# CPT 99195: Phlebotomy, therapeutic

Medicare CPT 99195 pays $98.20 in a non-facility setting and $98.20 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $83.78 in Arkansas to $115.57 in District of Columbia, a 38% spread.

Web page: https://www.med-reveal.com/rates/99195-cpt-fee-schedule
Section: Medical and Therapeutic Services

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $98.20 |
| National facility | $98.20 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| District of Columbia | $115.57 | $115.57 |
| California | $115.13 | $115.13 |
| Washington | $111.37 | $111.37 |
| Hawaii | $110.72 | $110.72 |
| New Jersey | $110.50 | $110.50 |
| New York | $109.96 | $109.96 |
| Massachusetts | $109.86 | $109.86 |
| Connecticut | $105.98 | $105.98 |
| Colorado | $104.01 | $104.01 |
| Alaska | $103.72 | $103.72 |
| Oregon | $102.91 | $102.91 |
| Maryland | $102.43 | $102.43 |
| New Hampshire | $101.95 | $101.95 |
| Rhode Island | $101.20 | $101.20 |
| Florida | $100.10 | $100.10 |
| Minnesota | $99.82 | $99.82 |
| Puerto Rico | $99.24 | $99.24 |
| Virgin Islands | $99.24 | $99.24 |
| Montana | $98.20 | $98.20 |
| Nevada | $98.02 | $98.02 |
| Wyoming | $97.76 | $97.76 |
| North Dakota | $97.21 | $97.21 |
| South Dakota | $97.09 | $97.09 |
| Delaware | $96.87 | $96.87 |
| Texas | $96.58 | $96.58 |
| Illinois | $96.46 | $96.46 |
| Vermont | $96.41 | $96.41 |
| Pennsylvania | $96.34 | $96.34 |
| Virginia | $96.07 | $96.07 |
| Arizona | $94.97 | $94.97 |
| Georgia | $94.09 | $94.09 |
| Maine | $93.28 | $93.28 |
| Michigan | $93.00 | $93.00 |
| Wisconsin | $92.99 | $92.99 |
| Utah | $92.24 | $92.24 |
| North Carolina | $91.13 | $91.13 |
| South Carolina | $90.61 | $90.61 |
| New Mexico | $90.52 | $90.52 |
| Indiana | $90.29 | $90.29 |
| Missouri | $90.22 | $90.22 |
| Louisiana | $89.88 | $89.88 |
| Ohio | $89.81 | $89.81 |
| Nebraska | $89.73 | $89.73 |
| Idaho | $89.60 | $89.60 |
| Iowa | $88.99 | $88.99 |
| Tennessee | $88.64 | $88.64 |
| Kansas | $88.10 | $88.10 |
| Oklahoma | $87.50 | $87.50 |
| Kentucky | $87.34 | $87.34 |
| West Virginia | $86.27 | $86.27 |
| Alabama | $85.41 | $85.41 |
| Mississippi | $84.35 | $84.35 |
| Arkansas | $83.78 | $83.78 |

## Related codes

- 99024: Postoperative follow-up visit, included in global service — https://www.med-reveal.com/rates/99024-cpt-fee-schedule
- 99050: Services provided after posted office hours — https://www.med-reveal.com/rates/99050-cpt-fee-schedule
- 99051: Services provided during regularly scheduled evening, weekend, or holiday office hours — https://www.med-reveal.com/rates/99051-cpt-fee-schedule
- 99053: Services provided between 10pm and 8am at a 24-hour facility — https://www.med-reveal.com/rates/99053-cpt-fee-schedule
- 99056: Services provided out of office at patient's request, unusual circumstances — https://www.med-reveal.com/rates/99056-cpt-fee-schedule
- 99058: Office services provided on an emergency basis — https://www.med-reveal.com/rates/99058-cpt-fee-schedule
- 99060: Services provided on an emergency basis, out of office — https://www.med-reveal.com/rates/99060-cpt-fee-schedule
- 99070: Supplies and materials provided by physician over and above usual — https://www.med-reveal.com/rates/99070-cpt-fee-schedule

Commercial negotiated rates for 99195 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