# CPT 98961: Education&training Self-mgmt Nonphys 2-4 Pts

Medicare CPT 98961 pays $15.70 in a non-facility setting and $15.70 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $13.37 in Arkansas to $18.47 in District of Columbia, a 38% spread.

Web page: https://www.med-reveal.com/rates/98961-cpt-fee-schedule
Section: Medical and Therapeutic Services
Billed by: Endocrinology

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $15.70 |
| National facility | $15.70 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| District of Columbia | $18.47 | $18.47 |
| California | $18.36 | $18.36 |
| Washington | $17.78 | $17.78 |
| Hawaii | $17.66 | $17.66 |
| New Jersey | $17.66 | $17.66 |
| New York | $17.59 | $17.59 |
| Massachusetts | $17.54 | $17.54 |
| Connecticut | $16.95 | $16.95 |
| Colorado | $16.61 | $16.61 |
| Alaska | $16.55 | $16.55 |
| Oregon | $16.43 | $16.43 |
| Maryland | $16.38 | $16.38 |
| New Hampshire | $16.29 | $16.29 |
| Rhode Island | $16.17 | $16.17 |
| Florida | $16.07 | $16.07 |
| Minnesota | $15.91 | $15.91 |
| Puerto Rico | $15.86 | $15.86 |
| Virgin Islands | $15.86 | $15.86 |
| Montana | $15.70 | $15.70 |
| Nevada | $15.66 | $15.66 |
| Wyoming | $15.61 | $15.61 |
| North Dakota | $15.50 | $15.50 |
| Illinois | $15.49 | $15.49 |
| Delaware | $15.48 | $15.48 |
| South Dakota | $15.48 | $15.48 |
| Texas | $15.44 | $15.44 |
| Pennsylvania | $15.41 | $15.41 |
| Vermont | $15.38 | $15.38 |
| Virginia | $15.34 | $15.34 |
| Arizona | $15.17 | $15.17 |
| Georgia | $15.06 | $15.06 |
| Michigan | $14.90 | $14.90 |
| Maine | $14.89 | $14.89 |
| Wisconsin | $14.82 | $14.82 |
| Utah | $14.74 | $14.74 |
| North Carolina | $14.55 | $14.55 |
| New Mexico | $14.49 | $14.49 |
| South Carolina | $14.48 | $14.48 |
| Missouri | $14.43 | $14.43 |
| Indiana | $14.41 | $14.41 |
| Louisiana | $14.38 | $14.38 |
| Ohio | $14.36 | $14.36 |
| Nebraska | $14.31 | $14.31 |
| Idaho | $14.29 | $14.29 |
| Iowa | $14.19 | $14.19 |
| Tennessee | $14.15 | $14.15 |
| Kansas | $14.06 | $14.06 |
| Oklahoma | $13.98 | $13.98 |
| Kentucky | $13.96 | $13.96 |
| West Virginia | $13.83 | $13.83 |
| Alabama | $13.63 | $13.63 |
| Mississippi | $13.48 | $13.48 |
| Arkansas | $13.37 | $13.37 |

## 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 98961 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