# CPT 98012: Synchronous audio-only telemedicine E/M service, established patient, straightforward medical decision making

Medicare CPT 98012 pays $37.74 in a non-facility setting and $27.72 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $35.02 in Arkansas to $48.95 in Alaska, a 40% spread.

Web page: https://www.med-reveal.com/rates/98012-cpt-fee-schedule
Section: Evaluation and Management

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $37.74 |
| National facility | $27.72 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| Alaska | $48.95 | $38.28 |
| District of Columbia | $41.68 | $29.88 |
| New York | $40.95 | $29.77 |
| New Jersey | $40.82 | $29.54 |
| California | $40.60 | $28.75 |
| Washington | $40.20 | $28.78 |
| Massachusetts | $39.97 | $28.71 |
| Connecticut | $39.59 | $28.80 |
| Hawaii | $39.19 | $27.80 |
| Florida | $39.06 | $29.00 |
| Maryland | $38.75 | $28.31 |
| Colorado | $38.65 | $27.99 |
| Illinois | $38.54 | $28.86 |
| Rhode Island | $38.50 | $28.15 |
| Oregon | $38.34 | $27.78 |
| New Hampshire | $38.18 | $27.75 |
| Puerto Rico | $37.88 | $27.75 |
| Virgin Islands | $37.88 | $27.75 |
| Montana | $37.74 | $27.72 |
| Pennsylvania | $37.73 | $27.92 |
| Delaware | $37.54 | $27.64 |
| Texas | $37.54 | $27.68 |
| Nevada | $37.53 | $27.50 |
| Wyoming | $37.40 | $27.38 |
| Michigan | $37.39 | $27.99 |
| Georgia | $37.36 | $27.80 |
| Minnesota | $37.23 | $26.92 |
| Arizona | $37.10 | $27.39 |
| Virginia | $37.10 | $27.25 |
| North Dakota | $36.95 | $26.93 |
| Vermont | $36.94 | $27.02 |
| South Dakota | $36.86 | $26.84 |
| New Mexico | $36.79 | $27.60 |
| Utah | $36.72 | $27.31 |
| Maine | $36.59 | $27.02 |
| Louisiana | $36.53 | $27.38 |
| Missouri | $36.51 | $27.32 |
| Ohio | $36.48 | $27.33 |
| South Carolina | $36.43 | $27.17 |
| West Virginia | $36.39 | $27.69 |
| North Carolina | $36.28 | $26.93 |
| Wisconsin | $36.20 | $26.60 |
| Kentucky | $36.00 | $27.09 |
| Indiana | $35.98 | $26.69 |
| Oklahoma | $35.87 | $26.92 |
| Idaho | $35.86 | $26.64 |
| Tennessee | $35.79 | $26.68 |
| Nebraska | $35.78 | $26.53 |
| Iowa | $35.69 | $26.52 |
| Kansas | $35.67 | $26.61 |
| Mississippi | $35.35 | $26.72 |
| Alabama | $35.33 | $26.56 |
| Arkansas | $35.02 | $26.42 |

## 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 98012 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