Medicare's 2026 rates in Colorado, Colorado
Medicare payment locality 01, run by contractor 04112, covers every county in the state. Its cost indices put code 99213, billed from an office, at $98.18, 3.1% above the national $95.19.
Cost indices for 2026
- Work (national = 1.000)
- 1.012
- Practice expense (national = 1.000)
- 1.064
- Malpractice (national = 1.000)
- 0.781
- ZIP codes CMS assigns to this locality
- 677
30 common codes priced for Colorado
Physician fee schedule amounts for 2026. Office is what Medicare allows when a doctor's office or clinic bills the code; facility is what it allows a doctor for the same work in a hospital or surgery center.
| Code | Category | Office here | Office national | Facility here |
|---|---|---|---|---|
| 99214 | Visit or care management | $139.63 | $135.61 | $85.25 |
| 99213 | Visit or care management | $98.18 | $95.19 | $58.02 |
| 97110 | Physical therapy or rehabilitation | $30.04 | $29.06 | none |
| 97530 | Physical therapy or rehabilitation | $36.46 | $35.07 | none |
| 97112 | Physical therapy or rehabilitation | $33.86 | $32.73 | none |
| 97140 | Physical therapy or rehabilitation | $28.66 | $27.72 | none |
| 17003 | Skin and soft tissue procedure | $6.68 | $6.35 | $1.71 |
| 88305 | Lab test or pathology | $73.17 | $70.14 | none |
| 93010 | Heart test or procedure | $8.49 | $8.35 | $8.49 |
| 99309 | Visit or care management | $117.24 | $114.57 | $100.18 |
| 99215 | Visit or care management | $197.85 | $192.39 | $126.78 |
| 98941 | Manipulation | $39.58 | $38.41 | $28.56 |
| 71045 | Imaging | $26.51 | $25.38 | none |
| 99204 | Visit or care management | $181.93 | $177.36 | $117.60 |
| 99308 | Visit or care management | $80.86 | $78.83 | $69.13 |
| 93000 | Heart test or procedure | $15.86 | $15.36 | none |
| 92014 | Eye exam or test | $132.56 | $127.26 | $63.26 |
| 99203 | Visit or care management | $120.80 | $117.57 | $71.76 |
| 95004 | Allergy testing or treatment | $3.80 | $3.67 | none |
| 92134 | Eye exam or test | $34.10 | $32.73 | none |
| 96372 | Infusion, injection or chemotherapy | $15.96 | $15.36 | none |
| 99490 | Visit or care management | $67.97 | $66.13 | $44.16 |
| 90837 | Mental health service | $170.94 | $167.00 | $137.18 |
| 93306 | Heart test or procedure | $206.10 | $196.73 | none |
| 99212 | Visit or care management | $61.48 | $59.45 | $31.27 |
| 71046 | Imaging | $34.63 | $33.07 | none |
| 17000 | Skin and soft tissue procedure | $69.13 | $66.47 | $49.23 |
| 77067 | Imaging | $132.58 | $126.26 | none |
| 95165 | Allergy testing or treatment | $18.28 | $17.37 | $2.64 |
| 77063 | Imaging | $53.07 | $51.10 | none |
Hospital outpatient rates and lab fee schedule amounts are national, so they are the same here as everywhere; each code page lists them.