CPT 99214 · 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
$170.02
CA · SAN JOSE-SUNNYVALE-SANTA CLARA (SAN BENITO CNTY)
Median
$137.76
across 109 localities
Lowest
$123.92
AR · ARKANSAS
Spread
37%
highest vs lowest
All 109 localities
National $135.61| Rank | State | Locality | Non-facility | Facility | vs national |
|---|---|---|---|---|---|
| 1 | CA | SAN JOSE-SUNNYVALE-SANTA CLARA (SAN BENITO CNTY) | $170.02 | $96.33 | +25.4% |
| 2 | AK | ALASKA* | $169.92 | $115.49 | +25.3% |
| 3 | CA | SAN JOSE-SUNNYVALE-SANTA CLARA (SANTA CLARA CNTY) | $169.37 | $95.68 | +24.9% |
| 4 | CA | SAN FRANCISCO-OAKLAND-BERKELEY (MARIN CNTY) | $166.56 | $94.50 | +22.8% |
| 5 | CA | SAN FRANCISCO-OAKLAND-BERKELEY (SAN FRANCISCO/SAN MATEO/ALAMEDA/CONTRA COSTA CNTY) | $166.40 | $94.34 | +22.7% |
| 6 | CA | NAPA | $158.59 | $91.24 | +16.9% |
| 7 | CA | VALLEJO | $158.36 | $91.01 | +16.8% |
| 8 | NY | NYC SUBURBS/LONG ISLAND | $156.34 | $95.58 | +15.3% |
| 9 | NY | QUEENS | $153.94 | $93.53 | +13.5% |
| 10 | NY | MANHATTAN | $153.27 | $93.89 | +13% |
| 11 | WA | SEATTLE (KING CNTY) | $153.12 | $90.42 | +12.9% |
| 12 | DC | DC + MD/VA SUBURBS | $151.49 | $91.29 | +11.7% |
| 13 | MA | METROPOLITAN BOSTON | $150.68 | $89.66 | +11.1% |
| 14 | NJ | NORTHERN NJ | $150.65 | $91.37 | +11.1% |
| 15 | CA | SANTA ROSA-PETALUMA | $150.59 | $87.84 | +11% |
| 16 | CA | SANTA CRUZ-WATSONVILLE | $149.15 | $87.06 | +10% |
| 17 | CA | LOS ANGELES-LONG BEACH-ANAHEIM (LOS ANGELES/ORANGE CNTY) | $148.89 | $88.44 | +9.8% |
| 18 | CA | SAN DIEGO-CHULA VISTA-CARLSBAD | $148.48 | $87.36 | +9.5% |
| 19 | CA | OXNARD-THOUSAND OAKS-VENTURA | $147.80 | $87.39 | +9% |
| 20 | CA | SACRAMENTO-ROSEVILLE-FOLSOM | $146.64 | $87.20 | +8.1% |
| 21 | CA | SANTA MARIA-SANTA BARBARA | $146.32 | $86.74 | +7.9% |
| 22 | CA | SALINAS | $146.05 | $86.82 | +7.7% |
| 23 | NY | POUGHKPSIE/N NYC SUBURBS | $145.82 | $89.86 | +7.5% |
| 24 | FL | MIAMI | $145.50 | $92.30 | +7.3% |
| 25 | NJ | REST OF NEW JERSEY | $144.77 | $88.97 | +6.8% |
| 26 | CA | SAN LUIS OBISPO-PASO ROBLES | $143.81 | $85.61 | +6% |
| 27 | CT | CONNECTICUT | $143.02 | $87.98 | +5.5% |
| 28 | OR | PORTLAND | $142.85 | $86.08 | +5.3% |
| 29 | HI | HAWAII, GUAM | $142.79 | $84.69 | +5.3% |
| 30 | MD | BALTIMORE/SURR. CNTYS | $142.62 | $87.78 | +5.2% |
| 31 | CA | RIVERSIDE-SAN BERNARDINO-ONTARIO | $142.49 | $86.48 | +5.1% |
| 32 | IL | CHICAGO | $142.45 | $91.09 | +5% |
| 33 | IL | SUBURBAN CHICAGO | $141.47 | $88.99 | +4.3% |
| 34 | CA | BAKERSFIELD | $141.41 | $85.40 | +4.3% |
| 35 | CA | EL CENTRO | $140.96 | $84.96 | +3.9% |
| 36 | CA | CHICO | $140.94 | $84.93 | +3.9% |
| 37 | CA | FRESNO | $140.94 | $84.93 | +3.9% |
| 38 | CA | HANFORD-CORCORAN | $140.94 | $84.93 | +3.9% |
| 39 | CA | MADERA | $140.94 | $84.93 | +3.9% |
| 40 | CA | MERCED | $140.94 | $84.93 | +3.9% |
| 41 | CA | MODESTO | $140.94 | $84.93 | +3.9% |
| 42 | CA | REDDING | $140.94 | $84.93 | +3.9% |
| 43 | CA | STOCKTON | $140.94 | $84.93 | +3.9% |
| 44 | CA | VISALIA | $140.94 | $84.93 | +3.9% |
| 45 | CA | YUBA CITY | $140.94 | $84.93 | +3.9% |
| 46 | CA | REST OF CALIFORNIA | $140.94 | $84.93 | +3.9% |
| 47 | PA | METROPOLITAN PHILADELPHIA | $140.40 | $87.20 | +3.5% |
| 48 | FL | FORT LAUDERDALE | $140.25 | $88.49 | +3.4% |
