Medicare's 2026 rates in Suburban Chicago, Illinois
Medicare payment locality 15, run by contractor 06102, covers these counties: Dupage, Kane, Lake and Will. Its cost indices put code 99213, billed from an office, at $99.13, 4.1% above the national $95.19.
Cost indices for 2026
- Work (national = 1.000)
- 1.007
- Practice expense (national = 1.000)
- 1.027
- Malpractice (national = 1.000)
- 1.772
- ZIP codes CMS assigns to this locality
- 155
- Of those, split with another locality
- 30
30 common codes priced for Suburban 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 | $141.47 | $135.61 | $88.99 |
| 99213 | Visit or care management | $99.13 | $95.19 | $60.37 |
| 97110 | Physical therapy or rehabilitation | $29.79 | $29.06 | none |
| 97530 | Physical therapy or rehabilitation | $35.97 | $35.07 | none |
| 97112 | Physical therapy or rehabilitation | $33.53 | $32.73 | none |
| 97140 | Physical therapy or rehabilitation | $28.43 | $27.72 | none |
| 17003 | Skin and soft tissue procedure | $6.49 | $6.35 | $1.69 |
| 88305 | Lab test or pathology | $72.05 | $70.14 | none |
| 93010 | Heart test or procedure | $8.71 | $8.35 | $8.71 |
| 99309 | Visit or care management | $119.86 | $114.57 | $103.39 |
| 99215 | Visit or care management | $200.94 | $192.39 | $132.33 |
| 98941 | Manipulation | $39.24 | $38.41 | $28.60 |
| 71045 | Imaging | $26.45 | $25.38 | none |
| 99204 | Visit or care management | $186.38 | $177.36 | $124.29 |
| 99308 | Visit or care management | $82.08 | $78.83 | $70.76 |
| 93000 | Heart test or procedure | $16.16 | $15.36 | none |
| 92014 | Eye exam or test | $130.74 | $127.26 | $63.85 |
| 99203 | Visit or care management | $123.66 | $117.57 | $76.32 |
| 95004 | Allergy testing or treatment | $4.02 | $3.67 | none |
| 92134 | Eye exam or test | $33.91 | $32.73 | none |
| 96372 | Infusion, injection or chemotherapy | $15.91 | $15.36 | none |
| 99490 | Visit or care management | $68.99 | $66.13 | $46.01 |
| 90837 | Mental health service | $169.49 | $167.00 | $136.90 |
| 93306 | Heart test or procedure | $203.09 | $196.73 | none |
| 99212 | Visit or care management | $62.08 | $59.45 | $32.93 |
| 71046 | Imaging | $34.32 | $33.07 | none |
| 17000 | Skin and soft tissue procedure | $69.36 | $66.47 | $50.15 |
| 77067 | Imaging | $130.41 | $126.26 | none |
| 95165 | Allergy testing or treatment | $18.05 | $17.37 | $2.95 |
| 77063 | Imaging | $52.84 | $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.