CPT 99345

Home/Res Visit New Patient High Mdm 75 Minutes

CPT 99345 pays $210.09 in a non-facility setting and $210.09 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $195.87 in Arkansas to $275.83 in Alaska, a 41% spread.

National non-facility rate

$210.09

Office and other outpatient settings

Facility rate
$210.09

Hospital and ASC settings

Highest state
$275.83

Alaska

Lowest state
$195.87

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 $210.09
CPT 99345 Medicare reimbursement rate by state, 33.4009 conversion factor, 2026 Physician Fee Schedule. National non-facility $210.09, national facility $210.09.
StateRate compared visuallyNon-facilityFacility
Alaska
$275.83$275.83
District of Columbia
$230.88$230.88
New York
$227.58$227.58
New Jersey
$226.55$226.55
California
$224.14$224.14
Washington
$222.51$222.51
Massachusetts
$221.39$221.39
Connecticut
$219.99$219.99
Florida
$218.24$218.24
Hawaii
$216.46$216.46
Illinois
$215.72$215.72
Maryland
$215.49$215.49
Colorado
$214.44$214.44
Rhode Island
$214.03$214.03
Oregon
$212.68$212.68
New Hampshire
$212.01$212.01
Puerto Rico
$210.76$210.76
Virgin Islands
$210.76$210.76
Pennsylvania
$210.36$210.36
Montana
$210.07$210.07
Michigan
$209.09$209.09
Texas
$209.09$209.09
Delaware
$209.03$209.03
Nevada
$208.77$208.77
Georgia
$208.61$208.61
Wyoming
$207.92$207.92
Arizona
$206.65$206.65
Virginia
$206.41$206.41
Minnesota
$206.31$206.31
New Mexico
$205.78$205.78
Vermont
$205.25$205.25
North Dakota
$205.13$205.13
Utah
$204.91$204.91
South Dakota
$204.55$204.55
West Virginia
$204.24$204.24
Louisiana
$204.21$204.21
Missouri
$204.02$204.02
Ohio
$203.88$203.88
Maine
$203.76$203.76
South Carolina
$203.36$203.36
North Carolina
$202.24$202.24
Kentucky
$201.37$201.37
Wisconsin
$201.28$201.28
Indiana
$200.53$200.53
Oklahoma
$200.51$200.51
Idaho
$199.92$199.92
Tennessee
$199.66$199.66
Nebraska
$199.34$199.34
Kansas
$199.02$199.02
Iowa
$198.92$198.92
Mississippi
$197.88$197.88
Alabama
$197.45$197.45
Arkansas
$195.87$195.87

Billed by 1 specialties

Commercial rates for 99345

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

See negotiated rates