# CPT 98008: Synchronous audio-only telemedicine E/M service, new patient, straightforward medical decision making

Medicare CPT 98008 pays $50.77 in a non-facility setting and $38.75 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $47.16 in Arkansas to $66.12 in Alaska, a 40% spread.

Web page: https://www.med-reveal.com/rates/98008-cpt-fee-schedule
Section: Evaluation and Management

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $50.77 |
| National facility | $38.75 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| Alaska | $66.12 | $53.31 |
| District of Columbia | $55.95 | $41.78 |
| New York | $55.08 | $41.66 |
| New Jersey | $54.84 | $41.30 |
| California | $54.36 | $40.13 |
| Washington | $53.91 | $40.21 |
| Massachusetts | $53.62 | $40.11 |
| Connecticut | $53.23 | $40.28 |
| Florida | $52.73 | $40.66 |
| Hawaii | $52.49 | $38.82 |
| Maryland | $52.11 | $39.58 |
| Illinois | $52.07 | $40.45 |
| Colorado | $51.89 | $39.09 |
| Rhode Island | $51.74 | $39.32 |
| Oregon | $51.46 | $38.78 |
| New Hampshire | $51.29 | $38.77 |
| Puerto Rico | $50.95 | $38.79 |
| Virgin Islands | $50.95 | $38.79 |
| Pennsylvania | $50.80 | $39.02 |
| Montana | $50.77 | $38.74 |
| Texas | $50.50 | $38.66 |
| Delaware | $50.49 | $38.61 |
| Michigan | $50.45 | $39.16 |
| Nevada | $50.45 | $38.42 |
| Georgia | $50.35 | $38.88 |
| Wyoming | $50.25 | $38.22 |
| Arizona | $49.90 | $38.25 |
| Minnesota | $49.90 | $37.53 |
| Virginia | $49.86 | $38.04 |
| New Mexico | $49.62 | $38.59 |
| Vermont | $49.59 | $37.69 |
| North Dakota | $49.58 | $37.55 |
| South Dakota | $49.44 | $37.41 |
| Utah | $49.44 | $38.14 |
| Louisiana | $49.24 | $38.25 |
| Missouri | $49.20 | $38.16 |
| Maine | $49.19 | $37.70 |
| West Virginia | $49.18 | $38.73 |
| Ohio | $49.16 | $38.18 |
| South Carolina | $49.05 | $37.94 |
| North Carolina | $48.79 | $37.57 |
| Wisconsin | $48.60 | $37.08 |
| Kentucky | $48.52 | $37.83 |
| Indiana | $48.37 | $37.23 |
| Oklahoma | $48.32 | $37.58 |
| Idaho | $48.22 | $37.15 |
| Tennessee | $48.14 | $37.21 |
| Nebraska | $48.08 | $36.98 |
| Kansas | $47.98 | $37.11 |
| Iowa | $47.97 | $36.97 |
| Mississippi | $47.65 | $37.29 |
| Alabama | $47.56 | $37.04 |
| Arkansas | $47.16 | $36.83 |

## 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
- 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

Commercial negotiated rates for 98008 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