Commercial rate index · metro cell
Durango healthcare rate index
Commercial contracted rates in Durango, CO run 1.04x the national Medicare fee schedule across the office-visit basket. Index 108.4, where 100 is the national standard.
Index 108.4
1.04x Medicare
928 verified rate points
8/8 basket codes
state index 125.7
The basket in Durango
as of 2026-07-15| CPT | Service | Metro median | vs Medicare | Rate points | Tier |
|---|---|---|---|---|---|
| 99202 | Office visit, new patient, 15-29 min | $84.65 | 1.19x | 169 | Benchmark |
| 99203 | Office visit, new patient, 30-44 min | $132.68 | 1.20x | 87 | Standard |
| 99204 | Office visit, new patient, 45-59 min | $197.54 | 1.18x | 81 | Standard |
| 99205 | Office visit, new patient, 60-74 min | $224.91 | 1.02x | 264 | Benchmark |
| 99212 | Office visit, established patient, 10-19 min | $56.47 | 0.99x | 82 | Standard |
| 99213 | Office visit, established patient, 20-29 min | $83.98 | 0.91x | 85 | Standard |
| 99214 | Office visit, established patient, 30-39 min | $139.81 | 1.06x | 83 | Standard |
| 99215 | Office visit, established patient, 40-54 min | $187.57 | 1.01x | 77 | Standard |
Medians across the full verified distribution of practice-level contracted rates in this CBSA (20420). 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.
Durango prints below its state cell (Colorado at 125.7) and above the national standard of 100.
Cite this page
Source: Reddenda Commercial Rate Atlas, Durango, CO. Reddenda. https://reddenda.health/atlas/co/durango-20420/
Derivation federally mandated TiC MRFs, verified to provider identityCBSA 20420 · metro grainas of 2026-07-15 · methodology v1.0