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Medicare payment localities · Q3 2026 release

Find your Medicare payment locality

For nationally priced Physician Fee Schedule services, Medicare adjusts work, practice-expense, and malpractice RVUs using three GPCIs per payment locality. Browse all 109 below, or jump straight to yours 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.

Current carrier-priced MAC coverage Copy link

We currently hold 63 MAC-published C-status schedules across 4 jurisdictions and 26 states or territories. Color means we have the contractor's current schedule files for that jurisdiction—not that one amount applies across the state.

Maine: not on file in current carrier-priced coverage ME Wisconsin: not on file in current carrier-priced coverage WI Vermont: not on file in current carrier-priced coverage VT New Hampshire: not on file in current carrier-priced coverage NH Montana: Noridian JF—carrier-priced schedules on file MT North Dakota: Noridian JF—carrier-priced schedules on file ND Minnesota: not on file in current carrier-priced coverage MN Michigan: not on file in current carrier-priced coverage MI New York: not on file in current carrier-priced coverage NY Massachusetts: not on file in current carrier-priced coverage MA Rhode Island: not on file in current carrier-priced coverage RI Washington: Noridian JF—carrier-priced schedules on file WA Idaho: Noridian JF—carrier-priced schedules on file ID Wyoming: Noridian JF—carrier-priced schedules on file WY South Dakota: Noridian JF—carrier-priced schedules on file SD Iowa: not on file in current carrier-priced coverage IA Illinois: not on file in current carrier-priced coverage IL Indiana: not on file in current carrier-priced coverage IN Ohio: not on file in current carrier-priced coverage OH Pennsylvania: not on file in current carrier-priced coverage PA New Jersey: not on file in current carrier-priced coverage NJ Connecticut: not on file in current carrier-priced coverage CT Oregon: Noridian JF—carrier-priced schedules on file OR Nevada: Noridian JE—carrier-priced schedules on file NV Utah: Noridian JF—carrier-priced schedules on file UT Colorado: Novitas JH—carrier-priced schedules on file CO Nebraska: not on file in current carrier-priced coverage NE Missouri: not on file in current carrier-priced coverage MO Kentucky: not on file in current carrier-priced coverage KY West Virginia: not on file in current carrier-priced coverage WV Virginia: not on file in current carrier-priced coverage VA Maryland: not on file in current carrier-priced coverage MD Delaware: not on file in current carrier-priced coverage DE California: Noridian JE—carrier-priced schedules on file CA Arizona: Noridian JF—carrier-priced schedules on file AZ New Mexico: Novitas JH—carrier-priced schedules on file NM Kansas: not on file in current carrier-priced coverage KS Oklahoma: Novitas JH—carrier-priced schedules on file OK Arkansas: Novitas JH—carrier-priced schedules on file AR Tennessee: not on file in current carrier-priced coverage TN North Carolina: not on file in current carrier-priced coverage NC South Carolina: not on file in current carrier-priced coverage SC District of Columbia: not on file in current carrier-priced coverage DC Texas: Novitas JH—carrier-priced schedules on file TX Louisiana: Novitas JH—carrier-priced schedules on file LA Mississippi: Novitas JH—carrier-priced schedules on file MS Alabama: not on file in current carrier-priced coverage AL Georgia: not on file in current carrier-priced coverage GA Florida: First Coast JN—carrier-priced schedules on file FL Alaska: Noridian JF—carrier-priced schedules on file AK Hawaii: Noridian JE—carrier-priced schedules on file HI
First Coast JN Noridian JE Noridian JF Novitas JH Not on file
AS · American Samoa · Noridian JE GU · Guam · Noridian JE MP · Northern Mariana Islands · Noridian JE PR · Puerto Rico · First Coast JN VI · U.S. Virgin Islands · First Coast JN
