# CPT 98970: Qnhp Ol Digital Assmt&mgmt Est Pt <7 D 5-10 Min

Medicare CPT 98970 pays $12.36 in a non-facility setting and $10.35 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $11.68 in Arkansas to $16.62 in Alaska, a 42% spread.

Web page: https://www.med-reveal.com/rates/98970-cpt-fee-schedule
Section: Medical and Therapeutic Services
Billed by: Clinical Neuropsychologist, Counselor, Marriage & Family Therapist, Methadone Clinic, Psychoanalyst, Social Worker

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $12.36 |
| National facility | $10.35 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| Alaska | $16.62 | $14.49 |
| District of Columbia | $13.50 | $11.14 |
| New York | $13.30 | $11.06 |
| New Jersey | $13.28 | $11.02 |
| California | $13.18 | $10.81 |
| Washington | $13.07 | $10.78 |
| Massachusetts | $13.00 | $10.75 |
| Connecticut | $12.88 | $10.72 |
| Hawaii | $12.72 | $10.44 |
| Florida | $12.69 | $10.68 |
| Maryland | $12.65 | $10.56 |
| Colorado | $12.62 | $10.49 |
| Rhode Island | $12.60 | $10.53 |
| Illinois | $12.57 | $10.63 |
| Oregon | $12.53 | $10.42 |
| New Hampshire | $12.47 | $10.38 |
| Puerto Rico | $12.39 | $10.37 |
| Virgin Islands | $12.39 | $10.37 |
| Pennsylvania | $12.38 | $10.42 |
| Montana | $12.36 | $10.35 |
| Delaware | $12.32 | $10.34 |
| Texas | $12.32 | $10.35 |
| Nevada | $12.31 | $10.30 |
| Georgia | $12.27 | $10.36 |
| Michigan | $12.27 | $10.39 |
| Wyoming | $12.27 | $10.27 |
| Minnesota | $12.23 | $10.17 |
| Arizona | $12.20 | $10.25 |
| Virginia | $12.20 | $10.23 |
| North Dakota | $12.16 | $10.16 |
| Vermont | $12.16 | $10.17 |
| South Dakota | $12.14 | $10.13 |
| New Mexico | $12.12 | $10.28 |
| Utah | $12.10 | $10.22 |
| Maine | $12.07 | $10.16 |
| Louisiana | $12.06 | $10.23 |
| Missouri | $12.05 | $10.21 |
| Ohio | $12.04 | $10.21 |
| South Carolina | $12.03 | $10.18 |
| West Virginia | $12.02 | $10.28 |
| North Carolina | $11.99 | $10.12 |
| Wisconsin | $11.97 | $10.05 |
| Indiana | $11.92 | $10.06 |
| Kentucky | $11.92 | $10.14 |
| Idaho | $11.89 | $10.04 |
| Oklahoma | $11.89 | $10.10 |
| Nebraska | $11.87 | $10.02 |
| Tennessee | $11.87 | $10.05 |
| Iowa | $11.84 | $10.01 |
| Kansas | $11.84 | $10.03 |
| Mississippi | $11.76 | $10.03 |
| Alabama | $11.75 | $10.00 |
| Arkansas | $11.68 | $9.96 |

## 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 98970 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