CPT code 94010: Spirometry, no post-bronchodilator comparison2026 Medicare rate & RVUs in Barrington, Illinois

CPT 94010: $30.75–$30.91 office across 2 localities in Barrington, IL in 2026 Medicare. Compare each area.

CMS RVU26DEffective Oct 1, 20262 payment localities

Medicare pays $30.75–$30.91 for 94010 in the office in Barrington, Illinois, from Chicago, IL to Suburban Chicago, IL. Which amount applies depends on the service address.

$30.75–$30.91Office (non-facility)
—Hospital or facility

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

We’ll open 94010 for the payment locality that covers the ZIP.

On this page 6 sections
  1. Rate in Barrington, Illinois
  2. By payment locality
  3. City and payment areas
  4. How it’s calculated
  5. Payment rules
  6. Sources

Where 94010 pays more and less in Barrington, Illinois

Barrington, Illinois maps to 2 Medicare payment localities in our Census-to-CMS crosswalk. A city name alone doesn’t confirm an address’s payment area.

94010 office and facility rates by payment locality
Payment localityOfficeFacility
Chicago, IL$30.75Unavailable
Suburban Chicago, IL$30.91Unavailable

How payment areas work in Barrington

City limits and Medicare payment areas are different maps. These are the payment areas that cover the city’s counties; the service ZIP decides which one applies.

  • Chicago · Cook County
  • Suburban Chicago · Lake County

City boundaries: 2026 Census geography · Census source · CMS county-to-locality definitions

How the 94010 rate is calculated

Each of 94010’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.

How the rate is built · 94010

RVUs × geographic indexes × conversion factor

Office or facility?

Work0.17

0.17 RVUs× 1.000 GPCI

Practice expense0.70

0.70 RVUs× 1.000 GPCI

Malpractice0.02

0.02 RVUs× 1.000 GPCI

Adjusted RVUs

0.8900

Conversion factor

$33.4009

Medicare rate

$29.73

Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.

Payment rules and modifiers for 94010

The CMS indicators that decide how 94010 is paid alongside other services.

CMS payment indicators · 94010

Spirometry, no post-bronchodilator comparison

RuleCMS valueWhat it means
Global periodXXXThe global surgery concept doesn’t apply.
Multiple procedures0No multiple-procedure reduction.
Bilateral (modifier 50)0The 150% bilateral adjustment doesn’t apply.
Assistant at surgery (80/81/82/AS)0Not paid without supporting documentation.
Co-surgeons (62)0Not permitted.
Team surgery (66)0Not permitted.
Professional/technical1Diagnostic test with separate professional (26) and technical (TC) components.

What modifiers do to the payment

Modifier 26 · payment effect

With and without the modifier

94010 without 26 · national office

$29.73

Spirometry, no post-bronchodilator comparison

94010-26 · Professional component

$8.35

Pays only the interpretation and report.

When to use modifier 26

Where these rates come from

FeeBase calculates base physician payments from CMS work, practice-expense and malpractice RVUs, adjusted by each locality’s geographic indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.

CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027

Show the CMS file lines behind this rate
RVUs for 94010PPRRVU2026_Oct_nonQPP.csv, line 12,364 (RVU26D)

Open CMS sourceHow we calculate rates

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Your codes at your locality, with payer contracts beside Medicare.

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