Compare allowed amounts responsibly
Separate a reference benchmark from contractual payment expectations.
Choose the correct context
Use the service date, Medicare locality, facility setting, component and applicable QP schedule.
Compare like with like
Use total allowed amount for the same units, rather than insurer payment alone. Patient responsibility and payment adjustments can explain differences.
Verify before acting
Review the contract and remittance. This RVU benchmark omits several payment policies, so a negative variance is a review signal, not proof of underpayment.
RVU26C covers July–September 2026. The physician facility amount does not include the hospital’s facility payment.
Checked against the linked sources in September 2026. Not yet reviewed by a named clinician or billing professional; that review is planned and will be shown here when complete.
Analyze an allowed amount