| 49 | CO | COLORADO | $139.63 | $85.25 | +3% |
| 50 | MA | REST OF MASSACHUSETTS | $139.22 | $85.41 | +2.7% |
| 51 | TX | AUSTIN | $139.08 | $85.01 | +2.6% |
| 52 | WA | REST OF WASHINGTON | $138.86 | $85.05 | +2.4% |
| 53 | RI | RHODE ISLAND | $138.53 | $85.74 | +2.2% |
| 54 | GA | ATLANTA | $137.81 | $85.89 | +1.6% |
| 55 | NH | NEW HAMPSHIRE | $137.76 | $84.56 | +1.6% |
| 56 | TX | HOUSTON | $137.41 | $86.67 | +1.3% |
| 57 | MD | REST OF MARYLAND | $136.67 | $84.95 | +0.8% |
| 58 | MI | DETROIT | $136.48 | $87.16 | +0.6% |
| 59 | PR | PUERTO RICO | $136.27 | $84.61 | +0.5% |
| 60 | VI | VIRGIN ISLANDS | $136.27 | $84.61 | +0.5% |
| 61 | MT | MONTANA** | $135.60 | $84.49 | 0% |
| 62 | TX | DALLAS | $135.25 | $84.35 | -0.3% |
| 63 | FL | REST OF FLORIDA | $135.02 | $86.17 | -0.4% |
| 64 | IL | EAST ST. LOUIS | $135.01 | $87.99 | -0.4% |
| 65 | NV | NEVADA** | $134.89 | $83.74 | -0.5% |
| 66 | TX | GALVESTON | $134.85 | $84.10 | -0.6% |
| 67 | DE | DELAWARE | $134.65 | $84.16 | -0.7% |
| 68 | TX | FORT WORTH | $134.65 | $84.26 | -0.7% |
| 69 | TX | BRAZORIA | $134.49 | $83.85 | -0.8% |
| 70 | WY | WYOMING** | $134.39 | $83.29 | -0.9% |
| 71 | MN | MINNESOTA | $134.25 | $81.67 | -1% |
| 72 | OR | REST OF OREGON | $133.95 | $83.05 | -1.2% |
| 73 | ME | SOUTHERN MAINE | $133.28 | $82.64 | -1.7% |
| 74 | VA | VIRGINIA | $133.10 | $82.86 | -1.9% |
| 75 | AZ | ARIZONA | $132.86 | $83.34 | -2% |
| 76 | ND | NORTH DAKOTA** | $132.83 | $81.73 | -2% |
| 77 | VT | VERMONT | $132.63 | $82.04 | -2.2% |
| 78 | SD | SOUTH DAKOTA** | $132.50 | $81.40 | -2.3% |
| 79 | IL | REST OF ILLINOIS | $132.43 | $85.77 | -2.3% |
| 80 | MO | METROPOLITAN ST. LOUIS | $132.41 | $83.76 | -2.4% |
| 81 | LA | NEW ORLEANS | $132.30 | $84.21 | -2.4% |
| 82 | TX | REST OF TEXAS | $131.75 | $83.25 | -2.8% |
| 83 | MO | METROPOLITAN KANSAS CITY | $131.43 | $83.44 | -3.1% |
| 84 | UT | UTAH | $131.12 | $83.09 | -3.3% |
| 85 | NM | NEW MEXICO | $131.00 | $84.14 | -3.4% |
| 86 | NY | REST OF NEW YORK | $130.88 | $82.33 | -3.5% |
| 87 | MI | REST OF MICHIGAN | $130.40 | $83.74 | -3.8% |
| 88 | PA | REST OF PENNSYLVANIA | $129.87 | $82.96 | -4.2% |
| 89 | OH | OHIO | $129.83 | $83.18 | -4.3% |
| 90 | SC | SOUTH CAROLINA | $129.83 | $82.61 | -4.3% |
| 91 | WI | WISCONSIN | $129.57 | $80.61 | -4.5% |
| 92 | NC | NORTH CAROLINA | $129.44 | $81.76 | -4.5% |
| 93 | GA | REST OF GEORGIA | $129.29 | $83.71 | -4.7% |
| 94 | TX | BEAUMONT | $129.26 | $82.76 | -4.7% |
| 95 | WV | WEST VIRGINIA | $128.87 | $84.46 | -5% |
| 96 | ME | REST OF MAINE | $128.50 | $81.48 | -5.2% |
| 97 | IN | INDIANA | $128.33 | $80.95 | -5.4% |
| 98 | ID | IDAHO | $127.80 | $80.78 | -5.8% |
| 99 | KY | KENTUCKY | $127.80 | $82.36 | -5.8% |
| 100 | LA | REST OF LOUISIANA | $127.73 | $82.50 | -5.8% |
| 101 | NE | NEBRASKA | $127.56 | $80.39 | -5.9% |
| 102 | OK | OKLAHOMA | $127.42 | $81.78 | -6% |
| 103 | TN | TENNESSEE | $127.36 | $80.91 | -6.1% |
| 104 | IA | IOWA | $127.11 | $80.35 | -6.3% |
| 105 | KS | KANSAS | $126.88 | $80.68 | -6.4% |
| 106 | MO | REST OF MISSOURI | $126.27 | $82.22 | -6.9% |
| 107 | AL | ALABAMA | $125.23 | $80.51 | -7.7% |
| 108 | MS | MISSISSIPPI | $125.10 | $81.10 | -7.8% |
| 109 | AR | ARKANSAS | $123.92 | $80.02 | -8.6% |
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.