# CPT 98004: Synchronous audio-video telemedicine E/M service, established patient, straightforward medical decision making

Medicare CPT 98004 pays $41.08 in a non-facility setting and $30.06 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $38.13 in Arkansas to $53.24 in Alaska, a 40% spread.

Web page: https://www.med-reveal.com/rates/98004-cpt-fee-schedule
Section: Evaluation and Management

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $41.08 |
| National facility | $30.06 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| Alaska | $53.24 | $41.50 |
| District of Columbia | $45.41 | $32.43 |
| New York | $44.56 | $32.27 |
| New Jersey | $44.46 | $32.05 |
| California | $44.31 | $31.27 |
| Washington | $43.83 | $31.27 |
| Massachusetts | $43.56 | $31.18 |
| Connecticut | $43.09 | $31.22 |
| Hawaii | $42.76 | $30.23 |
| Florida | $42.41 | $31.34 |
| Maryland | $42.19 | $30.70 |
| Colorado | $42.12 | $30.39 |
| Rhode Island | $41.92 | $30.54 |
| Illinois | $41.83 | $31.18 |
| Oregon | $41.78 | $30.17 |
| New Hampshire | $41.59 | $30.11 |
| Puerto Rico | $41.24 | $30.10 |
| Virgin Islands | $41.24 | $30.10 |
| Montana | $41.08 | $30.06 |
| Pennsylvania | $41.05 | $30.26 |
| Nevada | $40.88 | $29.84 |
| Delaware | $40.87 | $29.98 |
| Texas | $40.87 | $30.01 |
| Wyoming | $40.74 | $29.71 |
| Georgia | $40.63 | $30.12 |
| Michigan | $40.63 | $30.28 |
| Minnesota | $40.62 | $29.28 |
| Virginia | $40.41 | $29.58 |
| Arizona | $40.38 | $29.70 |
| North Dakota | $40.29 | $29.27 |
| Vermont | $40.26 | $29.35 |
| South Dakota | $40.20 | $29.17 |
| New Mexico | $39.99 | $29.89 |
| Utah | $39.96 | $29.60 |
| Maine | $39.86 | $29.33 |
| Louisiana | $39.72 | $29.66 |
| Missouri | $39.71 | $29.60 |
| Ohio | $39.67 | $29.61 |
| South Carolina | $39.64 | $29.45 |
| West Virginia | $39.51 | $29.94 |
| North Carolina | $39.50 | $29.22 |
| Wisconsin | $39.47 | $28.91 |
| Indiana | $39.20 | $28.98 |
| Kentucky | $39.15 | $29.35 |
| Idaho | $39.07 | $28.93 |
| Oklahoma | $39.03 | $29.19 |
| Nebraska | $38.99 | $28.82 |
| Tennessee | $38.98 | $28.96 |
| Iowa | $38.89 | $28.80 |
| Kansas | $38.85 | $28.89 |
| Alabama | $38.46 | $28.81 |
| Mississippi | $38.46 | $28.97 |
| Arkansas | $38.13 | $28.66 |

## 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
- 98003: Synchronous audio-video telemedicine E/M service, new patient, high medical decision making — https://www.med-reveal.com/rates/98003-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 98004 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