Commercial rate index · state cell
California healthcare rate index
Commercial contracted rates in California run 0.92x the national Medicare fee schedule across the office-visit basket. On the Reddenda index, where 100 is the national standard, California prints 95.3, ranked 35 of 51 states.
Index 95.3
0.92x Medicare
1,312,688 verified rate points
8/8 basket codes published
The basket, code by code
as of 2026-07-15| CPT | Service | State median | vs Medicare | Rate points | Tier |
|---|---|---|---|---|---|
| 99202 | Office visit, new patient, 15-29 min | $76.74 | 1.08x | 178,268 | Benchmark |
| 99203 | Office visit, new patient, 30-44 min | $110.02 | 1.00x | 137,525 | Benchmark |
| 99204 | Office visit, new patient, 45-59 min | $170.60 | 1.02x | 142,132 | Benchmark |
| 99205 | Office visit, new patient, 60-74 min | $231.47 | 1.05x | 281,739 | Benchmark |
| 99212 | Office visit, established patient, 10-19 min | $47.38 | 0.83x | 158,479 | Benchmark |
| 99213 | Office visit, established patient, 20-29 min | $75.97 | 0.82x | 122,020 | Benchmark |
| 99214 | Office visit, established patient, 30-39 min | $101.22 | 0.77x | 142,824 | Benchmark |
| 99215 | Office visit, established patient, 40-54 min | $140.80 | 0.76x | 149,701 | Benchmark |
Medians computed across the full verified distribution of practice-level contracted rates in California. Publication floor: 11 verified rate points and a non-degenerate spread. Denominator: CMS PFS CY2026 national non-facility. Methodology v1.0.
Documented reimbursement figures are modeled, not guaranteed. Derived from federally mandated Transparency in Coverage data (45 CFR 147.212). No PHI.
Metros in California
The market is metro by metro. So is the index.
San Jose-Sunnyvale-San
172.41.66x Medicare
Santa Cruz-Watsonville
134.81.30x Medicare
Sacramento-Roseville-F
124.91.20x Medicare
San Francisco-Oakland-
118.51.14x Medicare
San Diego-Chula Vista-
118.51.14x Medicare
Napa
104.31.00x Medicare
Santa Rosa-Petaluma
1020.98x Medicare
Salinas
97.10.93x Medicare
Los Angeles-Long Beach
95.30.92x Medicare
Vallejo
94.20.90x Medicare
Chico
92.80.89x Medicare
Clearlake
91.70.88x Medicare
Stockton-Lodi
90.60.87x Medicare
Red Bluff
900.86x Medicare
Riverside-San Bernardi
900.86x Medicare
Truckee-Grass Valley
88.70.85x Medicare
Santa Maria-Santa Barb
88.20.85x Medicare
Oxnard-Thousand Oaks-V
86.30.83x Medicare
Hanford-Corcoran
84.40.81x Medicare
Fresno
840.81x Medicare
Modesto
82.50.79x Medicare
Ukiah
82.20.79x Medicare
San Luis Obispo-Paso R
82.20.79x Medicare
El Centro
82.20.79x Medicare
Eureka-Arcata
82.20.79x Medicare
Crescent City
82.20.79x Medicare
Redding
82.20.79x Medicare
Visalia
82.20.79x Medicare
Susanville
82.20.79x Medicare
Merced
82.20.79x Medicare
Bakersfield-Delano
82.20.79x Medicare
Yuba City
82.20.79x Medicare
Sonora
800.77x Medicare
Read it against the country.
The national standard is the RCRI print: 0.9608x Medicare, Vintage 001, established July 2026. California sits below it. State cells are satellite series to the national print and carry the same frozen methodology.
Cite this page
Source: Reddenda Commercial Rate Atlas, California. Reddenda. https://reddenda.health/atlas/ca/
Series ID
RCRI.US.ST.CADerivation federally mandated TiC MRFs, verified to provider identitystate grain · 1,312,688 verified rate pointsas of 2026-07-15 · methodology v1.0