Commercial rate index · metro cell
Durham-Chapel Hill healthcare rate index
Commercial contracted rates in Durham-Chapel Hill, NC run 0.99x the national Medicare fee schedule across the office-visit basket. Index 102.5, where 100 is the national standard.
Index 102.5
0.99x Medicare
91,810 verified rate points
8/8 basket codes
state index 89.2
The basket in Durham-Chapel Hill
as of 2026-07-15| CPT | Service | Metro median | vs Medicare | Rate points | Tier |
|---|---|---|---|---|---|
| 99202 | Office visit, new patient, 15-29 min | $81.66 | 1.15x | 13,849 | Benchmark |
| 99203 | Office visit, new patient, 30-44 min | $86.00 | 0.78x | 9,614 | Benchmark |
| 99204 | Office visit, new patient, 45-59 min | $175.20 | 1.05x | 9,665 | Benchmark |
| 99205 | Office visit, new patient, 60-74 min | $273.84 | 1.25x | 20,150 | Benchmark |
| 99212 | Office visit, established patient, 10-19 min | $52.35 | 0.92x | 9,571 | Benchmark |
| 99213 | Office visit, established patient, 20-29 min | $74.42 | 0.81x | 9,630 | Benchmark |
| 99214 | Office visit, established patient, 30-39 min | $143.35 | 1.09x | 9,643 | Benchmark |
| 99215 | Office visit, established patient, 40-54 min | $124.70 | 0.67x | 9,688 | Benchmark |
Medians across the full verified distribution of practice-level contracted rates in this CBSA (20500). 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.
Durham-Chapel Hill prints above its state cell (North Carolina at 89.2) and above the national standard of 100.
Cite this page
Source: Reddenda Commercial Rate Atlas, Durham-Chapel Hill, NC. Reddenda. https://reddenda.health/atlas/nc/durham-chapel-hill-20500/
Derivation federally mandated TiC MRFs, verified to provider identityCBSA 20500 · metro grainas of 2026-07-15 · methodology v1.0