CPT 99307

Sbsq Nursing Facility Care Sf Mdm 10 Minutes

CPT 99307 pays $42.09 in a non-facility setting and $37.07 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $38.87 in Arkansas to $54.13 in Alaska, a 39% spread.

National non-facility rate

$42.09

Office and other outpatient settings

Facility rate
$37.07

Hospital and ASC settings

Highest state
$54.13

Alaska

Lowest state
$38.87

Arkansas · 39% 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 $42.09
CPT 99307 Medicare reimbursement rate by state, 33.4009 conversion factor, 2026 Physician Fee Schedule. National non-facility $42.09, national facility $37.07.
StateRate compared visuallyNon-facilityFacility
Alaska
$54.13$48.80
District of Columbia
$46.57$40.67
New York
$45.76$40.17
New Jersey
$45.57$39.93
California
$45.28$39.35
Washington
$44.85$39.14
Massachusetts
$44.59$38.96
Connecticut
$44.22$38.82
Florida
$43.72$38.70
Hawaii
$43.72$38.02
Maryland
$43.24$38.02
Illinois
$43.11$38.27
Colorado
$43.09$37.76
Rhode Island
$42.91$37.74
Oregon
$42.72$37.44
New Hampshire
$42.57$37.36
Puerto Rico
$42.25$37.18
Virgin Islands
$42.25$37.18
Montana
$42.08$37.07
Pennsylvania
$42.06$37.15
Delaware
$41.83$36.88
Texas
$41.83$36.90
Nevada
$41.82$36.81
Michigan
$41.73$37.02
Georgia
$41.66$36.89
Wyoming
$41.65$36.64
Minnesota
$41.40$36.25
Arizona
$41.32$36.46
Virginia
$41.30$36.38
North Dakota
$41.09$36.08
Vermont
$41.09$36.13
New Mexico
$41.01$36.41
South Dakota
$40.98$35.97
Utah
$40.89$36.18
Maine
$40.70$35.92
Louisiana
$40.68$36.11
Missouri
$40.66$36.06
Ohio
$40.62$36.04
West Virginia
$40.57$36.22
South Carolina
$40.54$35.91
North Carolina
$40.34$35.67
Wisconsin
$40.21$35.41
Kentucky
$40.05$35.60
Indiana
$39.98$35.34
Oklahoma
$39.89$35.42
Idaho
$39.84$35.23
Tennessee
$39.76$35.21
Nebraska
$39.73$35.11
Iowa
$39.63$35.05
Kansas
$39.62$35.09
Mississippi
$39.28$34.97
Alabama
$39.23$34.85
Arkansas
$38.87$34.57

Billed by 2 specialties

Commercial rates for 99307

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

See negotiated rates