# CPT 99458: Remote Physiologic Monitoring Ea Addl 20 Min Mo

Medicare CPT 99458 pays $41.42 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 $37.99 in Arkansas to $52.29 in Alaska, a 38% spread.

Web page: https://www.med-reveal.com/rates/99458-cpt-fee-schedule
Section: Medical and Therapeutic Services
Billed by: Clinical Neuropsychologist, Evaluation

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $41.42 |
| National facility | $26.39 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| Alaska | $52.29 | $36.28 |
| District of Columbia | $46.18 | $28.47 |
| California | $45.15 | $27.36 |
| New York | $45.14 | $28.37 |
| New Jersey | $45.06 | $28.14 |
| Washington | $44.54 | $27.40 |
| Massachusetts | $44.23 | $27.34 |
| Connecticut | $43.62 | $27.43 |
| Hawaii | $43.55 | $26.46 |
| Florida | $42.75 | $27.67 |
| Colorado | $42.63 | $26.64 |
| Maryland | $42.63 | $26.96 |
| Rhode Island | $42.31 | $26.78 |
| Oregon | $42.27 | $26.43 |
| New Hampshire | $42.06 | $26.41 |
| Illinois | $42.04 | $27.52 |
| Puerto Rico | $41.61 | $26.42 |
| Virgin Islands | $41.61 | $26.42 |
| Montana | $41.41 | $26.38 |
| Pennsylvania | $41.29 | $26.57 |
| Nevada | $41.21 | $26.17 |
| Delaware | $41.15 | $26.30 |
| Texas | $41.13 | $26.33 |
| Wyoming | $41.07 | $26.04 |
| Minnesota | $41.05 | $25.58 |
| Georgia | $40.81 | $26.47 |
| Michigan | $40.75 | $26.65 |
| Virginia | $40.69 | $25.91 |
| North Dakota | $40.62 | $25.59 |
| Arizona | $40.61 | $26.05 |
| Vermont | $40.56 | $25.68 |
| South Dakota | $40.53 | $25.50 |
| Utah | $40.10 | $25.97 |
| Maine | $40.05 | $25.68 |
| New Mexico | $40.05 | $26.27 |
| Louisiana | $39.77 | $26.04 |
| Missouri | $39.77 | $25.98 |
| South Carolina | $39.72 | $25.83 |
| Ohio | $39.71 | $25.99 |
| Wisconsin | $39.66 | $25.27 |
| North Carolina | $39.61 | $25.59 |
| West Virginia | $39.41 | $26.35 |
| Indiana | $39.29 | $25.36 |
| Idaho | $39.14 | $25.31 |
| Kentucky | $39.12 | $25.75 |
| Nebraska | $39.07 | $25.20 |
| Oklahoma | $39.01 | $25.59 |
| Tennessee | $39.01 | $25.34 |
| Iowa | $38.94 | $25.18 |
| Kansas | $38.86 | $25.28 |
| Alabama | $38.37 | $25.22 |
| Mississippi | $38.33 | $25.39 |
| Arkansas | $37.99 | $25.08 |

## Related codes

- 90632: Hepa Vaccine Adult Dose for Intramuscular Use — https://www.med-reveal.com/rates/90632-cpt-fee-schedule
- 90633: Hepa Vaccine 2 Dose Schedule Ped/adolesc Im Use — https://www.med-reveal.com/rates/90633-cpt-fee-schedule
- 90647: Hib Prp-omp Vaccine 3 Dose Schedule Im Use — https://www.med-reveal.com/rates/90647-cpt-fee-schedule
- 90648: Hib Prp-t Vaccine 4 Dose Schedule Im Use — https://www.med-reveal.com/rates/90648-cpt-fee-schedule
- 90680: Rv5 Vaccine 3 Dose Schedule Live for Oral Use — https://www.med-reveal.com/rates/90680-cpt-fee-schedule
- 90681: Rv1 Vaccine 2 Dose Schedule Live for Oral Use — https://www.med-reveal.com/rates/90681-cpt-fee-schedule
- 90698: Dtap-ipv/hib Vaccine for Intramuscular Use — https://www.med-reveal.com/rates/90698-cpt-fee-schedule
- 90710: Measles Mumps Rubella Varicella Vacc Live Subq — https://www.med-reveal.com/rates/90710-cpt-fee-schedule

Commercial negotiated rates for 99458 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