# CPT 98960: Education&training Self-mgmt Nonphys 1 Pt

Medicare CPT 98960 pays $33.40 in a non-facility setting and $33.40 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $28.46 in Arkansas to $39.30 in District of Columbia, a 38% spread.

Web page: https://www.med-reveal.com/rates/98960-cpt-fee-schedule
Section: Medical and Therapeutic Services
Billed by: Endocrinology

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $33.40 |
| National facility | $33.40 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| District of Columbia | $39.30 | $39.30 |
| California | $39.09 | $39.09 |
| Washington | $37.85 | $37.85 |
| Hawaii | $37.60 | $37.60 |
| New Jersey | $37.58 | $37.58 |
| New York | $37.43 | $37.43 |
| Massachusetts | $37.34 | $37.34 |
| Connecticut | $36.06 | $36.06 |
| Colorado | $35.35 | $35.35 |
| Alaska | $35.23 | $35.23 |
| Oregon | $34.97 | $34.97 |
| Maryland | $34.85 | $34.85 |
| New Hampshire | $34.66 | $34.66 |
| Rhode Island | $34.41 | $34.41 |
| Florida | $34.14 | $34.14 |
| Minnesota | $33.88 | $33.88 |
| Puerto Rico | $33.75 | $33.75 |
| Virgin Islands | $33.75 | $33.75 |
| Montana | $33.40 | $33.40 |
| Nevada | $33.32 | $33.32 |
| Wyoming | $33.23 | $33.23 |
| North Dakota | $33.00 | $33.00 |
| South Dakota | $32.96 | $32.96 |
| Delaware | $32.94 | $32.94 |
| Illinois | $32.91 | $32.91 |
| Texas | $32.85 | $32.85 |
| Pennsylvania | $32.78 | $32.78 |
| Vermont | $32.74 | $32.74 |
| Virginia | $32.65 | $32.65 |
| Arizona | $32.29 | $32.29 |
| Georgia | $32.03 | $32.03 |
| Maine | $31.70 | $31.70 |
| Michigan | $31.68 | $31.68 |
| Wisconsin | $31.56 | $31.56 |
| Utah | $31.37 | $31.37 |
| North Carolina | $30.97 | $30.97 |
| New Mexico | $30.82 | $30.82 |
| South Carolina | $30.81 | $30.81 |
| Missouri | $30.70 | $30.70 |
| Indiana | $30.67 | $30.67 |
| Louisiana | $30.59 | $30.59 |
| Ohio | $30.56 | $30.56 |
| Nebraska | $30.46 | $30.46 |
| Idaho | $30.43 | $30.43 |
| Iowa | $30.22 | $30.22 |
| Tennessee | $30.11 | $30.11 |
| Kansas | $29.93 | $29.93 |
| Oklahoma | $29.75 | $29.75 |
| Kentucky | $29.71 | $29.71 |
| West Virginia | $29.40 | $29.40 |
| Alabama | $29.02 | $29.02 |
| Mississippi | $28.68 | $28.68 |
| Arkansas | $28.46 | $28.46 |

## Related codes

- 90632: Hepa Vaccine Adult Dose for Intramuscular Use — https://www.med-reveal.com/rates/90632-cpt-fee-schedule
- 90633: Hepa Vaccine 2 Dose Schedule Ped/adolesc Im Use — https://www.med-reveal.com/rates/90633-cpt-fee-schedule
- 90647: Hib Prp-omp Vaccine 3 Dose Schedule Im Use — https://www.med-reveal.com/rates/90647-cpt-fee-schedule
- 90648: Hib Prp-t Vaccine 4 Dose Schedule Im Use — https://www.med-reveal.com/rates/90648-cpt-fee-schedule
- 90680: Rv5 Vaccine 3 Dose Schedule Live for Oral Use — https://www.med-reveal.com/rates/90680-cpt-fee-schedule
- 90681: Rv1 Vaccine 2 Dose Schedule Live for Oral Use — https://www.med-reveal.com/rates/90681-cpt-fee-schedule
- 90698: Dtap-ipv/hib Vaccine for Intramuscular Use — https://www.med-reveal.com/rates/90698-cpt-fee-schedule
- 90710: Measles Mumps Rubella Varicella Vacc Live Subq — https://www.med-reveal.com/rates/90710-cpt-fee-schedule

Commercial negotiated rates for 98960 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