# CPT 99417: Prolonged Outpatient E/m Service Each 15 Minutes

Medicare CPT 99417 pays $32.06 in a non-facility setting and $26.39 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $29.96 in Arkansas to $42.33 in Alaska, a 41% spread.

Web page: https://www.med-reveal.com/rates/99417-cpt-fee-schedule
Section: Evaluation and Management
Billed by: Evaluation

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $32.06 |
| National facility | $26.39 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| Alaska | $42.33 | $36.28 |
| District of Columbia | $35.16 | $28.47 |
| New York | $34.71 | $28.37 |
| New Jersey | $34.53 | $28.14 |
| California | $34.08 | $27.36 |
| Washington | $33.88 | $27.40 |
| Massachusetts | $33.72 | $27.34 |
| Connecticut | $33.55 | $27.43 |
| Florida | $33.36 | $27.67 |
| Illinois | $33.01 | $27.52 |
| Hawaii | $32.92 | $26.46 |
| Maryland | $32.87 | $26.96 |
| Colorado | $32.68 | $26.64 |
| Rhode Island | $32.65 | $26.78 |
| Oregon | $32.42 | $26.43 |
| New Hampshire | $32.32 | $26.41 |
| Puerto Rico | $32.16 | $26.42 |
| Virgin Islands | $32.16 | $26.42 |
| Pennsylvania | $32.13 | $26.57 |
| Montana | $32.06 | $26.38 |
| Michigan | $31.98 | $26.65 |
| Texas | $31.92 | $26.33 |
| Delaware | $31.91 | $26.30 |
| Georgia | $31.88 | $26.47 |
| Nevada | $31.85 | $26.17 |
| Wyoming | $31.72 | $26.04 |
| Arizona | $31.55 | $26.05 |
| Virginia | $31.50 | $25.91 |
| New Mexico | $31.47 | $26.27 |
| Minnesota | $31.42 | $25.58 |
| Utah | $31.31 | $25.97 |
| Vermont | $31.30 | $25.68 |
| West Virginia | $31.28 | $26.35 |
| North Dakota | $31.27 | $25.59 |
| Louisiana | $31.23 | $26.04 |
| Missouri | $31.19 | $25.98 |
| South Dakota | $31.18 | $25.50 |
| Ohio | $31.17 | $25.99 |
| Maine | $31.11 | $25.68 |
| South Carolina | $31.08 | $25.83 |
| North Carolina | $30.89 | $25.59 |
| Kentucky | $30.80 | $25.75 |
| Wisconsin | $30.71 | $25.27 |
| Oklahoma | $30.66 | $25.59 |
| Indiana | $30.62 | $25.36 |
| Idaho | $30.53 | $25.31 |
| Tennessee | $30.50 | $25.34 |
| Nebraska | $30.44 | $25.20 |
| Kansas | $30.41 | $25.28 |
| Iowa | $30.38 | $25.18 |
| Mississippi | $30.28 | $25.39 |
| Alabama | $30.19 | $25.22 |
| Arkansas | $29.96 | $25.08 |

## Related codes

- 99201: New Patient Office Visit: Coverage and Documentation Requirements — https://www.med-reveal.com/rates/99201-cpt-fee-schedule
- 99241: Office consultation for a new or established patient that requires these three key components: a problem-focused history; a problem-focused examination; and straightforward medical decision-making — https://www.med-reveal.com/rates/99241-cpt-fee-schedule
- 99251: Inpatient consultation for a new or established patient which requires these 3 key components: A problem focused history; A problem focused examination; and Straightforward medical decision making. — https://www.med-reveal.com/rates/99251-cpt-fee-schedule
- 99288: Phys/qhp Direction Emergency Medical Systems — https://www.med-reveal.com/rates/99288-cpt-fee-schedule
- 99354: Prolonged Service With Direct Patient Contact — https://www.med-reveal.com/rates/99354-cpt-fee-schedule
- 99355: Prolonged Service With Direct Patient Contact — https://www.med-reveal.com/rates/99355-cpt-fee-schedule
- 99358: Prolng E/m Svc Before&/after Dir Pt Care 1st Hr — https://www.med-reveal.com/rates/99358-cpt-fee-schedule
- 99359: Prolng E/m Before&/after Dir Care Ea 30 Minutes — https://www.med-reveal.com/rates/99359-cpt-fee-schedule

Commercial negotiated rates for 99417 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