YOUR RESEARCH WORKSPACE

Good data. Better decisions.

A clearer view of medical codes, reimbursement, and the rules behind them.

Q3 2026 · CMS release loaded
INTELLIGENCE YOU CAN TRACE

Know the value.
See the whole picture.

From one code to a complete claim review. Find the numbers, understand the rules, and move forward with confidence.

CPT 99213CMS · RVU26C
$95.19

Non-facility · Non-QP benchmark

Official source. Transparent math.
Procedure codes
17,191
CPT + HCPCS in the PFS file
ICD-10-CM entries
98,403
74,879 billable codes
Medicare localities
109
Geography-adjusted benchmarks
Active NCCI edits
1.73M
Practitioner PTP · July 1, 2026

A few useful starting points

Common procedures, priced for your selected context

View all codes
CODEPROCEDUREBENCHMARKSave
99213Office o/p est low 20 minEvaluation & management$95.19
99214Office o/p est mod 30 minEvaluation & management$135.61
90837Psytx w pt 60 minutesMedicine$167.00
93306Tte w/doppler completeMedicine$196.73
29881Arthrs kne srg mnisectmy m/lSurgeryNot priced
97110Therapeutic exercisesMedicine$29.06
THE RESEARCH BRIEF

One year.
Two conversion factors.

In 2026, CMS publishes separate schedules for qualifying APM participants and non-QPs. Your provider setting changes the benchmark.

Understand the calculation

Benchmark at a glance

Selected procedures · USD per service

Less searching. More answers.

Purpose-built tools for your next question

RVU-based Medicare benchmark, before payer adjustments, OPPS caps, sequestration, and patient cost sharing. An estimate, not a payment guarantee.