Medicare's 2026 rates in Chicago, Illinois
Medicare payment locality 16, run by contractor 06102, covers these counties: Cook. Its cost indices put code 99213, billed from an office, at $99.63, 4.7% above the national $95.19.
Cost indices for 2026
- Work (national = 1.000)
- 1.007
- Practice expense (national = 1.000)
- 1.005
- Malpractice (national = 1.000)
- 2.295
- ZIP codes CMS assigns to this locality
- 228
- Of those, split with another locality
- 12
30 common codes priced for Chicago
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 | $142.45 | $135.61 | $91.09 |
| 99213 | Visit or care management | $99.63 | $95.19 | $61.70 |
| 97110 | Physical therapy or rehabilitation | $29.67 | $29.06 | none |
| 97530 | Physical therapy or rehabilitation | $35.71 | $35.07 | none |
| 97112 | Physical therapy or rehabilitation | $33.36 | $32.73 | none |
| 97140 | Physical therapy or rehabilitation | $28.32 | $27.72 | none |
| 17003 | Skin and soft tissue procedure | $6.38 | $6.35 | $1.68 |
| 88305 | Lab test or pathology | $71.40 | $70.14 | none |
| 93010 | Heart test or procedure | $8.83 | $8.35 | $8.83 |
| 99309 | Visit or care management | $121.30 | $114.57 | $105.19 |
| 99215 | Visit or care management | $202.59 | $192.39 | $135.45 |
| 98941 | Manipulation | $39.08 | $38.41 | $28.67 |
| 71045 | Imaging | $26.39 | $25.38 | none |
| 99204 | Visit or care management | $188.76 | $177.36 | $128.00 |
| 99308 | Visit or care management | $82.75 | $78.83 | $71.68 |
| 93000 | Heart test or procedure | $16.31 | $15.36 | none |
| 92014 | Eye exam or test | $129.71 | $127.26 | $64.25 |
| 99203 | Visit or care management | $125.16 | $117.57 | $78.84 |
| 95004 | Allergy testing or treatment | $4.12 | $3.67 | none |
| 92134 | Eye exam or test | $33.78 | $32.73 | none |
| 96372 | Infusion, injection or chemotherapy | $15.88 | $15.36 | none |
| 99490 | Visit or care management | $69.55 | $66.13 | $47.06 |
| 90837 | Mental health service | $168.95 | $167.00 | $137.06 |
| 93306 | Heart test or procedure | $201.26 | $196.73 | none |
| 99212 | Visit or care management | $62.38 | $59.45 | $33.85 |
| 71046 | Imaging | $34.11 | $33.07 | none |
| 17000 | Skin and soft tissue procedure | $69.42 | $66.47 | $50.63 |
| 77067 | Imaging | $129.09 | $126.26 | none |
| 95165 | Allergy testing or treatment | $17.89 | $17.37 | $3.12 |
| 77063 | Imaging | $52.69 | $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.