Commercial rate index · metro cell
Albany-Schenectady-Troy healthcare rate index
Commercial contracted rates in Albany-Schenectady-Troy, NY run 0.72x the national Medicare fee schedule across the office-visit basket. Index 74.5, where 100 is the national standard.
Index 74.5
0.72x Medicare
122,210 verified rate points
8/8 basket codes
state index 83.5
The basket in Albany-Schenectady-Troy
as of 2026-07-15| CPT | Service | Metro median | vs Medicare | Rate points | Tier |
|---|---|---|---|---|---|
| 99202 | Office visit, new patient, 15-29 min | $68.32 | 0.96x | 17,438 | Benchmark |
| 99203 | Office visit, new patient, 30-44 min | $95.17 | 0.86x | 14,017 | Benchmark |
| 99204 | Office visit, new patient, 45-59 min | $124.74 | 0.75x | 13,726 | Benchmark |
| 99205 | Office visit, new patient, 60-74 min | $154.11 | 0.70x | 16,939 | Benchmark |
| 99212 | Office visit, established patient, 10-19 min | $41.58 | 0.73x | 14,398 | Benchmark |
| 99213 | Office visit, established patient, 20-29 min | $61.90 | 0.67x | 14,912 | Benchmark |
| 99214 | Office visit, established patient, 30-39 min | $1.00 | 0.01x | 14,790 | Benchmark |
| 99215 | Office visit, established patient, 40-54 min | $104.04 | 0.56x | 15,990 | Benchmark |
Medians across the full verified distribution of practice-level contracted rates in this CBSA (10580). 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.
Albany-Schenectady-Troy prints below its state cell (New York at 83.5) and below the national standard of 100.
Cite this page
Source: Reddenda Commercial Rate Atlas, Albany-Schenectady-Troy, NY. Reddenda. https://reddenda.health/atlas/ny/albany-schenectady-troy-10580/
Derivation federally mandated TiC MRFs, verified to provider identityCBSA 10580 · metro grainas of 2026-07-15 · methodology v1.0