Commercial rate index · metro cell
San Diego-Chula Vista-Carlsbad healthcare rate index
Commercial contracted rates in San Diego-Chula Vista-Carlsbad, CA run 1.14x the national Medicare fee schedule across the office-visit basket. Index 118.5, where 100 is the national standard.
Index 118.5
1.14x Medicare
131,710 verified rate points
8/8 basket codes
state index 95.3
The basket in San Diego-Chula Vista-Carlsbad
as of 2026-07-15| CPT | Service | Metro median | vs Medicare | Rate points | Tier |
|---|---|---|---|---|---|
| 99202 | Office visit, new patient, 15-29 min | $79.47 | 1.12x | 18,087 | Benchmark |
| 99203 | Office visit, new patient, 30-44 min | $156.21 | 1.42x | 14,671 | Benchmark |
| 99204 | Office visit, new patient, 45-59 min | $193.72 | 1.16x | 14,136 | Benchmark |
| 99205 | Office visit, new patient, 60-74 min | $265.19 | 1.21x | 27,217 | Benchmark |
| 99212 | Office visit, established patient, 10-19 min | $51.56 | 0.91x | 13,482 | Benchmark |
| 99213 | Office visit, established patient, 20-29 min | $84.69 | 0.92x | 14,486 | Benchmark |
| 99214 | Office visit, established patient, 30-39 min | $115.00 | 0.87x | 12,931 | Benchmark |
| 99215 | Office visit, established patient, 40-54 min | $251.92 | 1.35x | 16,700 | Benchmark |
Medians across the full verified distribution of practice-level contracted rates in this CBSA (41740). Floor: 11 verified rate points per code, 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.
The market around it.
San Diego-Chula Vista-Carlsbad prints above its state cell (California at 95.3) and above the national standard of 100.
Cite this page
Source: Reddenda Commercial Rate Atlas, San Diego-Chula Vista-Carlsbad, CA. Reddenda. https://reddenda.health/atlas/ca/san-diego-chula-vista-carlsbad-41740/
Derivation federally mandated TiC MRFs, verified to provider identityCBSA 41740 · metro grainas of 2026-07-15 · methodology v1.0