Commercial rate index · metro cell
Chicago-Naperville-Elgin healthcare rate index
Commercial contracted rates in Chicago-Naperville-Elgin, IL-IN run 0.97x the national Medicare fee schedule across the office-visit basket. Index 101, where 100 is the national standard.
Index 101
0.97x Medicare
151,460 verified rate points
8/8 basket codes
state index 96.7
The basket in Chicago-Naperville-Elgin
as of 2026-07-15| CPT | Service | Metro median | vs Medicare | Rate points | Tier |
|---|---|---|---|---|---|
| 99202 | Office visit, new patient, 15-29 min | $77.26 | 1.09x | 29,602 | Benchmark |
| 99203 | Office visit, new patient, 30-44 min | $110.44 | 1.00x | 12,537 | Benchmark |
| 99204 | Office visit, new patient, 45-59 min | $168.66 | 1.01x | 12,118 | Benchmark |
| 99205 | Office visit, new patient, 60-74 min | $219.08 | 1.00x | 46,518 | Benchmark |
| 99212 | Office visit, established patient, 10-19 min | $47.04 | 0.83x | 11,197 | Benchmark |
| 99213 | Office visit, established patient, 20-29 min | $81.34 | 0.88x | 12,972 | Benchmark |
| 99214 | Office visit, established patient, 30-39 min | $115.00 | 0.87x | 12,770 | Benchmark |
| 99215 | Office visit, established patient, 40-54 min | $175.82 | 0.94x | 13,746 | Benchmark |
Medians across the full verified distribution of practice-level contracted rates in this CBSA (16980). 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.
Chicago-Naperville-Elgin prints above its state cell (Illinois at 96.7) and above the national standard of 100.
Cite this page
Source: Reddenda Commercial Rate Atlas, Chicago-Naperville-Elgin, IL-IN. Reddenda. https://reddenda.health/atlas/il/chicago-naperville-elgin-16980/
Derivation federally mandated TiC MRFs, verified to provider identityCBSA 16980 · metro grainas of 2026-07-15 · methodology v1.0