First Coast · JN 5 publishing localities · Florida, Puerto Rico, U.S. Virgin Islands Show files
Publishing locality CMS identity Effective Source
Florida, Area 03 09102-03 Jan 1, 2026 mpfsdb-fl03-c-2026.xlsx
Florida, Area 04 09102-04 Jan 1, 2026 mpfsdb-fl04-c-2026.xlsx
Florida, Area 99 09102-99 Jan 1, 2026 mpfsdb-fl99-c-2026.xlsx
Puerto Rico, Area 20 09202-20 Jan 1, 2026 mpfsdb-pr-c-2026.xlsx
U.S. Virgin Islands, Area 50 09202-50 Jan 1, 2026 mpfsdb-usvi-c-2026.xlsx
Noridian · JE 31 publishing localities · American Samoa, California, Guam, Hawaii, Nevada, Northern Mariana Islands Show files
Publishing locality CMS identity Effective Source
California, Area 05 01112-05 Jan 1, 2026 ncalifornia-area-05-january-2026-medicare-part-b-contractor-c-status-fee-schedule-excel-file.xlsx
California, Area 09 01112-09 Jan 1, 2026 ncalifornia-area-09-january-2026-medicare-part-b-contractor-c-status-fee-schedule-excel-file.xlsx
California, Area 17 01182-17 Jan 1, 2026 scalifornia-area-17-january-2026-medicare-part-b-contractor-c-status-fee-schedule-excel-file.xlsx
California, Area 18 01182-18 Jan 1, 2026 scalifornia-area-18-january-2026-medicare-part-b-contractor-c-status-fee-schedule-excel-file.xlsx
California, Area 51 01112-51 Jan 1, 2026 ncalifornia-area-51-january-2026-medicare-part-b-contractor-c-status-fee-schedule-excel-file.xlsx
California, Area 52 01112-52 Jan 1, 2026 ncalifornia-area-52-january-2026-medicare-part-b-contractor-c-status-fee-schedule-excel-file.xlsx
California, Area 53 01112-53 Jan 1, 2026 ncalifornia-area-53-january-2026-medicare-part-b-contractor-c-status-fee-schedule-excel-file.xlsx
California, Area 54 01112-54 Jan 1, 2026 ncalifornia-area-54-january-2026-medicare-part-b-contractor-c-status-fee-schedule-excel-file.xlsx
California, Area 55 01112-55 Jan 1, 2026 ncalifornia-area-55-january-2026-medicare-part-b-contractor-c-status-fee-schedule-excel-file.xlsx
California, Area 56 01112-56 Jan 1, 2026 ncalifornia-area-56-january-2026-medicare-part-b-contractor-c-status-fee-schedule-excel-file.xlsx
California, Area 57 01112-57 Jan 1, 2026 ncalifornia-area-57-january-2026-medicare-part-b-contractor-c-status-fee-schedule-excel-file.xlsx
California, Area 58 01112-58 Jan 1, 2026 ncalifornia-area-58-january-2026-medicare-part-b-contractor-c-status-fee-schedule-excel-file.xlsx
California, Area 59 01112-59 Jan 1, 2026 ncalifornia-area-59-january-2026-medicare-part-b-contractor-c-status-fee-schedule-excel-file.xlsx
California, Area 60 01112-60 Jan 1, 2026 ncalifornia-area-60-january-2026-medicare-part-b-contractor-c-status-fee-schedule-excel-file.xlsx
California, Area 61 01112-61 Jan 1, 2026 ncalifornia-area-61-january-2026-medicare-part-b-contractor-c-status-fee-schedule-excel-file.xlsx
California, Area 62 01112-62 Jan 1, 2026 ncalifornia-area-62-january-2026-medicare-part-b-contractor-c-status-fee-schedule-excel-file.xlsx
California, Area 63 01112-63 Jan 1, 2026 ncalifornia-area-63-january-2026-medicare-part-b-contractor-c-status-fee-schedule-excel-file.xlsx
California, Area 64 01112-64 Jan 1, 2026 ncalifornia-area-64-january-2026-medicare-part-b-contractor-c-status-fee-schedule-excel-file.xlsx
California, Area 65 01112-65 Jan 1, 2026 ncalifornia-area-65-january-2026-medicare-part-b-contractor-c-status-fee-schedule-excel-file.xlsx
California, Area 66 01112-66 Jan 1, 2026 ncalifornia-area-66-january-2026-medicare-part-b-contractor-c-status-fee-schedule-excel-file.xlsx
California, Area 67 01112-67 Jan 1, 2026 ncalifornia-area-67-january-2026-medicare-part-b-contractor-c-status-fee-schedule-excel-file.xlsx
California, Area 68 01112-68 Jan 1, 2026 ncalifornia-area-68-january-2026-medicare-part-b-contractor-c-status-fee-schedule-excel-file.xlsx
California, Area 69 01112-69 Jan 1, 2026 ncalifornia-area-69-january-2026-medicare-part-b-contractor-c-status-fee-schedule-excel-file.xlsx
