF MICHIGAN | $113.15 | $71.06 | -3.8% |
| 87 | NY | REST OF NEW YORK | $113.04 | $69.26 | -3.9% |
| 88 | OH | OHIO | $112.50 | $70.42 | -4.3% |
| 89 | PA | REST OF PENNSYLVANIA | $112.46 | $70.14 | -4.3% |
| 90 | SC | SOUTH CAROLINA | $112.30 | $69.71 | -4.5% |
| 91 | GA | REST OF GEORGIA | $112.25 | $71.13 | -4.5% |
| 92 | WV | WEST VIRGINIA | $112.17 | $72.12 | -4.6% |
| 93 | TX | BEAUMONT | $111.90 | $69.96 | -4.8% |
| 94 | NC | NORTH CAROLINA | $111.70 | $68.70 | -5% |
| 95 | WI | WISCONSIN | $111.40 | $67.25 | -5.2% |
| 96 | ME | REST OF MAINE | $110.85 | $68.44 | -5.7% |
| 97 | KY | KENTUCKY | $110.59 | $69.61 | -5.9% |
| 98 | LA | REST OF LOUISIANA | $110.59 | $69.79 | -5.9% |
| 99 | IN | INDIANA | $110.53 | $67.80 | -6% |
| 100 | OK | OKLAHOMA | $110.09 | $68.93 | -6.4% |
| 101 | ID | IDAHO | $110.05 | $67.65 | -6.4% |
| 102 | TN | TENNESSEE | $109.75 | $67.85 | -6.7% |
| 103 | NE | NEBRASKA | $109.72 | $67.18 | -6.7% |
| 104 | IA | IOWA | $109.35 | $67.18 | -7% |
| 105 | MO | REST OF MISSOURI | $109.32 | $69.59 | -7% |
| 106 | KS | KANSAS | $109.28 | $67.61 | -7.1% |
| 107 | MS | MISSISSIPPI | $108.01 | $68.32 | -8.1% |
| 108 | AL | ALABAMA | $107.90 | $67.57 | -8.2% |
| 109 | AR | ARKANSAS | $106.69 | $67.10 | -9.3% |
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.