CPT 99347

Home/Res Visit Est Patient Sf Mdm 20 Minutes

CPT 99347 pays $46.09 in a non-facility setting and $46.09 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $43.37 in Arkansas to $61.48 in Alaska, a 42% spread.

National non-facility rate

$46.09

Office and other outpatient settings

Facility rate
$46.09

Hospital and ASC settings

Highest state
$61.48

Alaska

Lowest state
$43.37

Arkansas · 42% 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 $46.09
CPT 99347 Medicare reimbursement rate by state, 33.4009 conversion factor, 2026 Physician Fee Schedule. National non-facility $46.09, national facility $46.09.
StateRate compared visuallyNon-facilityFacility
Alaska
$61.48$61.48
District of Columbia
$50.48$50.48
New York
$49.70$49.70
New Jersey
$49.60$49.60
California
$49.25$49.25
Washington
$48.82$48.82
Massachusetts
$48.56$48.56
Connecticut
$48.11$48.11
Hawaii
$47.54$47.54
Florida
$47.41$47.41
Maryland
$47.21$47.21
Colorado
$47.10$47.10
Rhode Island
$47.01$47.01
Illinois
$46.92$46.92
Oregon
$46.75$46.75
New Hampshire
$46.53$46.53
Puerto Rico
$46.23$46.23
Virgin Islands
$46.23$46.23
Pennsylvania
$46.15$46.15
Montana
$46.09$46.09
Texas
$45.94$45.94
Delaware
$45.93$45.93
Nevada
$45.88$45.88
Wyoming
$45.75$45.75
Michigan
$45.74$45.74
Georgia
$45.72$45.72
Minnesota
$45.58$45.58
Arizona
$45.45$45.45
Virginia
$45.45$45.45
North Dakota
$45.30$45.30
Vermont
$45.29$45.29
South Dakota
$45.21$45.21
New Mexico
$45.14$45.14
Utah
$45.08$45.08
Maine
$44.94$44.94
Louisiana
$44.88$44.88
Missouri
$44.86$44.86
Ohio
$44.83$44.83
South Carolina
$44.78$44.78
West Virginia
$44.74$44.74
North Carolina
$44.63$44.63
Wisconsin
$44.55$44.55
Kentucky
$44.35$44.35
Indiana
$44.33$44.33
Oklahoma
$44.22$44.22
Idaho
$44.21$44.21
Tennessee
$44.14$44.14
Nebraska
$44.13$44.13
Iowa
$44.04$44.04
Kansas
$44.02$44.02
Mississippi
$43.70$43.70
Alabama
$43.68$43.68
Arkansas
$43.37$43.37

Billed by 1 specialties

Commercial rates for 99347

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

See negotiated rates