Geography

GPCI Payment Map

Rank state and locality GPCI payment estimates for a selected CPT code.

For

Administrators comparing state payment markets

Inputs

CPT/HCPCS code

Output

State/locality ranking by adjusted payment

Inputs

CPT code

Results

Selected state payment

Alaska state-average factor 0.960 for 2026.

$155.33

Highest state payment

Alaska leads the 2026 state-average map.

$155.33

Mapped states

CPT

99214

CMS year

2026

Payment basis

Non-QPP

Review

Selected state

Alaska

Alaska estimates $155.33 for CPT 99214 using 2026 state-average GPCI values.

Work GPCI:: 1.080
PE GPCI:: 1.250
MP GPCI:: 0.550

State	Work	PE	MP	Avg factor	Payment
Alaska	1.080	1.250	0.550	0.960	$155.33
New Jersey	1.040	1.170	1.210	1.140	$150.51
Massachusetts	1.040	1.180	0.960	1.060	$150.01
Hawaii	1.020	1.180	0.520	0.907	$146.67
Connecticut	1.030	1.130	0.980	1.047	$146.12
Washington	1.020	1.120	0.560	0.900	$142.85
Maryland	1.020	1.090	0.840	0.983	$142.15
Rhode Island	1.020	1.080	0.780	0.960	$141.21
Colorado	1.010	1.050	0.610	0.890	$137.77
New Hampshire	1.010	1.050	0.610	0.890	$137.77
Oregon	1.000	1.050	0.540	0.863	$136.80
Virginia	1.000	1.030	0.720	0.917	$136.30
Delaware	1.000	1.020	0.840	0.953	$136.20
Nevada	1.000	1.020	0.650	0.890	$135.31
Pennsylvania	1.000	1.010	0.780	0.930	$135.25
Minnesota	1.000	1.020	0.470	0.830	$134.47
Arizona	1.000	0.990	0.700	0.897	$133.54
Vermont	0.990	1.000	0.550	0.847	$132.86
Maine	0.990	0.980	0.640	0.870	$131.95
Georgia	0.990	0.960	0.780	0.910	$131.27

Ranking method

State-average localities are calculated with the selected CPT typical setting and the 2026 non-QPP conversion factor, then visualized by estimated payment.

Professional use

Market screening only

Use this state-average map to spot geography-driven payment variation; it cannot replace exact locality lookup, county-level billing review, or payer-specific adjudication.

Next tool action

Compare locality Browse GPCI

Assumptions

Conversion factor: 2026 non-QPP
Quantity: 1 service
Data source: Imported 2026 CMS GPCI

CMS provenance

Source file and formula trace

Source file

2026/rvu26b

Release date

2026-03-10

Field mapping

CPT or HCPCS code, Work RVU, Practice expense RVU, Malpractice RVU, GPCI locality, Conversion factor

GPCI map provenance for CPT 99214. The calculation uses CMS April 2026 RVU records, GPCI localities, and conversion factors. Verify official CMS and payer rules before billing or contract decisions.

CPT or HCPCS code: CMS PFS Relative Value Files RVU record and descriptor fields
Work RVU: CMS PFS Relative Value Files work RVU component
Practice expense RVU: CMS PFS Relative Value Files facility and non-facility PE RVU fields
Malpractice RVU: CMS PFS Relative Value Files malpractice RVU component

2026 GPCI map for CPT 99214: Alaska is highest at $155.33; selected state Alaska estimates $155.33.

Related workflows

Use these tools when the current result needs payment, geography, compensation, or productivity context.

GPCI CalculatorCompare how geographic factors change Medicare payment across localities.Geography GpciOpen the related RVUinUSA workflow.Reference RVU CalculatorCore CPT payment calculator using 2026 CMS RVU and GPCI data.Payment

CMS 2026 data source

Uses the CMS April 2026 Physician Fee Schedule RVU files, GPCI localities, and 2026 conversion factors. Estimates should be verified against official CMS files for billing decisions.

For calculator workflows, calculator inputs are processed in the browser. Contact, lead forms and PDF download forms are separate submissions.

What is ranked on this page?

The tool ranks representative state or locality payment estimates after applying Work, PE, and MP GPCI values to a selected CPT code.

Should I use this for exact billing?

No. Use it for comparison and verify final billing or payer-specific work against official CMS and payer files.

Why can rankings differ by CPT code?

Different CPT codes have different work, practice expense, and malpractice component weights, so the same GPCI locality can affect services differently.