# CPT 99211: Established patient office/outpatient visit, may not require physician presence

Medicare CPT 99211 pays $24.38 in a non-facility setting and $7.68 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $21.68 in Arkansas to $28.41 in Alaska, a 31% spread.

Web page: https://www.med-reveal.com/rates/99211-cpt-fee-schedule
Section: Evaluation and Management
Billed by: Allergy & Immunology, Cardiovascular Disease, Child & Adolescent Psychiatry, Clinic/Center, Clinical Genetics (M.D.), Dermatology, Endocrinology, Evaluation, Family Medicine, Gastroenterology, Hematology & Oncology, Infectious Disease, Internal Medicine, Methadone Clinic, Neurological Surgery, Neurology, Obstetrics & Gynecology, Ophthalmology, Optometrist, Otolaryngology, Pain Medicine, Pediatrics, Plastic Surgery, Psychiatry & Neurology, Pulmonary Disease, Rheumatology, Sleep Medicine, Sports Medicine, Thoracic Surgery (Cardiothoracic Vascular Surgery), Urology, Vascular Surgery

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $24.38 |
| National facility | $7.68 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| Alaska | $28.41 | $10.63 |
| District of Columbia | $27.96 | $8.28 |
| California | $27.75 | $7.99 |
| Washington | $27.03 | $7.99 |
| New Jersey | $26.99 | $8.19 |
| New York | $26.87 | $8.24 |
| Massachusetts | $26.73 | $7.97 |
| Hawaii | $26.71 | $7.72 |
| Connecticut | $25.96 | $7.98 |
| Colorado | $25.54 | $7.77 |
| Oregon | $25.31 | $7.71 |
| Maryland | $25.25 | $7.85 |
| New Hampshire | $25.08 | $7.70 |
| Rhode Island | $25.06 | $7.80 |
| Florida | $24.76 | $8.00 |
| Minnesota | $24.67 | $7.49 |
| Puerto Rico | $24.58 | $7.69 |
| Virgin Islands | $24.58 | $7.69 |
| Montana | $24.38 | $7.68 |
| Nevada | $24.34 | $7.63 |
| Wyoming | $24.30 | $7.60 |
| North Dakota | $24.18 | $7.48 |
| Delaware | $24.16 | $7.66 |
| South Dakota | $24.16 | $7.46 |
| Texas | $24.11 | $7.67 |
| Illinois | $24.10 | $7.96 |
| Pennsylvania | $24.09 | $7.73 |
| Vermont | $24.04 | $7.50 |
| Virginia | $23.98 | $7.56 |
| Arizona | $23.78 | $7.59 |
| Georgia | $23.63 | $7.70 |
| Maine | $23.46 | $7.50 |
| Michigan | $23.42 | $7.74 |
| Wisconsin | $23.39 | $7.39 |
| Utah | $23.27 | $7.57 |
| North Carolina | $23.05 | $7.47 |
| South Carolina | $22.96 | $7.53 |
| New Mexico | $22.95 | $7.64 |
| Indiana | $22.89 | $7.41 |
| Missouri | $22.89 | $7.57 |
| Louisiana | $22.83 | $7.58 |
| Ohio | $22.82 | $7.57 |
| Nebraska | $22.79 | $7.37 |
| Idaho | $22.76 | $7.40 |
| Iowa | $22.65 | $7.37 |
| Tennessee | $22.59 | $7.41 |
| Kansas | $22.49 | $7.39 |
| Oklahoma | $22.38 | $7.46 |
| Kentucky | $22.35 | $7.51 |
| West Virginia | $22.16 | $7.65 |
| Alabama | $21.98 | $7.37 |
| Mississippi | $21.79 | $7.41 |
| Arkansas | $21.68 | $7.33 |

## Related codes

- 99212: Established patient office/outpatient visit, straightforward medical decision making — https://www.med-reveal.com/rates/99212-cpt-fee-schedule
- 99213: Established patient office/outpatient visit, low medical decision making — https://www.med-reveal.com/rates/99213-cpt-fee-schedule
- 99214: Established patient office/outpatient visit, moderate medical decision making — https://www.med-reveal.com/rates/99214-cpt-fee-schedule
- 99215: Established patient office/outpatient visit, high medical decision making — https://www.med-reveal.com/rates/99215-cpt-fee-schedule

Commercial negotiated rates for 99211 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