Free · Updated for RVU26D
Medicare fee schedule lookup, with the source attached.
Find the rate and get on with your day. 2026 Medicare rates by code, ZIP, and date of service. No account. No digging through CMS files.
Medicare fee lookup
Physician fee schedule · free
Search a code above, or start with a common set
Free tools
The billing rules you apply every day, calculated
Therapy units, RVUs, global periods, filing deadlines and specialty fee schedules, built on the current CMS data.
Therapy billing8-Minute Rule Calculator for Therapy Billing (2026)
Free 8 minute rule calculator. Enter minutes per timed therapy code to get Medicare's billable units, which code takes the extra unit, and payment after MPPR.
Payment basicsRVU Calculator: Relative Value Units to Dollars (2026)
Free RVU calculator for 2026. Look up work, practice expense and malpractice RVUs by CPT code, convert RVUs to Medicare dollars for any ZIP, and estimate wRVU pay.
Surgery billingGlobal Period Calculator for Surgery Global Days (2026)
Free global period calculator. Enter a procedure code and surgery date to get Medicare's global surgery window, the pre-op day, the end date and the right modifier.
ClaimsTimely Filing Calculator & Limits by Payer (2026)
Free timely filing calculator. Enter a date of service to see claim deadlines for Medicare, Cigna, TRICARE and VA CCN, with sourced timely filing limits.
Fee schedulesMedicare Physical Therapy Fee Schedule (Free CSV and PDF)
Free Medicare physical therapy fee schedule. Evaluation, timed, group and modality codes with office and facility amounts for your ZIP, as CSV or PDF.
Payment basicsMedicare Reimbursement by Provider Type: LCSW, NP, PA (2026)
Medicare reimbursement by provider type: LCSWs, LMFTs and LPCs get 75% of the fee schedule, NPs and PAs 85%, psychologists 100%. Check any code for your ZIP.
Also free:Contract checkPrimary care fee scheduleBehavioral health fee scheduleBreak-even calculator
Guides and modifiers
- G2211: Medicare Billing Guidelines, RVUs and Modifier 25G2211 is Medicare's add-on for the ongoing relationship behind an office or home E/M visit. Who can bill it, the modifier 25 rule, RVUs and 2026 changes.
- Annual Wellness Visit CPT Codes (G0438, G0439) for MedicareThe annual wellness visit CPT codes are HCPCS G0438 (first AWV) and G0439 (every AWV after). Eligibility, what's not covered, modifier 25, ACP and G2211.
- Place of Service Codes for Medical Billing (POS 11, 10, 02, 22)Place of service codes are the two-digit setting codes on every professional claim. The common POS codes, POS 10 vs 02, 19 vs 22, and which pay the facility rate.
- Facility vs Non-Facility Rates: How Medicare Pays by SettingFacility vs non-facility: Medicare's two fee schedule rates per code. Only the practice expense RVU differs, and the place of service code decides which applies.
- Medicare Conversion Factor 2026 (QP and Non-QP) and 2027The Medicare conversion factor for 2026 is 33.4009 for most clinicians and 33.5675 for qualifying APM participants. How it works, its history and the 2027 proposal.
- QP vs Non-QP: Which Medicare Conversion Factor AppliesQP vs non-QP: Medicare's two conversion factors. Who qualifies as a qualifying APM participant, what QP status pays, the two-year lag and how to check it.
Code lookup
Most-searched CPT codes
- 99214Office visitEstablished patient, moderate complexity
- 99213Office visitEstablished patient, low complexity
- 99215Office visitEstablished patient, high complexity
- 99204Office visitNew patient, moderate complexity
- 99203New patient visitLow MDM or 30 minutes
- 90837Psychotherapy60 minutes, no E/M
- 90834Psychotherapy session45 minutes, without E/M
- 90791Psychiatric evaluationWithout medical services
- 97110Therapeutic exerciseOne-on-one, each 15 minutes
- 97530Therapeutic activitiesOne-on-one, each 15 minutes
- 97140Manual therapyOne or more regions, each 15 minutes
- 93306Echocardiogram (TTE)Complete, with spectral and color Doppler
Every code page shows the 2026 Medicare rate, RVUs and the physician fee schedule release it comes from.
- 01 / The rate for your location
- Choose a ZIP, date, and setting. See the matching Medicare rate.
- 02 / The source behind every number
- Open the CMS release and calculation details from your results.
- 03 / A list you can work with
- Check the codes your team uses together, with the same location and date.
