# CPT 99307: Subsequent nursing facility care, straightforward medical decision making

Medicare 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.

Web page: https://www.med-reveal.com/rates/99307-cpt-fee-schedule
Section: Evaluation and Management
Billed by: Evaluation, Internal Medicine

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $42.09 |
| National facility | $37.07 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| Alaska | $54.13 | $48.80 |
| District of Columbia | $46.57 | $40.67 |
| New York | $45.76 | $40.18 |
| New Jersey | $45.58 | $39.94 |
| California | $45.28 | $39.35 |
| Washington | $44.86 | $39.14 |
| Massachusetts | $44.59 | $38.97 |
| Connecticut | $44.22 | $38.82 |
| Florida | $43.73 | $38.70 |
| Hawaii | $43.72 | $38.02 |
| Maryland | $43.25 | $38.02 |
| Illinois | $43.12 | $38.27 |
| Colorado | $43.09 | $37.76 |
| Rhode Island | $42.91 | $37.74 |
| Oregon | $42.72 | $37.45 |
| New Hampshire | $42.57 | $37.36 |
| Puerto Rico | $42.25 | $37.18 |
| Virgin Islands | $42.25 | $37.18 |
| Montana | $42.08 | $37.07 |
| Pennsylvania | $42.07 | $37.16 |
| Delaware | $41.83 | $36.88 |
| Texas | $41.83 | $36.90 |
| Nevada | $41.82 | $36.81 |
| Michigan | $41.73 | $37.02 |
| Georgia | $41.67 | $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 | $40.71 | $35.92 |
| Louisiana | $40.69 | $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 |

## Related codes

- 99304: Initial nursing facility care, straightforward to low medical decision making — https://www.med-reveal.com/rates/99304-cpt-fee-schedule
- 99305: Initial nursing facility care, moderate medical decision making — https://www.med-reveal.com/rates/99305-cpt-fee-schedule
- 99306: Initial nursing facility care, high medical decision making — https://www.med-reveal.com/rates/99306-cpt-fee-schedule
- 99308: Subsequent nursing facility care, low medical decision making — https://www.med-reveal.com/rates/99308-cpt-fee-schedule
- 99309: Subsequent nursing facility care, moderate medical decision making — https://www.med-reveal.com/rates/99309-cpt-fee-schedule
- 99310: Subsequent nursing facility care, high medical decision making — https://www.med-reveal.com/rates/99310-cpt-fee-schedule
- 99315: Nursing facility discharge day management, 30 minutes or less — https://www.med-reveal.com/rates/99315-cpt-fee-schedule
- 99316: Nursing facility discharge day management, more than 30 minutes — https://www.med-reveal.com/rates/99316-cpt-fee-schedule

Commercial negotiated rates for 99307 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