Practice & compensation
Calculate your $/wRVU and compare to market benchmarks using CMS 2024-2026 Medicare Physician Fee Schedule data.
CMS 2026 Physician Fee Schedule data
Typical range: 3,500 - 7,000 for primary care; 4,000 - 10,000 for subspecialties
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This calculator uses CMS Medicare Physician Fee Schedule data (2024-2026) with the 2026 conversion factor of $33.4009. Work RVU (wRVU) reflects physician time, skill, and intensity. Your $/wRVU ratio helps compare compensation across practices. Trend analysis shows RVU changes from 2024 to 2026.
Formula: $/wRVU = Annual Base Salary ÷ Annual wRVUs
Data source: CMS.gov • Updated January 2026 • Not financial advice
A wRVU (work Relative Value Unit) measures the physician work component of each medical service. Unlike total RVUs, which include practice expense and malpractice components, wRVUs specifically quantify clinician effort based on time, technical skill, mental effort, judgment, and stress. wRVUs are the standard metric used in physician productivity tracking and compensation models—most contracts pay a $/wRVU rate, making this the most important RVU component for compensation negotiations.
The 2026 work RVU (wRVU) for CPT code 99213 is 1.30. This is one of the most commonly billed E/M codes, representing an established patient office visit of low-to-moderate complexity (typically 20-29 minutes). For comparison, 99212 is 0.70 wRVU, 99214 is 1.92 wRVU, and 99215 is 2.80 wRVU. Use our CPT code lookup tool above to find RVU values for any code.
Use the CPT RVU lookup search box above—enter any CPT code (like 99213, 99214, or 99215) or description keyword to see its work RVU, facility total RVU, and non-facility total RVU from the 2026 CMS Medicare Physician Fee Schedule. The lookup uses the available CMS fee-schedule CPT codes and their RVU values; code coverage varies by dataset year.
A work RVU calculator helps physicians determine their compensation rate per wRVU produced. Enter your annual salary and total wRVUs generated to calculate your $/wRVU rate, then compare it to MGMA-style specialty benchmark estimates, not licensed MGMA or AMGA survey data. This is essential for contract negotiations—knowing whether you're at the 25th, 50th, 75th, or 90th percentile helps you negotiate fair compensation.
Divide your total annual compensation by your total wRVUs generated. For example, if you earn $300,000 and produce 5,000 wRVUs, your rate is $60/wRVU. Our calculator does this automatically and compares your rate to MGMA-style specialty benchmark estimates, not licensed MGMA or AMGA survey data.
$/wRVU rates vary significantly by specialty. Primary care typically ranges $45-$65/wRVU, while procedural specialties like cardiology or orthopedics may see $35-$55/wRVU due to higher RVU generation. Our calculator shows 25th, 50th, 75th, and 90th percentile benchmarks for each specialty.
Many physician contracts include an RVU threshold—the baseline wRVU production expected before earning productivity bonuses. For example, if your threshold is 4,500 wRVUs and you produce 5,500, you'd earn bonus pay on the 1,000 wRVUs above threshold at your $/wRVU rate.
GPCI (Geographic Practice Cost Index) adjusts Medicare payments based on local costs. There are three GPCIs: Work (physician labor), Practice Expense (rent, staff), and Malpractice. Higher-cost areas like San Francisco have GPCIs above 1.0, increasing reimbursement.
Yes, CMS updates RVU values annually. In 2026, many codes are seeing adjustments—some increasing, others decreasing. Our calculator includes the latest 2026 CMS Medicare Physician Fee Schedule data and shows year-over-year trends.
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Compensation per work RVU by specialty (25th, 50th, 75th, and 90th percentile), with typical annual wRVU production. Use the calculator above to compare your own $/wRVU against these benchmarks.
| Specialty | 25th | Median | 75th | 90th | Typical wRVUs/yr |
|---|---|---|---|---|---|
| Psychiatry | $54.56 | $62.00 | $71.92 | $80.60 | 3,200 |
| Emergency Medicine | $51.04 | $58.00 | $67.28 | $75.40 | 5,500 |
| Urgent Care | $48.40 | $55.00 | $63.80 | $71.50 | 5,000 |
| Dermatology | $48.40 | $55.00 | $63.80 | $71.50 | 6,500 |
| Critical Care | $48.40 | $55.00 | $63.80 | $71.50 | 5,500 |
| Allergy/Immunology | $47.52 | $54.00 | $62.64 | $70.20 | 4,000 |
| Endocrinology | $47.52 | $54.00 | $62.64 | $70.20 | 4,000 |
| Hospitalist | $46.64 | $53.00 | $61.48 | $68.90 | 4,800 |
| Internal Medicine | $46.64 | $53.00 | $61.48 | $68.90 | 4,500 |
| Rheumatology | $45.76 | $52.00 | $60.32 | $67.60 | 4,200 |
| Pain Medicine | $45.76 | $52.00 | $60.32 | $67.60 | 5,500 |
| Infectious Disease | $45.76 | $52.00 | $60.32 | $67.60 | 3,800 |
| Family Medicine | $44.00 | $50.00 | $58.00 | $65.00 | 4,800 |
| Geriatrics | $44.00 | $50.00 | $58.00 | $65.00 | 4,000 |
| Neurology | $44.00 | $50.00 | $58.00 | $65.00 | 4,200 |
| Nephrology | $44.00 | $50.00 | $58.00 | $65.00 | 5,000 |
| Hematology/Oncology | $44.00 | $50.00 | $58.00 | $65.00 | 5,500 |
| Physical Medicine & Rehab | $44.00 | $50.00 | $58.00 | $65.00 | 5,000 |
| Neurosurgery | $44.00 | $50.00 | $58.00 | $65.00 | 9,500 |
| Pediatrics | $42.24 | $48.00 | $55.68 | $62.40 | 4,200 |
| Orthopedic Surgery | $42.24 | $48.00 | $55.68 | $62.40 | 8,500 |
| Ophthalmology | $42.24 | $48.00 | $55.68 | $62.40 | 7,500 |
| ENT/Otolaryngology | $42.24 | $48.00 | $55.68 | $62.40 | 6,500 |
| Plastic Surgery | $42.24 | $48.00 | $55.68 | $62.40 | 7,000 |
| Cardiothoracic Surgery | $42.24 | $48.00 | $55.68 | $62.40 | 9,000 |
| Pulmonology | $42.24 | $48.00 | $55.68 | $62.40 | 5,500 |
| Anesthesiology | $42.24 | $48.00 | $55.68 | $62.40 | 6,500 |
| Vascular Surgery | $41.36 | $47.00 | $54.52 | $61.10 | 8,000 |
| Urology | $41.36 | $47.00 | $54.52 | $61.10 | 7,000 |
| OB/GYN | $40.48 | $46.00 | $53.36 | $59.80 | 6,500 |
| General Surgery | $40.48 | $46.00 | $53.36 | $59.80 | 7,500 |
| Cardiology | $40.48 | $46.00 | $53.36 | $59.80 | 7,500 |
| Pathology | $39.60 | $45.00 | $52.20 | $58.50 | 7,000 |
| Radiology | $39.60 | $45.00 | $52.20 | $58.50 | 8,500 |
| Gastroenterology | $37.84 | $43.00 | $49.88 | $55.90 | 8,500 |
Source: WeekdayDoc specialty compensation estimates, not licensed MGMA or AMGA survey data. These comparison values are not CMS reimbursement rates or guaranteed offers; actual pay varies by employer, region and contract.
