# CPT 98000: Synchronous audio-video telemedicine E/M service, new patient, straightforward medical decision making

Medicare CPT 98000 pays $53.44 in a non-facility setting and $40.08 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $49.60 in Arkansas to $69.40 in Alaska, a 40% spread.

Web page: https://www.med-reveal.com/rates/98000-cpt-fee-schedule
Section: Evaluation and Management

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $53.44 |
| National facility | $40.08 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| Alaska | $69.40 | $55.17 |
| District of Columbia | $58.97 | $43.23 |
| New York | $57.99 | $43.09 |
| New Jersey | $57.77 | $42.73 |
| California | $57.37 | $41.56 |
| Washington | $56.85 | $41.62 |
| Massachusetts | $56.53 | $41.52 |
| Connecticut | $56.05 | $41.66 |
| Florida | $55.41 | $42.00 |
| Hawaii | $55.39 | $40.20 |
| Maryland | $54.86 | $40.94 |
| Illinois | $54.69 | $41.78 |
| Colorado | $54.68 | $40.46 |
| Rhode Island | $54.49 | $40.69 |
| Oregon | $54.22 | $40.15 |
| New Hampshire | $54.03 | $40.12 |
| Puerto Rico | $53.64 | $40.13 |
| Virgin Islands | $53.64 | $40.13 |
| Montana | $53.44 | $40.08 |
| Pennsylvania | $53.44 | $40.36 |
| Delaware | $53.15 | $39.95 |
| Texas | $53.15 | $40.00 |
| Nevada | $53.13 | $39.75 |
| Michigan | $53.02 | $40.47 |
| Georgia | $52.95 | $40.20 |
| Wyoming | $52.92 | $39.56 |
| Minnesota | $52.62 | $38.87 |
| Arizona | $52.52 | $39.58 |
| Virginia | $52.51 | $39.37 |
| North Dakota | $52.25 | $38.89 |
| Vermont | $52.25 | $39.02 |
| New Mexico | $52.15 | $39.90 |
| South Dakota | $52.11 | $38.75 |
| Utah | $52.01 | $39.46 |
| Maine | $51.79 | $39.02 |
| Louisiana | $51.76 | $39.57 |
| Missouri | $51.73 | $39.47 |
| Ohio | $51.68 | $39.49 |
| West Virginia | $51.64 | $40.03 |
| South Carolina | $51.59 | $39.25 |
| North Carolina | $51.35 | $38.89 |
| Wisconsin | $51.20 | $38.40 |
| Kentucky | $51.01 | $39.13 |
| Indiana | $50.92 | $38.54 |
| Oklahoma | $50.81 | $38.88 |
| Idaho | $50.76 | $38.46 |
| Tennessee | $50.66 | $38.51 |
| Nebraska | $50.63 | $38.29 |
| Iowa | $50.50 | $38.28 |
| Kansas | $50.49 | $38.41 |
| Mississippi | $50.09 | $38.58 |
| Alabama | $50.02 | $38.33 |
| Arkansas | $49.60 | $38.12 |

## Related codes

- 98001: Synchronous audio-video telemedicine E/M service, new patient, low medical decision making — https://www.med-reveal.com/rates/98001-cpt-fee-schedule
- 98002: Synchronous audio-video telemedicine E/M service, new patient, moderate medical decision making — https://www.med-reveal.com/rates/98002-cpt-fee-schedule
- 98003: Synchronous audio-video telemedicine E/M service, new patient, high medical decision making — https://www.med-reveal.com/rates/98003-cpt-fee-schedule
- 98004: Synchronous audio-video telemedicine E/M service, established patient, straightforward medical decision making — https://www.med-reveal.com/rates/98004-cpt-fee-schedule
- 98005: Synchronous audio-video telemedicine E/M service, established patient, low medical decision making — https://www.med-reveal.com/rates/98005-cpt-fee-schedule
- 98006: Synchronous audio-video telemedicine E/M service, established patient, moderate medical decision making — https://www.med-reveal.com/rates/98006-cpt-fee-schedule
- 98007: Synchronous audio-video telemedicine E/M service, established patient, high medical decision making — https://www.med-reveal.com/rates/98007-cpt-fee-schedule
- 98008: Synchronous audio-only telemedicine E/M service, new patient, straightforward medical decision making — https://www.med-reveal.com/rates/98008-cpt-fee-schedule

Commercial negotiated rates for 98000 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