# CPT 98013: Synchronous audio-only telemedicine E/M service, established patient, low medical decision making

Medicare CPT 98013 pays $65.80 in a non-facility setting and $51.44 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $61.37 in Arkansas to $86.31 in Alaska, a 41% spread.

Web page: https://www.med-reveal.com/rates/98013-cpt-fee-schedule
Section: Evaluation and Management

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $65.80 |
| National facility | $51.44 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| Alaska | $86.31 | $71.01 |
| District of Columbia | $72.39 | $55.47 |
| New York | $71.24 | $55.22 |
| New Jersey | $71.00 | $54.83 |
| California | $70.45 | $53.46 |
| Washington | $69.84 | $53.47 |
| Massachusetts | $69.47 | $53.33 |
| Connecticut | $68.89 | $53.42 |
| Florida | $68.09 | $53.68 |
| Hawaii | $68.02 | $51.69 |
| Maryland | $67.50 | $52.52 |
| Illinois | $67.28 | $53.41 |
| Colorado | $67.27 | $51.98 |
| Rhode Island | $67.08 | $52.24 |
| Oregon | $66.72 | $51.60 |
| New Hampshire | $66.47 | $51.51 |
| Puerto Rico | $66.02 | $51.50 |
| Virgin Islands | $66.02 | $51.50 |
| Pennsylvania | $65.84 | $51.78 |
| Montana | $65.80 | $51.43 |
| Texas | $65.49 | $51.35 |
| Delaware | $65.48 | $51.29 |
| Nevada | $65.43 | $51.06 |
| Michigan | $65.33 | $51.84 |
| Georgia | $65.24 | $51.54 |
| Wyoming | $65.19 | $50.83 |
| Minnesota | $64.83 | $50.05 |
| Arizona | $64.74 | $50.82 |
| Virginia | $64.71 | $50.60 |
| North Dakota | $64.41 | $50.05 |
| Vermont | $64.41 | $50.19 |
| New Mexico | $64.33 | $51.16 |
| South Dakota | $64.25 | $49.88 |
| Utah | $64.16 | $50.66 |
| Maine | $63.89 | $50.16 |
| Louisiana | $63.88 | $50.76 |
| Missouri | $63.84 | $50.66 |
| Ohio | $63.78 | $50.67 |
| West Virginia | $63.74 | $51.26 |
| South Carolina | $63.67 | $50.40 |
| North Carolina | $63.39 | $49.99 |
| Wisconsin | $63.20 | $49.44 |
| Kentucky | $63.01 | $50.24 |
| Indiana | $62.89 | $49.58 |
| Oklahoma | $62.78 | $49.95 |
| Idaho | $62.70 | $49.48 |
| Tennessee | $62.59 | $49.53 |
| Nebraska | $62.55 | $49.29 |
| Iowa | $62.40 | $49.26 |
| Kansas | $62.40 | $49.41 |
| Mississippi | $61.94 | $49.57 |
| Alabama | $61.86 | $49.30 |
| Arkansas | $61.37 | $49.03 |

## 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 98013 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
