CPT 99284 · 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
$159.73
AK · ALASKA*
Median
$117.39
across 109 localities
Lowest
$109.52
WI · WISCONSIN
Spread
46%
highest vs lowest
All 109 localities
National Not priced| Rank | State | Locality | Non-facility | Facility | vs national |
|---|---|---|---|---|---|
| 1 | AK | ALASKA* | Not priced | $159.73 | — |
| 2 | NY | NYC SUBURBS/LONG ISLAND | Not priced | $136.96 | — |
| 3 | FL | MIAMI | Not priced | $136.73 | — |
| 4 | IL | CHICAGO | Not priced | $134.09 | — |
| 5 | NY | MANHATTAN | Not priced | $133.38 | — |
| 6 | NY | QUEENS | Not priced | $132.00 | — |
| 7 | CA | SAN JOSE-SUNNYVALE-SANTA CLARA (SAN BENITO CNTY) | Not priced | $129.53 | — |
| 8 | IL | EAST ST. LOUIS | Not priced | $128.89 | — |
| 9 | IL | SUBURBAN CHICAGO | Not priced | $128.31 | — |
| 10 | CA | SAN JOSE-SUNNYVALE-SANTA CLARA (SANTA CLARA CNTY) | Not priced | $127.90 | — |
| 11 | FL | FORT LAUDERDALE | Not priced | $127.88 | — |
| 12 | NJ | NORTHERN NJ | Not priced | $127.20 | — |
| 13 | DC | DC + MD/VA SUBURBS | Not priced | $127.18 | — |
| 14 | CA | SAN FRANCISCO-OAKLAND-BERKELEY (MARIN CNTY) | Not priced | $126.77 | — |
| 15 | CA | SAN FRANCISCO-OAKLAND-BERKELEY (SAN FRANCISCO/SAN MATEO/ALAMEDA/CONTRA COSTA CNTY) | Not priced | $126.37 | — |
| 16 | NY | POUGHKPSIE/N NYC SUBURBS | Not priced | $126.24 | — |
| 17 | MI | DETROIT | Not priced | $125.73 | — |
| 18 | NJ | REST OF NEW JERSEY | Not priced | $124.42 | — |
| 19 | WA | SEATTLE (KING CNTY) | Not priced | $124.09 | — |
| 20 | CT | CONNECTICUT | Not priced | $123.68 | — |
| 21 | MA | METROPOLITAN BOSTON | Not priced | $123.62 | — |
| 22 | MD | BALTIMORE/SURR. CNTYS | Not priced | $123.57 | — |
| 23 | IL | REST OF ILLINOIS | Not priced | $123.51 | — |
| 24 | FL | REST OF FLORIDA | Not priced | $123.46 | — |
| 25 | TX | HOUSTON | Not priced | $123.26 | — |
| 26 | CA | NAPA | Not priced | $123.03 | — |
| 27 | PA | METROPOLITAN PHILADELPHIA | Not priced | $122.76 | — |
| 28 | CA | VALLEJO | Not priced | $122.46 | — |
| 29 | WV | WEST VIRGINIA | Not priced | $121.31 | — |
| 30 | GA | ATLANTA | Not priced | $121.10 | — |
| 31 | CA | LOS ANGELES-LONG BEACH-ANAHEIM (LOS ANGELES/ORANGE CNTY) | Not priced | $120.81 | — |
| 32 | CA | RIVERSIDE-SAN BERNARDINO-ONTARIO | Not priced | $119.61 | — |
| 33 | NM | NEW MEXICO | Not priced | $119.34 | — |
| 34 | RI | RHODE ISLAND | Not priced | $119.21 | — |
| 35 | CA | OXNARD-THOUSAND OAKS-VENTURA | Not priced | $119.13 | — |
| 36 | CA | SANTA ROSA-PETALUMA | Not priced | $118.99 | — |
| 37 | LA | NEW ORLEANS | Not priced | $118.94 | — |
| 38 | GA | REST OF GEORGIA | Not priced | $118.86 | — |
| 39 | CA | SAN DIEGO-CHULA VISTA-CARLSBAD | Not priced | $118.58 | — |
| 40 | CA | SACRAMENTO-ROSEVILLE-FOLSOM | Not priced | $118.56 | — |
| 41 | MI | REST OF MICHIGAN | Not priced | $118.44 | — |
| 42 | MD | REST OF MARYLAND | Not priced | $118.38 | — |
| 43 | OR | PORTLAND | Not priced | $118.38 | — |
| 44 | PR | PUERTO RICO | Not priced | $118.23 | — |
| 45 | VI | VIRGIN ISLANDS | Not priced | $118.23 | — |
| 46 | MT | MONTANA** | Not priced | $118.22 | — |
| 47 | MA | REST OF MASSACHUSETTS | Not priced | $118.13 | — |
| 48 | CA | SALINAS | Not priced | $118.04 | — |
