Commercial rate index · state cell

Virginia healthcare rate index

Name: Reddenda Commercial Rate Atlas: Virginia
Creator: Reddenda
License: https://creativecommons.org/licenses/by-nc-nd/4.0/

Commercial contracted rates in Virginia run 0.97x the national Medicare fee schedule across the office-visit basket. On the Reddenda index, where 100 is the national standard, Virginia prints 100.8, ranked 17 of 51 states.

Index 100.8 0.97x Medicare 263,609 verified rate points 8/8 basket codes published

The basket, code by code

as of 2026-07-15

CPT	Service	State median	vs Medicare	Rate points	Tier
99202	Office visit, new patient, 15-29 min	$71.71	1.01x	44,181	Benchmark
99203	Office visit, new patient, 30-44 min	$129.30	1.17x	30,969	Benchmark
99204	Office visit, new patient, 45-59 min	$160.51	0.96x	27,315	Benchmark
99205	Office visit, new patient, 60-74 min	$245.63	1.12x	50,164	Benchmark
99212	Office visit, established patient, 10-19 min	$55.45	0.98x	27,345	Benchmark
99213	Office visit, established patient, 20-29 min	$88.85	0.96x	31,781	Benchmark
99214	Office visit, established patient, 30-39 min	$125.27	0.95x	26,678	Benchmark
99215	Office visit, established patient, 40-54 min	$177.44	0.95x	25,176	Benchmark

Medians computed across the full verified distribution of practice-level contracted rates in Virginia. Publication floor: 11 verified rate points and a 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.

Metros in Virginia

The market is metro by metro. So is the index.

Charlottesville 119.11.14x Medicare Staunton-Stuarts Draft 113.71.09x Medicare Roanoke 109.61.05x Medicare Winchester 107.81.04x Medicare Blacksburg-Christiansb 102.80.99x Medicare Harrisonburg 102.60.99x Medicare Richmond 101.80.98x Medicare Lynchburg 100.80.97x Medicare Danville 100.80.97x Medicare Virginia Beach-Chesape 100.60.97x Medicare Martinsville 98.80.95x Medicare

Read it against the country.

The national standard is the RCRI print: 0.9608x Medicare, Vintage 001, established July 2026. Virginia sits above it. State cells are satellite series to the national print and carry the same frozen methodology.

All states North Dakota · 102.1 South Carolina · 101.9 Hawaii · 101.2 Montana · 100.8 Delaware · 100.6 The national print

Cite this page

Source: Reddenda Commercial Rate Atlas, Virginia. Reddenda. https://reddenda.health/atlas/va/

Series ID

RCRI.US.ST.VA

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Derivation federally mandated TiC MRFs, verified to provider identitystate grain · 263,609 verified rate pointsas of 2026-07-15 · methodology v1.0