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Primary Care Medicare Reimbursement Rates (2026)

2026 Medicare rates for 9 common primary care codes (99202, 99203, 99204…) in every payment locality, office and facility, from CMS data.

CMS RVU26DEffective Oct 1, 2026

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Medicare pays by the payment locality where the service is performed.

On this page 6 sections
  1. Find a rate
  2. Nationwide ranges
  3. About this bundle
  4. Payment localities
  5. By specialty
  6. Sources

How these rates vary nationwide

Lowest to highest base rate across CMS payment localities. These are ranges, not national averages.

Current payment ranges across Medicare localities
CodeOffice rangeFacility range
99202$68.13–$95.94109 of 109 localities$38.87–$56.06109 of 109 localities
99203$106.69–$146.95109 of 109 localities$67.10–$96.62109 of 109 localities
99204$161.84–$222.54109 of 109 localities$109.91–$158.16109 of 109 localities
99205$215.77–$296.88109 of 109 localities$150.07–$215.42109 of 109 localities
99211$21.68–$32.86109 of 109 localities$7.33–$10.63109 of 109 localities
99212$53.68–$76.15109 of 109 localities$29.29–$42.22109 of 109 localities
99213$86.86–$120.13109 of 109 localities$54.44–$78.53109 of 109 localities
99214$123.92–$170.02109 of 109 localities$80.02–$115.49109 of 109 localities
99215$176.04–$241.97109 of 109 localities$118.65–$170.83109 of 109 localities

All codes in this curated starting bundle. Ranges compare supported rates across payment localities; missing rates are not zero.

Reading this primary care bundle

This starting list covers office and outpatient evaluation-and-management codes. Primary care also includes services outside this list. Compare payment levels here, then use the documented service and current coding requirements to select a code; a higher rate is not a reason to choose a different level.

CMS guidance for this service groupCompare a payer offer for these codes

Choose a payment locality for this bundle

Explore rates by specialty

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

Open CMS sourceHow we calculate rates

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