| 49 | CA | SANTA CRUZ-WATSONVILLE | Not priced | $117.97 | — |
| 50 | TX | AUSTIN | Not priced | $117.96 | — |
| 51 | CA | SANTA MARIA-SANTA BARBARA | Not priced | $117.87 | — |
| 52 | CO | COLORADO | Not priced | $117.74 | — |
| 53 | MO | METROPOLITAN ST. LOUIS | Not priced | $117.54 | — |
| 54 | WA | REST OF WASHINGTON | Not priced | $117.43 | — |
| 55 | NH | NEW HAMPSHIRE | Not priced | $117.39 | — |
| 56 | DE | DELAWARE | Not priced | $117.34 | — |
| 57 | TX | DALLAS | Not priced | $117.34 | — |
| 58 | TX | FORT WORTH | Not priced | $117.34 | — |
| 59 | MO | METROPOLITAN KANSAS CITY | Not priced | $117.05 | — |
| 60 | OH | OHIO | Not priced | $117.03 | — |
| 61 | TX | GALVESTON | Not priced | $116.86 | — |
| 62 | CA | BAKERSFIELD | Not priced | $116.85 | — |
| 63 | CA | SAN LUIS OBISPO-PASO ROBLES | Not priced | $116.46 | — |
| 64 | PA | REST OF PENNSYLVANIA | Not priced | $116.36 | — |
| 65 | TX | REST OF TEXAS | Not priced | $116.34 | — |
| 66 | NV | NEVADA** | Not priced | $116.30 | — |
| 67 | TX | BRAZORIA | Not priced | $116.26 | — |
| 68 | UT | UTAH | Not priced | $116.14 | — |
| 69 | AZ | ARIZONA | Not priced | $116.09 | — |
| 70 | TX | BEAUMONT | Not priced | $116.06 | — |
| 71 | LA | REST OF LOUISIANA | Not priced | $116.02 | — |
| 72 | CA | EL CENTRO | Not priced | $115.87 | — |
| 73 | MO | REST OF MISSOURI | Not priced | $115.86 | — |
| 74 | CA | CHICO | Not priced | $115.81 | — |
| 75 | CA | FRESNO | Not priced | $115.81 | — |
| 76 | CA | HANFORD-CORCORAN | Not priced | $115.81 | — |
| 77 | CA | MADERA | Not priced | $115.81 | — |
| 78 | CA | MERCED | Not priced | $115.81 | — |
| 79 | CA | MODESTO | Not priced | $115.81 | — |
| 80 | CA | REDDING | Not priced | $115.81 | — |
| 81 | CA | STOCKTON | Not priced | $115.81 | — |
| 82 | CA | VISALIA | Not priced | $115.81 | — |
| 83 | CA | YUBA CITY | Not priced | $115.81 | — |
| 84 | CA | REST OF CALIFORNIA | Not priced | $115.81 | — |
| 85 | KY | KENTUCKY | Not priced | $115.58 | — |
| 86 | HI | HAWAII, GUAM | Not priced | $115.38 | — |
| 87 | SC | SOUTH CAROLINA | Not priced | $115.34 | — |
| 88 | WY | WYOMING** | Not priced | $115.20 | — |
| 89 | OR | REST OF OREGON | Not priced | $114.71 | — |
| 90 | VA | VIRGINIA | Not priced | $114.55 | — |
| 91 | NY | REST OF NEW YORK | Not priced | $114.02 | — |
| 92 | OK | OKLAHOMA | Not priced | $114.02 | — |
| 93 | ME | SOUTHERN MAINE | Not priced | $113.79 | — |
| 94 | MS | MISSISSIPPI | Not priced | $113.10 | — |
| 95 | NC | NORTH CAROLINA | Not priced | $113.01 | — |
| 96 | ME | REST OF MAINE | Not priced | $112.62 | — |
| 97 | VT | VERMONT | Not priced | $112.31 | — |
| 98 | TN | TENNESSEE | Not priced | $111.46 | — |
| 99 | ND | NORTH DAKOTA** | Not priced | $111.30 | — |
| 100 | AL | ALABAMA | Not priced | $111.29 | — |
| 101 | IN | INDIANA | Not priced | $111.13 | — |
| 102 | KS | KANSAS | Not priced | $111.00 | — |
| 103 | ID | IDAHO | Not priced | $110.88 | — |
| 104 | SD | SOUTH DAKOTA** | Not priced | $110.48 | — |
| 105 | AR | ARKANSAS | Not priced | $110.45 | — |
| 106 | MN | MINNESOTA | Not priced | $110.45 | — |
| 107 | IA | IOWA | Not priced | $109.91 | — |
| 108 | NE | NEBRASKA | Not priced | $109.81 | — |
| 109 | WI | WISCONSIN | Not priced | $109.52 | — |
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.