California, Area 70 01112-70 Jan 1, 2026 ncalifornia-area-70-january-2026-medicare-part-b-contractor-c-status-fee-schedule-excel-file.xlsx
California, Area 71 01182-71 Jan 1, 2026 scalifornia-area-71-january-2026-medicare-part-b-contractor-c-status-fee-schedule-excel-file.xlsx
California, Area 72 01182-72 Jan 1, 2026 scalifornia-area-72-january-2026-medicare-part-b-contractor-c-status-fee-schedule-excel-file.xlsx
California, Area 73 01182-73 Jan 1, 2026 scalifornia-area-73-january-2026-medicare-part-b-contractor-c-status-fee-schedule-excel-file.xlsx
California, Area 74 01182-74 Jan 1, 2026 scalifornia-area-74-january-2026-medicare-part-b-contractor-c-status-fee-schedule-excel-file.xlsx
California, Area 75 01112-75 Jan 1, 2026 ncalifornia-area-75-january-2026-medicare-part-b-contractor-c-status-fee-schedule-excel-file.xlsx
Hawaii, Area 01 01212-01 Jan 1, 2026 hawaii-area-01-january-2026-medicare-part-b-contractor-c-status-fee-schedule-excel-file.xlsx
Nevada, Area 00 01312-00 Jan 1, 2026 nevada-area-00-january-2026-medicare-part-b-contractor-c-status-fee-schedule-excel-file.xlsx
Noridian · JF 12 publishing localities · Alaska, Arizona, Idaho, Montana, North Dakota, Oregon, South Dakota, Utah, Washington, Wyoming Show files
Publishing locality CMS identity Effective Source
Alaska, Area 01 02102-01 Jan 1, 2026 alaska-area-01-january-2026-medicare-part-b-contractor-c-status-fee-schedule-excel-file.xlsx
Arizona, Area 00 03102-00 Jan 1, 2026 arizona-area-00-january-2026-medicare-part-b-contractor-c-status-fee-schedule-excel-file.xlsx
Idaho, Area 00 02202-00 Jan 1, 2026 idaho-area-00-january-2026-medicare-part-b-contractor-c-status-fee-schedule-excel-file.xlsx
Montana, Area 01 03202-01 Jan 1, 2026 montana-area-01-january-2026-medicare-part-b-contractor-c-status-fee-schedule-excel-file.xlsx
North Dakota, Area 01 03302-01 Jan 1, 2026 north-dakota-area-01-january-2026-medicare-part-b-contractor-c-status-fee-schedule-excel-file.xlsx
Oregon, Area 01 02302-01 Jan 1, 2026 oregon-area-01-january-2026-medicare-part-b-contractor-c-status-fee-schedule-excel-file.xlsx
Oregon, Area 99 02302-99 Jan 1, 2026 oregon-area-99-january-2026-medicare-part-b-contractor-c-status-fee-schedule-excel-file.xlsx
South Dakota, Area 02 03402-02 Jan 1, 2026 south-dakota-area-02-january-2026-medicare-part-b-contractor-c-status-fee-schedule-excel-file.xlsx
Utah, Area 09 03502-09 Jan 1, 2026 utah-area-09-january-2026-medicare-part-b-contractor-c-status-fee-schedule-excel-file.xlsx
Washington, Area 02 02402-02 Jan 1, 2026 washington-area-02-january-2026-medicare-part-b-contractor-c-status-fee-schedule-excel-file.xlsx
Washington, Area 99 02402-99 Jan 1, 2026 washington-area-99-january-2026-medicare-part-b-contractor-c-status-fee-schedule-excel-file.xlsx
Wyoming, Area 21 03602-21 Jan 1, 2026 wyoming-area-21-january-2026-medicare-part-b-contractor-c-status-fee-schedule-excel-file.xlsx
Novitas · JH 15 publishing localities · Arkansas, Colorado, Louisiana, Mississippi, New Mexico, Oklahoma, Texas Show files
Publishing locality CMS identity Effective Source
Arkansas, Area 13 07102-13 Jan 1, 2026 ar-13-excel.xlsx
Colorado, Area 01 04112-01 Jan 1, 2026 co-01-excel.xlsx
Louisiana, Area 01 07202-01 Jan 1, 2026 la-01-excel.xlsx
Louisiana, Area 99 07202-99 Jan 1, 2026 la-99-excel.xlsx
Mississippi, Area 00 07302-00 Jan 1, 2026 ms-00-excel.xlsx
New Mexico, Area 05 04212-05 Jan 1, 2026 nm-05-excel.xlsx
Oklahoma, Area 00 04312-00 Jan 1, 2026 ok-00-excel.xlsx
Texas, Area 09 04412-09 Jan 1, 2026 tx-09-excel.xlsx
Texas, Area 11 04412-11 Jan 1, 2026 tx-11-excel.xlsx
Texas, Area 15 04412-15 Jan 1, 2026 tx-15-excel.xlsx
Texas, Area 18 04412-18 Jan 1, 2026 tx-18-excel.xlsx
Texas, Area 20 04412-20 Jan 1, 2026 tx-20-excel.xlsx
Texas, Area 28 04412-28 Jan 1, 2026 tx-28-excel.xlsx
Texas, Area 31 04412-31 Jan 1, 2026 tx-31-excel.xlsx
Texas, Area 99 04412-99 Jan 1, 2026 tx-99-excel.xlsx

