Medicare's 2026 rates in Austin, Texas
Medicare payment locality 31, run by contractor 04412, covers these counties: Travis. Its cost indices put code 99213, billed from an office, at $97.77, 2.7% above the national $95.19.
Cost indices for 2026
- Work (national = 1.000)
- 1.002
- Practice expense (national = 1.000)
- 1.058
- Malpractice (national = 1.000)
- 0.886
- ZIP codes CMS assigns to this locality
- 89
- Of those, split with another locality
- 12
30 common codes priced for Austin
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 | $139.08 | $135.61 | $85.01 |
| 99213 | Visit or care management | $97.77 | $95.19 | $57.83 |
| 97110 | Physical therapy or rehabilitation | $29.85 | $29.06 | none |
| 97530 | Physical therapy or rehabilitation | $36.22 | $35.07 | none |
| 97112 | Physical therapy or rehabilitation | $33.64 | $32.73 | none |
| 97140 | Physical therapy or rehabilitation | $28.47 | $27.72 | none |
| 17003 | Skin and soft tissue procedure | $6.64 | $6.35 | $1.69 |
| 88305 | Lab test or pathology | $72.73 | $70.14 | none |
| 93010 | Heart test or procedure | $8.46 | $8.35 | $8.46 |
| 99309 | Visit or care management | $116.81 | $114.57 | $99.85 |
| 99215 | Visit or care management | $197.10 | $192.39 | $126.43 |
| 98941 | Manipulation | $39.29 | $38.41 | $28.34 |
| 71045 | Imaging | $26.41 | $25.38 | none |
| 99204 | Visit or care management | $181.40 | $177.36 | $117.44 |
| 99308 | Visit or care management | $80.51 | $78.83 | $68.85 |
| 93000 | Heart test or procedure | $15.82 | $15.36 | none |
| 92014 | Eye exam or test | $131.75 | $127.26 | $62.84 |
| 99203 | Visit or care management | $120.48 | $117.57 | $71.71 |
| 95004 | Allergy testing or treatment | $3.81 | $3.67 | none |
| 92134 | Eye exam or test | $33.94 | $32.73 | none |
| 96372 | Infusion, injection or chemotherapy | $15.88 | $15.36 | none |
| 99490 | Visit or care management | $67.70 | $66.13 | $44.02 |
| 90837 | Mental health service | $169.51 | $167.00 | $135.93 |
| 93306 | Heart test or procedure | $205.03 | $196.73 | none |
| 99212 | Visit or care management | $61.25 | $59.45 | $31.21 |
| 71046 | Imaging | $34.48 | $33.07 | none |
| 17000 | Skin and soft tissue procedure | $68.87 | $66.47 | $49.09 |
| 77067 | Imaging | $131.91 | $126.26 | none |
| 95165 | Allergy testing or treatment | $18.21 | $17.37 | $2.66 |
| 77063 | Imaging | $52.79 | $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.