CPT 99306

Initial Nursing Facility Care Hi Mdm 50 Minutes

CPT 99306 pays $193.06 in a non-facility setting and $163.33 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $179.68 in Arkansas to $252.51 in Alaska, a 41% spread.

National non-facility rate

$193.06

Office and other outpatient settings

Facility rate
$163.33

Hospital and ASC settings

Highest state
$252.51

Alaska

Lowest state
$179.68

Arkansas · 41% spread

Medicare rate by state

53 Medicare jurisdictions, highest to lowest. State values average every locality in the jurisdiction at a 33.4009 conversion factor.

Non-facilityFacilityNational $193.06
CPT 99306 Medicare reimbursement rate by state, 33.4009 conversion factor, 2026 Physician Fee Schedule. National non-facility $193.06, national facility $163.33.
StateRate compared visuallyNon-facilityFacility
Alaska
$252.51$220.85
District of Columbia
$212.43$177.41
New York
$209.28$176.11
New Jersey
$208.34$174.87
California
$206.28$171.10
Washington
$204.70$170.82
Massachusetts
$203.64$170.24
Connecticut
$202.28$170.27
Florida
$200.56$170.73
Hawaii
$199.20$165.40
Illinois
$198.15$169.43
Maryland
$198.08$167.09
Colorado
$197.16$165.53
Rhode Island
$196.71$166.00
Oregon
$195.53$164.21
New Hampshire
$194.90$163.96
Puerto Rico
$193.70$163.64
Virgin Islands
$193.70$163.64
Pennsylvania
$193.24$164.12
Montana
$193.04$163.32
Texas
$192.09$162.83
Delaware
$192.04$162.67
Michigan
$192.01$164.10
Nevada
$191.84$162.09
Georgia
$191.59$163.23
Wyoming
$191.06$161.33
Arizona
$189.83$161.02
Minnesota
$189.63$159.05
Virginia
$189.63$160.41
New Mexico
$188.92$161.66
Vermont
$188.58$159.15
North Dakota
$188.49$158.77
Utah
$188.17$160.22
South Dakota
$187.96$158.23
Louisiana
$187.46$160.32
West Virginia
$187.40$161.57
Missouri
$187.30$160.02
Ohio
$187.16$160.02
Maine
$187.14$158.74
South Carolina
$186.70$159.23
North Carolina
$185.70$157.96
Wisconsin
$184.87$156.39
Kentucky
$184.80$158.38
Indiana
$184.11$156.55
Oklahoma
$184.02$157.47
Idaho
$183.53$156.18
Tennessee
$183.27$156.25
Nebraska
$183.01$155.57
Kansas
$182.67$155.80
Iowa
$182.60$155.40
Mississippi
$181.53$155.94
Alabama
$181.16$155.15
Arkansas
$179.68$154.14

Billed by 2 specialties

Commercial rates for 99306

Medicare is the floor, not the market. See what UHC, Aetna, Cigna and BCBS actually pay — down to the TIN.

See negotiated rates