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CMS RVU26D · Effective 2026-10-01

99211 Medicare reimbursement rates in Illinois

Compare 99211 physician payment amounts across CMS localities, including office and facility settings.

Amounts below use the non-QP conversion factor for participating physicians. These are base physician payments before claim-level adjustments, not patient costs or total hospital charges.

What does Medicare pay for 99211 in Illinois?

Illinois has 4 payment localities in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the 4 payment areas shown below, using the same CMS release.

Office / nonfacility

$23.00–$25.17

4 of 4 localities have a supported rate.

Lowest: Rest Of Illinois

Highest: Suburban Chicago

A spread of $2.17 per service.

Facility setting

$7.75–$8.16

4 of 4 localities have a supported rate.

Lowest: Rest Of Illinois

Highest: Chicago

A spread of $0.41 per service.

These are locality ranges, not averages or address-specific quotes. A facility-setting amount covers the physician service; it does not include a hospital’s separate bill. Choose a locality below to inspect its calculation, compare other payment areas, or price a percentage of Medicare.

Find 99211 in your payment locality →

Where 99211 pays more and less in Illinois

4 payment localities

$23.00 to $25.17

One dot per payment locality, office / nonfacility. Hover a dot to see the locality; select it to open that rate.

Compare 99211 by payment locality

Find the payment area for your service address, then open its rate page for calculation inputs, release history and the percentage-of-Medicare tool. A city may cross payment-area boundaries; the ZIP lookup above helps resolve the location.

4 of 4 payment localities

Office and facility base rates · shared scale starting at $0

Chicago →
Office / nonfacility
$24.95
Facility
$8.16
East St. Louis →
Office / nonfacility
$23.28
Facility
$7.91
Rest Of Illinois →
Office / nonfacility
$23.00
Facility
$7.75
Suburban Chicago →
Office / nonfacility
$25.17
Facility
$8.02

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Primary care

Compare office and outpatient evaluation-and-management base rates.

Where these rates come from

FeeBase calculates base physician payments from CMS work, practice-expense, and malpractice RVUs, adjusted by each locality’s geographic indices and the applicable conversion factor. Unavailable or separately priced services are labeled rather than assigned a made-up amount.

Source: RVU26D. Effective 2026-10-01 through the day before 2027-01-01.

RVUs for 99211PPRRVU2026_Oct_nonQPP.csv, line 13,013 (RVU26D)

13,01099203,,Office o/p new low 30 min,A,,1.60,1.76,,0.38,,0.16,3.52,2.14,0,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00

13,01199204,,Office o/p new mod 45 min,A,,2.60,2.47,,0.66,,0.24,5.31,3.50,0,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00

13,01299205,,Office o/p new hi 60 min,A,,3.50,3.23,,0.94,,0.36,7.09,4.80,0,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00

13,01399211,,Off/op est may x req phy/qhp,A,,0.18,0.54,,0.04,,0.01,0.73,0.23,0,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00

13,01499212,,Office o/p est sf 10 min,A,,0.70,1.02,,0.17,,0.06,1.78,0.93,0,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00

13,01599213,,Office o/p est low 20 min,A,,1.30,1.46,,0.33,,0.09,2.85,1.72,0,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00

13,01699214,,Office o/p est mod 30 min,A,,1.92,2.00,,0.47,,0.14,4.06,2.53,0,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00

Open CMS source How this rate is calculated Build a fee sheet

99211 Medicare reimbursement rates in Illinois

What does Medicare pay for 99211 in Illinois?

Office / nonfacility

Facility setting

Where 99211 pays more and less in Illinois

Compare 99211 by payment locality

Chicago →

East St. Louis →

Rest Of Illinois →

Suburban Chicago →

Need rates for a whole code list?

Primary care

Where these rates come from