CPT 99360

Phys Standby Svc Prolng Phys Attn Ea 30 Minutes

CPT 99360 pays $51.44 in a non-facility setting and $51.44 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $49.03 in Arkansas to $71.01 in Alaska, a 45% spread.

National non-facility rate

$51.44

Office and other outpatient settings

Facility rate
$51.44

Hospital and ASC settings

Highest state
$71.01

Alaska

Lowest state
$49.03

Arkansas · 45% 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 $51.44
CPT 99360 Medicare reimbursement rate by state, 33.4009 conversion factor, 2026 Physician Fee Schedule. National non-facility $51.44, national facility $51.44.
StateRate compared visuallyNon-facilityFacility
Alaska
$71.01$71.01
District of Columbia
$55.47$55.47
New York
$55.22$55.22
New Jersey
$54.83$54.83
Florida
$53.68$53.68
Washington
$53.47$53.47
California
$53.46$53.46
Connecticut
$53.42$53.42
Illinois
$53.40$53.40
Massachusetts
$53.33$53.33
Maryland
$52.52$52.52
Rhode Island
$52.24$52.24
Colorado
$51.98$51.98
Michigan
$51.84$51.84
Pennsylvania
$51.77$51.77
Hawaii
$51.69$51.69
Oregon
$51.59$51.59
Georgia
$51.54$51.54
New Hampshire
$51.51$51.51
Puerto Rico
$51.50$51.50
Virgin Islands
$51.50$51.50
Montana
$51.43$51.43
Texas
$51.35$51.35
Delaware
$51.29$51.29
West Virginia
$51.26$51.26
New Mexico
$51.16$51.16
Nevada
$51.06$51.06
Wyoming
$50.83$50.83
Arizona
$50.82$50.82
Louisiana
$50.76$50.76
Ohio
$50.67$50.67
Missouri
$50.66$50.66
Utah
$50.66$50.66
Virginia
$50.60$50.60
South Carolina
$50.40$50.40
Kentucky
$50.24$50.24
Vermont
$50.19$50.19
Maine
$50.16$50.16
Minnesota
$50.05$50.05
North Dakota
$50.05$50.05
North Carolina
$49.99$49.99
Oklahoma
$49.95$49.95
South Dakota
$49.88$49.88
Indiana
$49.58$49.58
Mississippi
$49.57$49.57
Tennessee
$49.53$49.53
Idaho
$49.48$49.48
Wisconsin
$49.44$49.44
Kansas
$49.41$49.41
Alabama
$49.30$49.30
Nebraska
$49.29$49.29
Iowa
$49.26$49.26
Arkansas
$49.03$49.03

Billed by 1 specialties

Commercial rates for 99360

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

See negotiated rates