CMS data · Effective dates · Rate history

2026 Medicare physician fee schedule releases

A service date determines which fee schedule applies. Explore the releases available in FeeBase, see their CMS sources, and compare what changed for a specific code and payment locality.

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What changed in the latest available release?

Comparing RVU26D (2026-10-01) with RVU26C (2026-07-01) in Chicago. These are office/nonfacility base rates for selected codes, using the non-QP basis where applicable.

Primary care9 of 9 codes comparable↑ 0 higher↓ 0 lower— 9 unchanged
Behavioral health5 of 5 codes comparable↑ 0 higher↓ 0 lower— 5 unchanged
Physical therapy5 of 5 codes comparable↑ 0 higher↓ 0 lower— 5 unchanged

Each code counts once. These starting lists are not complete specialties or a utilization-weighted estimate of practice revenue. Unavailable rates are excluded from directional counts. An unchanged amount at cent precision does not mean every underlying input stayed the same.

Compare another code or payment locality ↓

One code, compared over time

Showing 99214 in Chicago for 2026. These are this payment area’s base physician fees, not a national average. Change the example to match your question.

99214 · Office / nonfacility

$142.45

Effective 2026-10-01

The base rate is unchanged from 2026-07-01: $142.45 in both releases.

Base rate by release · bars start at $0 · select a bar to compare

One bar per available release, ordered by effective date. Missing rates remain gaps. These comparisons hold the code, setting and locality identifiers constant; they do not isolate which policy or input caused a change.

Standard / non-QP conversion factor where applicable. Unmodified service, before claim-level adjustments. A missing or unsupported rate remains unavailable.

Release files & effective dates

4 available releases in 2026. The latest accepted revision is shown for each effective start date. This is FeeBase’s loaded archive; it does not imply every historical CMS release is present.

  1. RVU26D

    Effective through the day before 2027-01-01

    Revision 1
    Office / nonfacility
    $142.45
    Facility
    $91.09
    Codes in source
    17,191
    Payment localities
    109
  2. RVU26C

    Effective through the day before 2026-10-01

    Revision 1
    Office / nonfacility
    $142.45
    Facility
    $91.09
    Codes in source
    17,096
    Payment localities
    109
  3. RVU26B

    Effective through the day before 2026-07-01

    Revision 1
    Office / nonfacility
    $142.45
    Facility
    $91.09
    Codes in source
    17,029
    Payment localities
    109
  4. RVU26A

    Effective through the day before 2026-04-01

    Revision 1
    Office / nonfacility
    $142.45
    Facility
    $91.09
    Codes in source
    16,978
    Payment localities
    109

What a rate change tells you

The comparison holds the code, setting and payment-locality identifiers constant. Each release supplies its own RVUs, geographic indexes and conversion factor. A difference shows the combined result of those inputs; it does not identify a single policy cause.

For an older claim, verify which payment area covered the service address on that date. Locality boundaries and code availability can change. Source code counts include entries that may not have a supported physician base rate.

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