CPT 99309

Sbsq Nursing Facility Care Mod Mdm 30 Minutes

CPT 99309 pays $114.57 in a non-facility setting and $98.53 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $105.85 in Arkansas to $147.50 in Alaska, a 39% spread.

National non-facility rate

$114.57

Office and other outpatient settings

Facility rate
$98.53

Hospital and ASC settings

Highest state
$147.50

Alaska

Lowest state
$105.85

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 $114.57
CPT 99309 Medicare reimbursement rate by state, 33.4009 conversion factor, 2026 Physician Fee Schedule. National non-facility $114.57, national facility $98.53.
StateRate compared visuallyNon-facilityFacility
Alaska
$147.50$130.43
District of Columbia
$126.70$107.82
New York
$124.58$106.69
New Jersey
$124.02$105.97
California
$123.11$104.14
Washington
$122.00$103.73
Massachusetts
$121.31$103.30
Connecticut
$120.35$103.09
Florida
$119.14$103.06
Hawaii
$118.87$100.64
Maryland
$117.71$100.99
Illinois
$117.51$102.01
Colorado
$117.24$100.18
Rhode Island
$116.79$100.23
Oregon
$116.23$99.34
New Hampshire
$115.86$99.17
Puerto Rico
$115.00$98.79
Virgin Islands
$115.00$98.79
Montana
$114.56$98.52
Pennsylvania
$114.53$98.82
Texas
$113.88$98.09
Delaware
$113.86$98.02
Nevada
$113.83$97.78
Michigan
$113.68$98.62
Georgia
$113.48$98.18
Wyoming
$113.35$97.32
Minnesota
$112.60$96.10
Arizona
$112.47$96.94
Virginia
$112.41$96.65
Vermont
$111.80$95.93
North Dakota
$111.79$95.76
New Mexico
$111.71$97.01
South Dakota
$111.46$95.43
Utah
$111.34$96.27
Louisiana
$110.80$96.17
Maine
$110.78$95.46
Missouri
$110.72$96.01
Ohio
$110.62$95.98
West Virginia
$110.59$96.65
South Carolina
$110.39$95.57
North Carolina
$109.81$94.85
Wisconsin
$109.41$94.05
Kentucky
$109.09$94.84
Indiana
$108.82$93.96
Oklahoma
$108.63$94.31
Idaho
$108.44$93.69
Tennessee
$108.24$93.66
Nebraska
$108.13$93.34
Iowa
$107.86$93.19
Kansas
$107.85$93.36
Mississippi
$106.98$93.18
Alabama
$106.82$92.79
Arkansas
$105.85$92.07

Billed by 2 specialties

Commercial rates for 99309

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

See negotiated rates