# CPT 99406: Smoking and tobacco use cessation counseling, 3-10 minutes

Medicare CPT 99406 pays $15.36 in a non-facility setting and $10.69 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $14.10 in Arkansas to $19.51 in Alaska, a 38% spread.

Web page: https://www.med-reveal.com/rates/99406-cpt-fee-schedule
Section: Medical and Therapeutic Services
Billed by: Evaluation

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $15.36 |
| National facility | $10.69 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| Alaska | $19.51 | $14.53 |
| District of Columbia | $17.06 | $11.55 |
| New York | $16.76 | $11.54 |
| New Jersey | $16.67 | $11.41 |
| California | $16.57 | $11.04 |
| Washington | $16.41 | $11.08 |
| Massachusetts | $16.32 | $11.06 |
| Connecticut | $16.18 | $11.14 |
| Florida | $16.02 | $11.33 |
| Hawaii | $16.00 | $10.68 |
| Maryland | $15.81 | $10.93 |
| Illinois | $15.78 | $11.26 |
| Colorado | $15.74 | $10.77 |
| Rhode Island | $15.67 | $10.83 |
| Oregon | $15.60 | $10.68 |
| New Hampshire | $15.55 | $10.69 |
| Puerto Rico | $15.43 | $10.70 |
| Virgin Islands | $15.43 | $10.70 |
| Montana | $15.36 | $10.69 |
| Pennsylvania | $15.35 | $10.77 |
| Delaware | $15.26 | $10.64 |
| Nevada | $15.26 | $10.58 |
| Texas | $15.26 | $10.65 |
| Michigan | $15.23 | $10.84 |
| Georgia | $15.20 | $10.74 |
| Wyoming | $15.19 | $10.51 |
| Minnesota | $15.09 | $10.28 |
| Arizona | $15.06 | $10.53 |
| Virginia | $15.05 | $10.46 |
| North Dakota | $14.97 | $10.29 |
| Vermont | $14.97 | $10.34 |
| New Mexico | $14.94 | $10.66 |
| South Dakota | $14.92 | $10.24 |
| Utah | $14.90 | $10.50 |
| Louisiana | $14.82 | $10.55 |
| Maine | $14.82 | $10.35 |
| Missouri | $14.81 | $10.51 |
| Ohio | $14.79 | $10.52 |
| West Virginia | $14.78 | $10.71 |
| South Carolina | $14.76 | $10.44 |
| North Carolina | $14.68 | $10.31 |
| Wisconsin | $14.62 | $10.14 |
| Kentucky | $14.57 | $10.41 |
| Indiana | $14.53 | $10.20 |
| Oklahoma | $14.50 | $10.32 |
| Idaho | $14.48 | $10.18 |
| Tennessee | $14.45 | $10.20 |
| Nebraska | $14.43 | $10.12 |
| Iowa | $14.39 | $10.12 |
| Kansas | $14.39 | $10.16 |
| Mississippi | $14.26 | $10.24 |
| Alabama | $14.24 | $10.15 |
| Arkansas | $14.10 | $10.08 |

## Related codes

- 99401: Preventive medicine counseling, individual, approximately 15 minutes — https://www.med-reveal.com/rates/99401-cpt-fee-schedule
- 99402: Preventive medicine counseling, individual, approximately 30 minutes — https://www.med-reveal.com/rates/99402-cpt-fee-schedule
- 99403: Preventive medicine counseling, individual, approximately 45 minutes — https://www.med-reveal.com/rates/99403-cpt-fee-schedule
- 99404: Preventive medicine counseling, individual, approximately 60 minutes — https://www.med-reveal.com/rates/99404-cpt-fee-schedule
- 99407: Smoking and tobacco use cessation counseling, greater than 10 minutes — https://www.med-reveal.com/rates/99407-cpt-fee-schedule
- 99408: Alcohol and/or substance abuse structured screening and brief intervention, 15-30 minutes — https://www.med-reveal.com/rates/99408-cpt-fee-schedule
- 99409: Alcohol and/or substance abuse structured screening and brief intervention, greater than 30 minutes — https://www.med-reveal.com/rates/99409-cpt-fee-schedule
- 99411: Preventive medicine counseling, group, approximately 30 minutes — https://www.med-reveal.com/rates/99411-cpt-fee-schedule

Commercial negotiated rates for 99406 by payer and state: https://www.med-reveal.com/solutions/rate-benchmarking

## Sources

- CMS Medicare fee schedules (2026 Q4): https://www.cms.gov/medicare/payment/fee-schedules