ZIP to locality
You know the ZIP. We’ll find the locality.
Medicare prices depend on payment localities, not just state lines. Start with your practice’s ZIP instead of tracking down a locality code.
FeeBase checks the CMS mapping for you. If a ZIP covers more than one locality, we ask for ZIP+4. An unresolved match stays visible, so you can check it before using the rate.
Find your local ratePractice ZIP
10001
Medicare locality
Manhattan
Example CMS mapping
Locality 01 · New York
Fee sheets
The codes you use. The rates you need.
Put your everyday codes, plain names, and current rates on a reference your team can actually read. Keep it at the workstation. Find the answer at a glance.
Explore fee sheetsComing soon · $199/month per practice
Urgent care · Quick reference
2026
| Code | Name | Price |
|---|---|---|
| 99202 | New patient visitStraightforward MDM or 15 minutes | $85.27 |
| 99203 | New patient visitLow MDM or 30 minutes | $133.65 |
| 99213 | Office visitEstablished patient, low complexity | $107.63 |
| 99214 | Office visitEstablished patient, moderate complexity | $153.27 |
Medicare reference · Manhattan · RVU26D · November 2026
FeeBase API
Build the workflow. We’ll bring the rates.
Give your application a Medicare benchmark with the context already attached. Code, location, service date, and source history—ready for the way your users work.
Add a rate beside a billing code. Compare a list of procedures. Show the source when a user needs to verify an answer. Keep your team focused on the product around the data.
Plans from $49/month · 500 requests included
GET /v1/rates/99214?zip=10001
{
"code": "99214",
"amount": 15327,
"currency": "usd",
"setting": "non_facility",
"date": "2026-11-07",
"qp_status": "non_qp",
"location": {
"type": "locality",
"id": "13202-01",
"geography_match": "exact"
},
"release": 1,
"payment_status": "A",
"fee_schedule": "pfs"
}The real v1 response for ZIP 10001 · RVU26D · ZIP2026Q4
Rate change reports
Don’t just update the number. See what moved.
Put the previous and current Medicare rates side by side. Spot the changes before your next fee review, and give your team a clear answer when they ask why a rate is different.
Explore rate comparisons99214
Office visit, established patient, moderate complexity
Rate comparison
- November 2025
- $142.07
- November 2026
- $153.27
Change in a year
+$11.20
Verified example · Source details
Manhattan, ZIP 10001, non-facility, non-QP. November 7, 2025 vs November 7, 2026. CMS RVU25D / RVU26D. Base reference amounts before claim adjustments.
The confidence behind the lookup
Current rates. Clean data. No mystery numbers.
A useful answer starts with a reliable source. FeeBase checks CMS data before it reaches your workflow, then keeps the evidence close.
See our data and sources- Matched to your service date
- Use the release that applies to the date you choose. Historical versions keep earlier rates available when you need to look back.
- Validated before lookup
- Source releases and imported records are checked before they become available. Your result comes from an accepted dataset.
- Traceable all the way through
- See the fee-schedule release, calculation details, and locality mapping behind a rate. The geography date stays visible too.
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Built for the work around the rate
One less task between you and the answer.
A quick check, a routine update, or a client question. Start with the work you need to finish.
In a busy practice
Put common codes, readable names, and current Medicare rates on a reference your team can keep at hand. Look once, then get back to the day.
See how it worksAcross your billing clients
Handle the next client’s rate update without repeating every lookup. Keep each client’s codes and location together for a consistent review.
See how it worksIn the client conversation
Explain the benchmark behind your recommendation. Bring the code, date, locality, and source into the discussion with the amount.
See how it worksA few useful answers
What does this rate represent?
The Medicare column shows the base participating physician fee-schedule rate for the selected location and setting, using your selected payment category. It is before claim adjustments—not a guaranteed payment or a patient responsibility amount. Your rate applies the percentage you choose to that reference.
Which fee schedules are supported?
The CMS Physician Fee Schedule from 2013 onward, plus Clinical Laboratory Fee Schedule rates for lab codes. Your service date and ZIP select the applicable release and geography. Unavailable data and unsupported payment rules are shown explicitly.
Where does the data come from?
Rates use accepted CMS releases for your service date: Physician Fee Schedule relative value files and Geographic Practice Cost Indices, the quarterly Clinical Laboratory Fee Schedule, and the CMS ZIP-to-locality files. Each result links to its source release. If an exact-period ZIP file is unavailable, the lookup labels the earlier geography release used.