Historical scope: MAC coverage is not permanently fixed. Contractor awards and jurisdiction labels can change, and CMS occasionally changes payment-locality or ZIP boundaries. We preserve each source file, hash, retrieval time, effective date, and superseded version, and the MAC ZIP lookup accepts an as_of date (or explicit year and quarter) to resolve a ZIP against the crosswalk that was in effect then. When the exact quarter isn't on file—a gap in CMS's own publishing history, or a period reconstructed from a bracketing file plus a documented CMS transmittal—the lookup discloses that with a data note rather than silently substituting. Contractor-published dollar amounts remain limited to whatever schedule files we've ingested for that locality and period.

Official context: CMS MAC jurisdiction archives, PFS locality configuration, and historical ZIP files.

Medicare rates by state and territory Copy link

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

Office (non-facility) Copy link

Maine: $90.16–$93.64 across 2 localities ME Wisconsin: $91.06 WI Vermont: $93.22 VT New Hampshire: $96.82 NH Montana: $95.19 MT North Dakota: $93.41 ND Minnesota: $94.49 MN Michigan: $91.34–$95.55 across 2 localities MI New York: $91.86–$109.76 across 5 localities NY Massachusetts: $97.86–$106.10 across 2 localities MA Rhode Island: $97.30 RI Washington: $97.62–$107.88 across 2 localities WA Idaho: $89.71 ID Wyoming: $94.41 WY South Dakota: $93.20 SD Iowa: $89.23 IA Illinois: $92.64–$99.63 across 4 localities IL Indiana: $90.09 IN Ohio: $90.97 OH Pennsylvania: $91.03–$98.55 across 2 localities PA New Jersey: $101.71–$105.93 across 2 localities NJ Connecticut: $100.45 CT Oregon: $94.10–$100.53 across 2 localities OR Nevada: $94.74 NV Utah: $91.96 UT Colorado: $98.18 CO Nebraska: $89.57 NE Missouri: $88.38–$92.86 across 3 localities MO Kentucky: $89.52 KY West Virginia: $90.10 WV Virginia: $93.48 VA Maryland: $95.97–$100.16 across 2 localities MD Delaware: $94.52 DE California: $99.22–$120.13 across 29 localities CA Arizona: $93.25 AZ New Mexico: $91.75 NM Kansas: $89.02 KS Oklahoma: $89.30 OK Arkansas: $86.86 AR Tennessee: $89.36 TN North Carolina: $90.84 NC South Carolina: $91.04 SC District of Columbia: $106.56 DC Texas: $90.59–$97.77 across 8 localities TX Louisiana: $89.46–$92.72 across 2 localities LA Mississippi: $87.63 MS Alabama: $87.79 AL Georgia: $90.50–$96.71 across 2 localities GA Florida: $94.56–$101.79 across 3 localities FL Alaska: $118.72 AK Hawaii: $100.61 HI
$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

AK flag AK

AL flag AL

AR flag AR

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CA flag CA

CO flag CO

CT flag CT

DC flag DC

DE flag DE

FL flag FL

GA flag GA

HI flag HI

IA flag IA

ID flag ID

IL flag IL

IN flag IN

KS flag KS

KY flag KY

LA flag LA

MA flag MA

MD flag MD

ME flag ME

MI flag MI

MN flag MN

MO flag MO

MS flag MS

MT flag MT

NC flag NC

ND flag ND

NE flag NE

NH flag NH

NJ flag NJ

NM flag NM

NV flag NV

NY flag NY

OH flag OH

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OR flag OR

PA flag PA

PR flag PR

RI flag RI

SC flag SC

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TN flag TN

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Source & method Copy link

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)