# CPT 98011: Synchronous audio-only telemedicine E/M service, new patient, high medical decision making

Medicare CPT 98011 pays $169.68 in a non-facility setting and $136.94 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $158.52 in Arkansas to $223.77 in Alaska, a 41% spread.

Web page: https://www.med-reveal.com/rates/98011-cpt-fee-schedule
Section: Evaluation and Management

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $169.68 |
| National facility | $136.94 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| Alaska | $223.77 | $188.91 |
| District of Columbia | $186.19 | $147.63 |
| New York | $183.63 | $147.12 |
| New Jersey | $182.80 | $145.95 |
| California | $180.73 | $142.00 |
| Washington | $179.49 | $142.18 |
| Massachusetts | $178.61 | $141.83 |
| Connecticut | $177.54 | $142.28 |
| Florida | $176.19 | $143.35 |
| Hawaii | $174.55 | $137.33 |
| Illinois | $174.25 | $142.61 |
| Maryland | $173.97 | $139.85 |
| Colorado | $173.09 | $138.26 |
| Rhode Island | $172.84 | $139.02 |
| Oregon | $171.69 | $137.20 |
| New Hampshire | $171.14 | $137.07 |
| Puerto Rico | $170.19 | $137.10 |
| Virgin Islands | $170.19 | $137.10 |
| Pennsylvania | $169.95 | $137.89 |
| Montana | $169.66 | $136.93 |
| Michigan | $168.98 | $138.24 |
| Texas | $168.92 | $136.70 |
| Delaware | $168.86 | $136.52 |
| Nevada | $168.62 | $135.85 |
| Georgia | $168.57 | $137.34 |
| Wyoming | $167.94 | $135.21 |
| Arizona | $166.98 | $135.26 |
| Virginia | $166.76 | $134.58 |
| Minnesota | $166.60 | $132.92 |
| New Mexico | $166.36 | $136.35 |
| Vermont | $165.82 | $133.41 |
| North Dakota | $165.71 | $132.98 |
| Utah | $165.63 | $134.86 |
| South Dakota | $165.24 | $132.51 |
| West Virginia | $165.20 | $136.76 |
| Louisiana | $165.11 | $135.22 |
| Missouri | $164.95 | $134.91 |
| Ohio | $164.85 | $134.96 |
| Maine | $164.69 | $133.41 |
| South Carolina | $164.41 | $134.16 |
| North Carolina | $163.51 | $132.97 |
| Kentucky | $162.88 | $133.78 |
| Wisconsin | $162.70 | $131.34 |
| Oklahoma | $162.18 | $132.95 |
| Indiana | $162.15 | $131.80 |
| Idaho | $161.67 | $131.55 |
| Tennessee | $161.48 | $131.72 |
| Nebraska | $161.20 | $130.99 |
| Kansas | $160.98 | $131.39 |
| Iowa | $160.88 | $130.93 |
| Mississippi | $160.13 | $131.95 |
| Alabama | $159.76 | $131.12 |
| Arkansas | $158.52 | $130.41 |

## 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 98011 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