# CPT 95249: Ambulatory continuous glucose monitoring, patient-provided equipment, sensor placement, calibration, training

Medicare CPT 95249 pays $69.81 in a non-facility setting and $69.81 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $59.51 in Arkansas to $82.15 in District of Columbia, a 38% spread.

Web page: https://www.med-reveal.com/rates/95249-cpt-fee-schedule
Section: Medical and Therapeutic Services
Billed by: Endocrinology

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $69.81 |
| National facility | $69.81 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| District of Columbia | $82.15 | $82.15 |
| California | $81.75 | $81.75 |
| Washington | $79.12 | $79.12 |
| Hawaii | $78.63 | $78.63 |
| New Jersey | $78.54 | $78.54 |
| New York | $78.20 | $78.20 |
| Massachusetts | $78.06 | $78.06 |
| Connecticut | $75.36 | $75.36 |
| Colorado | $73.90 | $73.90 |
| Alaska | $73.66 | $73.66 |
| Oregon | $73.10 | $73.10 |
| Maryland | $72.82 | $72.82 |
| New Hampshire | $72.45 | $72.45 |
| Rhode Island | $71.92 | $71.92 |
| Florida | $71.30 | $71.30 |
| Minnesota | $70.85 | $70.85 |
| Puerto Rico | $70.54 | $70.54 |
| Virgin Islands | $70.54 | $70.54 |
| Montana | $69.81 | $69.81 |
| Nevada | $69.65 | $69.65 |
| Wyoming | $69.46 | $69.46 |
| North Dakota | $69.01 | $69.01 |
| South Dakota | $68.92 | $68.92 |
| Delaware | $68.85 | $68.85 |
| Illinois | $68.71 | $68.71 |
| Texas | $68.65 | $68.65 |
| Pennsylvania | $68.50 | $68.50 |
| Vermont | $68.46 | $68.46 |
| Virginia | $68.25 | $68.25 |
| Arizona | $67.49 | $67.49 |
| Georgia | $66.92 | $66.92 |
| Maine | $66.27 | $66.27 |
| Michigan | $66.18 | $66.18 |
| Wisconsin | $66.01 | $66.01 |
| Utah | $65.56 | $65.56 |
| North Carolina | $64.74 | $64.74 |
| South Carolina | $64.40 | $64.40 |
| New Mexico | $64.39 | $64.39 |
| Missouri | $64.15 | $64.15 |
| Indiana | $64.12 | $64.12 |
| Louisiana | $63.92 | $63.92 |
| Ohio | $63.86 | $63.86 |
| Nebraska | $63.70 | $63.70 |
| Idaho | $63.63 | $63.63 |
| Iowa | $63.18 | $63.18 |
| Tennessee | $62.96 | $62.96 |
| Kansas | $62.57 | $62.57 |
| Oklahoma | $62.18 | $62.18 |
| Kentucky | $62.09 | $62.09 |
| West Virginia | $61.41 | $61.41 |
| Alabama | $60.67 | $60.67 |
| Mississippi | $59.94 | $59.94 |
| Arkansas | $59.51 | $59.51 |

## Related codes

- 0446T: Creation of subcutaneous pocket with insertion of implantable interstitial glucose sensor — https://www.med-reveal.com/rates/0446T-cpt-fee-schedule
- 0447T: Removal of implantable interstitial glucose sensor — https://www.med-reveal.com/rates/0447T-cpt-fee-schedule
- 0448T: Removal and reinsertion of implantable interstitial glucose sensor — https://www.med-reveal.com/rates/0448T-cpt-fee-schedule
- 95250: Ambulatory continuous glucose monitoring, physician-provided equipment — https://www.med-reveal.com/rates/95250-cpt-fee-schedule
- 95251: Ambulatory continuous glucose monitoring, analysis and interpretation — https://www.med-reveal.com/rates/95251-cpt-fee-schedule
- G0108: Diabetes outpatient self-management training, individual — https://www.med-reveal.com/rates/G0108-hcpcs-fee-schedule
- G0109: Diabetes outpatient self-management training, group — https://www.med-reveal.com/rates/G0109-hcpcs-fee-schedule

Commercial negotiated rates for 95249 by payer and state: https://www.med-reveal.com/solutions/rate-benchmarking

## Sources

- CMS Medicare fee schedules (2026 Q4): https://www.cms.gov/medicare/payment/fee-schedules