# CPT 95251: Ambulatory continuous glucose monitoring, analysis and interpretation

Medicare CPT 95251 pays $35.07 in a non-facility setting and $35.07 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $32.75 in Arkansas to $46.37 in Alaska, a 42% spread.

Web page: https://www.med-reveal.com/rates/95251-cpt-fee-schedule
Section: Medical and Therapeutic Services
Billed by: Endocrinology

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $35.07 |
| National facility | $35.07 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| Alaska | $46.37 | $46.37 |
| District of Columbia | $38.39 | $38.39 |
| New York | $37.98 | $37.98 |
| New Jersey | $37.72 | $37.72 |
| California | $37.08 | $37.08 |
| Washington | $36.93 | $36.93 |
| Massachusetts | $36.78 | $36.78 |
| Connecticut | $36.70 | $36.70 |
| Florida | $36.69 | $36.69 |
| Illinois | $36.31 | $36.31 |
| Maryland | $35.95 | $35.95 |
| Hawaii | $35.83 | $35.83 |
| Rhode Island | $35.67 | $35.67 |
| Colorado | $35.66 | $35.66 |
| Oregon | $35.36 | $35.36 |
| New Hampshire | $35.30 | $35.30 |
| Pennsylvania | $35.17 | $35.17 |
| Puerto Rico | $35.16 | $35.16 |
| Virgin Islands | $35.16 | $35.16 |
| Michigan | $35.10 | $35.10 |
| Montana | $35.07 | $35.07 |
| Georgia | $34.95 | $34.95 |
| Texas | $34.91 | $34.91 |
| Delaware | $34.89 | $34.89 |
| Nevada | $34.80 | $34.80 |
| Wyoming | $34.64 | $34.64 |
| New Mexico | $34.52 | $34.52 |
| Arizona | $34.50 | $34.50 |
| Virginia | $34.40 | $34.40 |
| West Virginia | $34.39 | $34.39 |
| Utah | $34.26 | $34.26 |
| Louisiana | $34.22 | $34.22 |
| Minnesota | $34.21 | $34.21 |
| Missouri | $34.16 | $34.16 |
| Ohio | $34.15 | $34.15 |
| Vermont | $34.14 | $34.14 |
| North Dakota | $34.08 | $34.08 |
| South Carolina | $34.01 | $34.01 |
| Maine | $33.97 | $33.97 |
| South Dakota | $33.96 | $33.96 |
| North Carolina | $33.75 | $33.75 |
| Kentucky | $33.74 | $33.74 |
| Oklahoma | $33.55 | $33.55 |
| Wisconsin | $33.47 | $33.47 |
| Indiana | $33.43 | $33.43 |
| Idaho | $33.34 | $33.34 |
| Tennessee | $33.33 | $33.33 |
| Kansas | $33.22 | $33.22 |
| Nebraska | $33.21 | $33.21 |
| Iowa | $33.16 | $33.16 |
| Mississippi | $33.15 | $33.15 |
| Alabama | $33.01 | $33.01 |
| Arkansas | $32.75 | $32.75 |

## 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
- 95250: Ambulatory continuous glucose monitoring, physician-provided equipment — https://www.med-reveal.com/rates/95250-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 95251 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