Medicare's 2026 rates in Tennessee, Tennessee
Medicare payment locality 35, run by contractor 10312, covers every county in the state. Its cost indices put code 99213, billed from an office, at $89.36, 6.1% below the national $95.19.
Cost indices for 2026
- Work (national = 1.000)
- 1.000
- Practice expense (national = 1.000)
- 0.909
- Malpractice (national = 1.000)
- 0.537
- ZIP codes CMS assigns to this locality
- 814
The work index sits at the 1.000 floor, which Congress extended through January 1, 2027 (Continuing Appropriations Act, 2026, section 6208).
30 common codes priced for Tennessee
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 | $127.36 | $135.61 | $80.91 |
| 99213 | Visit or care management | $89.36 | $95.19 | $55.05 |
| 97110 | Physical therapy or rehabilitation | $27.66 | $29.06 | none |
| 97530 | Physical therapy or rehabilitation | $33.09 | $35.07 | none |
| 97112 | Physical therapy or rehabilitation | $31.15 | $32.73 | none |
| 97140 | Physical therapy or rehabilitation | $26.38 | $27.72 | none |
| 17003 | Skin and soft tissue procedure | $5.89 | $6.35 | $1.64 |
| 88305 | Lab test or pathology | $65.73 | $70.14 | none |
| 93010 | Heart test or procedure | $7.98 | $8.35 | $7.98 |
| 99309 | Visit or care management | $108.24 | $114.57 | $93.66 |
| 99215 | Visit or care management | $180.78 | $192.39 | $120.06 |
| 98941 | Manipulation | $36.89 | $38.41 | $27.48 |
| 71045 | Imaging | $23.37 | $25.38 | none |
| 99204 | Visit or care management | $166.14 | $177.36 | $111.19 |
| 99308 | Visit or care management | $74.61 | $78.83 | $64.59 |
| 93000 | Heart test or procedure | $14.23 | $15.36 | none |
| 92014 | Eye exam or test | $119.50 | $127.26 | $60.29 |
| 99203 | Visit or care management | $109.75 | $117.57 | $67.85 |
| 95004 | Allergy testing or treatment | $3.25 | $3.67 | none |
| 92134 | Eye exam or test | $30.45 | $32.73 | none |
| 96372 | Infusion, injection or chemotherapy | $14.36 | $15.36 | none |
| 99490 | Visit or care management | $62.29 | $66.13 | $41.94 |
| 90837 | Mental health service | $163.05 | $167.00 | $134.20 |
| 93306 | Heart test or procedure | $182.15 | $196.73 | none |
| 99212 | Visit or care management | $55.43 | $59.45 | $29.62 |
| 71046 | Imaging | $30.45 | $33.07 | none |
| 17000 | Skin and soft tissue procedure | $61.47 | $66.47 | $44.46 |
| 77067 | Imaging | $116.39 | $126.26 | none |
| 95165 | Allergy testing or treatment | $15.85 | $17.37 | $2.49 |
| 77063 | Imaging | $47.87 | $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.