CPT 99348

Home/Res Visit Est Patient Low Mdm 30 Minutes

CPT 99348 pays $78.83 in a non-facility setting and $78.83 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $73.97 in Arkansas to $104.54 in Alaska, a 41% spread.

National non-facility rate

$78.83

Office and other outpatient settings

Facility rate
$78.83

Hospital and ASC settings

Highest state
$104.54

Alaska

Lowest state
$73.97

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 $78.83
CPT 99348 Medicare reimbursement rate by state, 33.4009 conversion factor, 2026 Physician Fee Schedule. National non-facility $78.83, national facility $78.83.
StateRate compared visuallyNon-facilityFacility
Alaska
$104.54$104.54
District of Columbia
$86.49$86.49
New York
$85.09$85.09
New Jersey
$84.92$84.92
California
$84.39$84.39
Washington
$83.61$83.61
Massachusetts
$83.15$83.15
Connecticut
$82.35$82.35
Hawaii
$81.46$81.46
Florida
$81.13$81.13
Maryland
$80.78$80.78
Colorado
$80.60$80.60
Rhode Island
$80.40$80.40
Illinois
$80.24$80.24
Oregon
$79.99$79.99
New Hampshire
$79.62$79.62
Puerto Rico
$79.08$79.08
Virgin Islands
$79.08$79.08
Pennsylvania
$78.90$78.90
Montana
$78.82$78.82
Texas
$78.53$78.53
Delaware
$78.52$78.52
Nevada
$78.46$78.46
Wyoming
$78.22$78.22
Michigan
$78.17$78.17
Georgia
$78.15$78.15
Minnesota
$77.95$77.95
Virginia
$77.69$77.69
Arizona
$77.67$77.67
North Dakota
$77.44$77.44
Vermont
$77.41$77.41
South Dakota
$77.27$77.27
New Mexico
$77.11$77.11
Utah
$77.00$77.00
Maine
$76.78$76.78
Louisiana
$76.64$76.64
Missouri
$76.62$76.62
Ohio
$76.55$76.55
South Carolina
$76.47$76.47
West Virginia
$76.38$76.38
North Carolina
$76.21$76.21
Wisconsin
$76.10$76.10
Indiana
$75.70$75.70
Kentucky
$75.70$75.70
Idaho
$75.48$75.48
Oklahoma
$75.48$75.48
Nebraska
$75.34$75.34
Tennessee
$75.34$75.34
Iowa
$75.17$75.17
Kansas
$75.13$75.13
Mississippi
$74.55$74.55
Alabama
$74.51$74.51
Arkansas
$73.97$73.97

Billed by 1 specialties

Commercial rates for 99348

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

See negotiated rates