# CPT 95250: Ambulatory continuous glucose monitoring, physician-provided equipment

Medicare CPT 95250 pays $152.64 in a non-facility setting and $152.64 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $130.55 in Arkansas to $179.70 in District of Columbia, a 38% spread.

Web page: https://www.med-reveal.com/rates/95250-cpt-fee-schedule
Section: Medical and Therapeutic Services
Billed by: Endocrinology

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $152.64 |
| National facility | $152.64 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| District of Columbia | $179.70 | $179.70 |
| California | $179.55 | $179.55 |
| Washington | $173.43 | $173.43 |
| Hawaii | $172.62 | $172.62 |
| New Jersey | $171.80 | $171.80 |
| Massachusetts | $171.03 | $171.03 |
| New York | $170.70 | $170.70 |
| Connecticut | $164.62 | $164.62 |
| Colorado | $161.94 | $161.94 |
| Alaska | $161.71 | $161.71 |
| Oregon | $160.26 | $160.26 |
| Maryland | $159.19 | $159.19 |
| New Hampshire | $158.62 | $158.62 |
| Rhode Island | $157.44 | $157.44 |
| Minnesota | $155.84 | $155.84 |
| Florida | $154.73 | $154.73 |
| Puerto Rico | $154.28 | $154.28 |
| Virgin Islands | $154.28 | $154.28 |
| Montana | $152.64 | $152.64 |
| Nevada | $152.51 | $152.51 |
| Wyoming | $152.21 | $152.21 |
| North Dakota | $151.65 | $151.65 |
| South Dakota | $151.53 | $151.53 |
| Delaware | $150.66 | $150.66 |
| Vermont | $150.31 | $150.31 |
| Texas | $150.18 | $150.18 |
| Pennsylvania | $149.66 | $149.66 |
| Virginia | $149.58 | $149.58 |
| Illinois | $149.07 | $149.07 |
| Arizona | $147.72 | $147.72 |
| Georgia | $146.02 | $146.02 |
| Maine | $145.30 | $145.30 |
| Wisconsin | $145.15 | $145.15 |
| Michigan | $144.11 | $144.11 |
| Utah | $143.41 | $143.41 |
| North Carolina | $141.92 | $141.92 |
| South Carolina | $140.92 | $140.92 |
| Indiana | $140.76 | $140.76 |
| New Mexico | $140.45 | $140.45 |
| Missouri | $140.18 | $140.18 |
| Nebraska | $139.98 | $139.98 |
| Idaho | $139.68 | $139.68 |
| Louisiana | $139.59 | $139.59 |
| Ohio | $139.52 | $139.52 |
| Iowa | $138.80 | $138.80 |
| Tennessee | $138.13 | $138.13 |
| Kansas | $137.32 | $137.32 |
| Oklahoma | $136.12 | $136.12 |
| Kentucky | $135.74 | $135.74 |
| West Virginia | $133.58 | $133.58 |
| Alabama | $133.05 | $133.05 |
| Mississippi | $131.22 | $131.22 |
| Arkansas | $130.55 | $130.55 |

## 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
- 95249: Ambulatory continuous glucose monitoring, patient-provided equipment, sensor placement, calibration, training — https://www.med-reveal.com/rates/95249-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 95250 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