# CPT 98009: Synchronous audio-only telemedicine E/M service, new patient, low medical decision making

Medicare CPT 98009 pays $83.84 in a non-facility setting and $66.13 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $78.28 in Arkansas to $110.26 in Alaska, a 41% spread.

Web page: https://www.med-reveal.com/rates/98009-cpt-fee-schedule
Section: Evaluation and Management

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $83.84 |
| National facility | $66.13 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| Alaska | $110.26 | $91.41 |
| District of Columbia | $92.14 | $71.29 |
| New York | $90.73 | $70.98 |
| New Jersey | $90.41 | $70.48 |
| California | $89.64 | $68.69 |
| Washington | $88.90 | $68.72 |
| Massachusetts | $88.43 | $68.54 |
| Connecticut | $87.74 | $68.67 |
| Florida | $86.78 | $69.02 |
| Hawaii | $86.55 | $66.42 |
| Maryland | $85.98 | $67.52 |
| Illinois | $85.78 | $68.67 |
| Colorado | $85.66 | $66.82 |
| Rhode Island | $85.45 | $67.17 |
| Oregon | $84.98 | $66.33 |
| New Hampshire | $84.65 | $66.22 |
| Puerto Rico | $84.11 | $66.21 |
| Virgin Islands | $84.11 | $66.21 |
| Pennsylvania | $83.92 | $66.58 |
| Montana | $83.83 | $66.13 |
| Texas | $83.46 | $66.03 |
| Delaware | $83.44 | $65.95 |
| Nevada | $83.36 | $65.64 |
| Michigan | $83.29 | $66.66 |
| Georgia | $83.17 | $66.28 |
| Wyoming | $83.05 | $65.35 |
| Minnesota | $82.56 | $64.35 |
| Arizona | $82.50 | $65.35 |
| Virginia | $82.46 | $65.06 |
| Vermont | $82.06 | $64.54 |
| North Dakota | $82.05 | $64.35 |
| New Mexico | $82.03 | $65.80 |
| South Dakota | $81.84 | $64.14 |
| Utah | $81.79 | $65.15 |
| Louisiana | $81.45 | $65.29 |
| Maine | $81.43 | $64.51 |
| Missouri | $81.40 | $65.15 |
| Ohio | $81.33 | $65.17 |
| West Virginia | $81.33 | $65.94 |
| South Carolina | $81.18 | $64.82 |
| North Carolina | $80.80 | $64.29 |
| Wisconsin | $80.54 | $63.58 |
| Kentucky | $80.36 | $64.62 |
| Indiana | $80.17 | $63.76 |
| Oklahoma | $80.06 | $64.25 |
| Idaho | $79.93 | $63.64 |
| Tennessee | $79.80 | $63.71 |
| Nebraska | $79.73 | $63.39 |
| Kansas | $79.56 | $63.55 |
| Iowa | $79.55 | $63.36 |
| Mississippi | $79.01 | $63.77 |
| Alabama | $78.90 | $63.41 |
| Arkansas | $78.28 | $63.07 |

## 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 98009 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