CPT 99349

Home/Res Visit Est Patient Mod Mdm 40 Minutes

CPT 99349 pays $132.27 in a non-facility setting and $132.27 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $123.27 in Arkansas to $173.57 in Alaska, a 41% spread.

National non-facility rate

$132.27

Office and other outpatient settings

Facility rate
$132.27

Hospital and ASC settings

Highest state
$173.57

Alaska

Lowest state
$123.27

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 $132.27
CPT 99349 Medicare reimbursement rate by state, 33.4009 conversion factor, 2026 Physician Fee Schedule. National non-facility $132.27, national facility $132.27.
StateRate compared visuallyNon-facilityFacility
Alaska
$173.57$173.57
District of Columbia
$145.36$145.36
New York
$143.30$143.30
New Jersey
$142.63$142.63
California
$141.07$141.07
Washington
$140.07$140.07
Massachusetts
$139.36$139.36
Connecticut
$138.52$138.52
Florida
$137.48$137.48
Hawaii
$136.24$136.24
Illinois
$135.89$135.89
Maryland
$135.67$135.67
Colorado
$134.98$134.98
Rhode Island
$134.74$134.74
Oregon
$133.87$133.87
New Hampshire
$133.46$133.46
Puerto Rico
$132.69$132.69
Virgin Islands
$132.69$132.69
Pennsylvania
$132.44$132.44
Montana
$132.26$132.26
Michigan
$131.67$131.67
Texas
$131.63$131.63
Delaware
$131.59$131.59
Nevada
$131.42$131.42
Georgia
$131.35$131.35
Wyoming
$130.88$130.88
Arizona
$130.09$130.09
Virginia
$129.92$129.92
Minnesota
$129.82$129.82
New Mexico
$129.57$129.57
Vermont
$129.17$129.17
North Dakota
$129.09$129.09
Utah
$129.00$129.00
South Dakota
$128.72$128.72
West Virginia
$128.62$128.62
Louisiana
$128.57$128.57
Missouri
$128.44$128.44
Ohio
$128.36$128.36
Maine
$128.25$128.25
South Carolina
$128.01$128.01
North Carolina
$127.29$127.29
Kentucky
$126.77$126.77
Wisconsin
$126.66$126.66
Oklahoma
$126.22$126.22
Indiana
$126.20$126.20
Idaho
$125.82$125.82
Tennessee
$125.66$125.66
Nebraska
$125.45$125.45
Kansas
$125.26$125.26
Iowa
$125.18$125.18
Mississippi
$124.56$124.56
Alabama
$124.27$124.27
Arkansas
$123.27$123.27

Billed by 1 specialties

Commercial rates for 99349

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

See negotiated rates