Medicare payment localities · Q3 2026 release

Medicare payment localities

Medicare scales every fee-schedule rate to local costs using three GPCIs per payment locality. Browse all 109 below, or jump straight to yours by ZIP code.

Look up your locality by ZIP code

Some ZIPs span more than one locality and need ZIP+4 to resolve exactly. We'll show the dominant locality and flag it.

Medicare rates by state

99213 (a common office visit), non-facility amount, by state. Tap a state for its localities.

Office (non-facility)

$87–$92 $92–$97 $97–$103 $103–$108 $108–$113 $113–$119

State	Amount	Localities
Alabama	$87.79	1
Alaska	$118.72	1
Arizona	$93.25	1
Arkansas	$86.86	1
California	$99.22–$120.13	29
Colorado	$98.18	1
Connecticut	$100.45	1
Delaware	$94.52	1
District of Columbia	$106.56	1
Florida	$94.56–$101.79	3
Georgia	$90.50–$96.71	2
Hawaii	$100.61	1
Idaho	$89.71	1
Illinois	$92.64–$99.63	4
Indiana	$90.09	1
Iowa	$89.23	1
Kansas	$89.02	1
Kentucky	$89.52	1
Louisiana	$89.46–$92.72	2
Maine	$90.16–$93.64	2
Maryland	$95.97–$100.16	2
Massachusetts	$97.86–$106.10	2
Michigan	$91.34–$95.55	2
Minnesota	$94.49	1
Mississippi	$87.63	1
Missouri	$88.38–$92.86	3
Montana	$95.19	1
Nebraska	$89.57	1
Nevada	$94.74	1
New Hampshire	$96.82	1
New Jersey	$101.71–$105.93	2
New Mexico	$91.75	1
New York	$91.86–$109.76	5
North Carolina	$90.84	1
North Dakota	$93.41	1
Ohio	$90.97	1
Oklahoma	$89.30	1
Oregon	$94.10–$100.53	2
Pennsylvania	$91.03–$98.55	2
Puerto Rico	$95.68	1
Rhode Island	$97.30	1
South Carolina	$91.04	1
South Dakota	$93.20	1
Tennessee	$89.36	1
Texas	$90.59–$97.77	8
U.S. Virgin Islands	$95.68	1
Utah	$91.96	1
Vermont	$93.22	1
Virginia	$93.48	1
Washington	$97.62–$107.88	2
West Virginia	$90.10	1
Wisconsin	$91.06	1
Wyoming	$94.41	1

Source & method

GPCIs and locality boundaries come from the CMS Medicare Physician Fee Schedule Q3 2026 release. The nationwide map above uses 99213 as an illustrative example, priced non-facility, before the ~2% sequestration cut. Releases are immutable: a rate retrieved for a past quarter always reflects that release.

Physician relative value file (Q3 2026) · rvu26c-updated-06-30-2026.zip (PPRRVU2026_Jul_nonQPP.csv row 12,954)

Geographic practice cost indices (Q3 2026) · rvu26c-updated-06-30-2026.zip (GPCI2026.csv)