# CPT 98003: Synchronous audio-video telemedicine E/M service, new patient, high medical decision making

Medicare CPT 98003 pays $185.37 in a non-facility setting and $149.64 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $173.31 in Arkansas to $244.67 in Alaska, a 41% spread.

Web page: https://www.med-reveal.com/rates/98003-cpt-fee-schedule
Section: Evaluation and Management

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $185.37 |
| National facility | $149.64 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| Alaska | $244.67 | $206.61 |
| District of Columbia | $203.42 | $161.32 |
| New York | $200.54 | $160.67 |
| New Jersey | $199.72 | $159.48 |
| California | $197.62 | $155.33 |
| Washington | $196.19 | $155.44 |
| Massachusetts | $195.20 | $155.05 |
| Connecticut | $193.92 | $155.43 |
| Florida | $192.22 | $156.36 |
| Hawaii | $190.84 | $150.21 |
| Illinois | $190.10 | $155.57 |
| Maryland | $190.05 | $152.80 |
| Colorado | $189.18 | $151.15 |
| Rhode Island | $188.87 | $151.95 |
| Oregon | $187.66 | $150.01 |
| New Hampshire | $187.02 | $149.81 |
| Puerto Rico | $185.95 | $149.81 |
| Virgin Islands | $185.95 | $149.81 |
| Pennsylvania | $185.65 | $150.64 |
| Montana | $185.36 | $149.62 |
| Texas | $184.57 | $149.38 |
| Delaware | $184.51 | $149.20 |
| Michigan | $184.49 | $150.93 |
| Nevada | $184.27 | $148.49 |
| Georgia | $184.10 | $150.01 |
| Wyoming | $183.55 | $147.81 |
| Arizona | $182.46 | $147.83 |
| Virginia | $182.27 | $147.14 |
| Minnesota | $182.22 | $145.44 |
| New Mexico | $181.68 | $148.91 |
| Vermont | $181.30 | $145.91 |
| North Dakota | $181.21 | $145.47 |
| Utah | $180.97 | $147.38 |
| South Dakota | $180.72 | $144.98 |
| Louisiana | $180.36 | $147.73 |
| West Virginia | $180.35 | $149.29 |
| Missouri | $180.20 | $147.41 |
| Ohio | $180.08 | $147.45 |
| Maine | $180.02 | $145.88 |
| South Carolina | $179.65 | $146.63 |
| North Carolina | $178.73 | $145.38 |
| Kentucky | $177.96 | $146.19 |
| Wisconsin | $177.94 | $143.70 |
| Indiana | $177.28 | $144.15 |
| Oklahoma | $177.23 | $145.32 |
| Idaho | $176.76 | $143.88 |
| Tennessee | $176.53 | $144.05 |
| Nebraska | $176.28 | $143.29 |
| Kansas | $176.00 | $143.69 |
| Iowa | $175.92 | $143.22 |
| Mississippi | $175.00 | $144.23 |
| Alabama | $174.65 | $143.38 |
| Arkansas | $173.31 | $142.61 |

## Related codes

- 98000: Synchronous audio-video telemedicine E/M service, new patient, straightforward medical decision making — https://www.med-reveal.com/rates/98000-cpt-fee-schedule
- 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
- 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 98003 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