CPT 99310

Sbsq Nursing Facility Care High Mdm 45 Minutes

CPT 99310 pays $163.33 in a non-facility setting and $140.28 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $151.07 in Arkansas to $211.02 in Alaska, a 40% spread.

National non-facility rate

$163.33

Office and other outpatient settings

Facility rate
$140.28

Hospital and ASC settings

Highest state
$211.02

Alaska

Lowest state
$151.07

Arkansas · 40% 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 $163.33
CPT 99310 Medicare reimbursement rate by state, 33.4009 conversion factor, 2026 Physician Fee Schedule. National non-facility $163.33, national facility $140.28.
StateRate compared visuallyNon-facilityFacility
Alaska
$211.02$186.48
District of Columbia
$180.35$153.20
New York
$177.54$151.83
New Jersey
$176.64$150.69
California
$174.98$147.71
Washington
$173.59$147.31
Massachusetts
$172.65$146.76
Connecticut
$171.51$146.69
Florida
$170.18$147.06
Hawaii
$168.98$142.78
Illinois
$167.93$145.66
Maryland
$167.76$143.73
Colorado
$166.94$142.41
Rhode Island
$166.42$142.61
Oregon
$165.50$141.22
New Hampshire
$165.03$141.04
Puerto Rico
$163.92$140.62
Virgin Islands
$163.92$140.62
Pennsylvania
$163.37$140.79
Montana
$163.32$140.27
Texas
$162.37$139.68
Michigan
$162.36$140.72
Delaware
$162.34$139.57
Nevada
$162.22$139.15
Georgia
$161.96$139.97
Wyoming
$161.51$138.46
Arizona
$160.37$138.04
Minnesota
$160.21$136.50
Virginia
$160.20$137.55
New Mexico
$159.53$138.39
Vermont
$159.24$136.42
North Dakota
$159.16$136.12
Utah
$158.85$137.18
South Dakota
$158.67$135.63
Louisiana
$158.20$137.16
West Virginia
$158.13$138.10
Missouri
$158.05$136.90
Maine
$157.92$135.90
Ohio
$157.92$136.88
South Carolina
$157.51$136.21
North Carolina
$156.59$135.09
Wisconsin
$155.84$133.76
Kentucky
$155.76$135.28
Indiana
$155.14$133.78
Oklahoma
$155.05$134.47
Idaho
$154.61$133.41
Tennessee
$154.37$133.42
Nebraska
$154.13$132.86
Kansas
$153.82$132.99
Iowa
$153.76$132.68
Mississippi
$152.77$132.93
Alabama
$152.44$132.27
Arkansas
$151.07$131.28

Billed by 2 specialties

Commercial rates for 99310

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

See negotiated rates