# CPT 99411: Preventive medicine counseling, group, approximately 30 minutes

Medicare CPT 99411 pays $20.37 in a non-facility setting and $6.35 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $18.09 in Arkansas to $23.71 in Alaska, a 31% spread.

Web page: https://www.med-reveal.com/rates/99411-cpt-fee-schedule
Section: Medical and Therapeutic Services
Billed by: Evaluation

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $20.37 |
| National facility | $6.35 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| Alaska | $23.71 | $8.77 |
| District of Columbia | $23.36 | $6.83 |
| California | $23.16 | $6.56 |
| Washington | $22.57 | $6.57 |
| New Jersey | $22.56 | $6.76 |
| New York | $22.47 | $6.82 |
| Massachusetts | $22.32 | $6.56 |
| Hawaii | $22.29 | $6.34 |
| Connecticut | $21.70 | $6.59 |
| Colorado | $21.32 | $6.40 |
| Oregon | $21.13 | $6.35 |
| Maryland | $21.10 | $6.48 |
| New Hampshire | $20.95 | $6.35 |
| Rhode Island | $20.93 | $6.44 |
| Florida | $20.74 | $6.67 |
| Minnesota | $20.58 | $6.14 |
| Puerto Rico | $20.53 | $6.35 |
| Virgin Islands | $20.53 | $6.35 |
| Montana | $20.37 | $6.35 |
| Nevada | $20.33 | $6.29 |
| Wyoming | $20.29 | $6.26 |
| Delaware | $20.19 | $6.33 |
| Illinois | $20.19 | $6.64 |
| North Dakota | $20.18 | $6.15 |
| South Dakota | $20.15 | $6.12 |
| Texas | $20.15 | $6.33 |
| Pennsylvania | $20.13 | $6.40 |
| Vermont | $20.06 | $6.17 |
| Virginia | $20.02 | $6.23 |
| Arizona | $19.86 | $6.27 |
| Georgia | $19.76 | $6.37 |
| Michigan | $19.60 | $6.42 |
| Maine | $19.59 | $6.18 |
| Wisconsin | $19.51 | $6.07 |
| Utah | $19.44 | $6.25 |
| North Carolina | $19.25 | $6.16 |
| New Mexico | $19.19 | $6.33 |
| South Carolina | $19.18 | $6.22 |
| Missouri | $19.13 | $6.26 |
| Indiana | $19.11 | $6.10 |
| Louisiana | $19.08 | $6.28 |
| Ohio | $19.07 | $6.26 |
| Nebraska | $19.01 | $6.06 |
| Idaho | $19.00 | $6.09 |
| Iowa | $18.90 | $6.06 |
| Tennessee | $18.85 | $6.10 |
| Kansas | $18.77 | $6.08 |
| Oklahoma | $18.69 | $6.16 |
| Kentucky | $18.68 | $6.21 |
| West Virginia | $18.55 | $6.36 |
| Alabama | $18.35 | $6.08 |
| Mississippi | $18.20 | $6.12 |
| Arkansas | $18.09 | $6.04 |

## 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
- 99406: Smoking and tobacco use cessation counseling, 3-10 minutes — https://www.med-reveal.com/rates/99406-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

Commercial negotiated rates for 99411 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