# CPT 99474: Self-meas Bp 2 Readg 1 Min Apart Bid 30 Day Pd

Medicare CPT 99474 pays $18.37 in a non-facility setting and $8.02 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $16.51 in Arkansas to $22.01 in Alaska, a 33% spread.

Web page: https://www.med-reveal.com/rates/99474-cpt-fee-schedule
Section: Evaluation and Management
Billed by: Evaluation

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $18.37 |
| National facility | $8.02 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| Alaska | $22.01 | $10.98 |
| District of Columbia | $20.87 | $8.68 |
| California | $20.64 | $8.38 |
| New Jersey | $20.23 | $8.56 |
| Washington | $20.18 | $8.37 |
| New York | $20.16 | $8.61 |
| Massachusetts | $19.98 | $8.34 |
| Hawaii | $19.88 | $8.10 |
| Connecticut | $19.49 | $8.34 |
| Colorado | $19.14 | $8.12 |
| Maryland | $18.99 | $8.19 |
| Oregon | $18.97 | $8.06 |
| Rhode Island | $18.85 | $8.15 |
| New Hampshire | $18.82 | $8.04 |
| Florida | $18.73 | $8.34 |
| Puerto Rico | $18.50 | $8.03 |
| Virgin Islands | $18.50 | $8.03 |
| Minnesota | $18.48 | $7.83 |
| Montana | $18.37 | $8.02 |
| Nevada | $18.33 | $7.96 |
| Illinois | $18.29 | $8.29 |
| Wyoming | $18.28 | $7.93 |
| Delaware | $18.22 | $7.99 |
| Pennsylvania | $18.20 | $8.06 |
| Texas | $18.19 | $8.00 |
| North Dakota | $18.17 | $7.82 |
| South Dakota | $18.15 | $7.79 |
| Vermont | $18.09 | $7.83 |
| Virginia | $18.07 | $7.89 |
| Arizona | $17.95 | $7.92 |
| Georgia | $17.90 | $8.02 |
| Michigan | $17.77 | $8.05 |
| Maine | $17.71 | $7.82 |
| Wisconsin | $17.63 | $7.71 |
| Utah | $17.61 | $7.88 |
| New Mexico | $17.44 | $7.94 |
| North Carolina | $17.44 | $7.78 |
| South Carolina | $17.41 | $7.84 |
| Missouri | $17.37 | $7.88 |
| Louisiana | $17.34 | $7.89 |
| Ohio | $17.33 | $7.87 |
| Indiana | $17.32 | $7.72 |
| Nebraska | $17.24 | $7.68 |
| Idaho | $17.23 | $7.71 |
| Iowa | $17.15 | $7.67 |
| Tennessee | $17.12 | $7.71 |
| Kansas | $17.05 | $7.69 |
| Kentucky | $17.01 | $7.80 |
| Oklahoma | $17.01 | $7.76 |
| West Virginia | $16.94 | $7.94 |
| Alabama | $16.72 | $7.66 |
| Mississippi | $16.61 | $7.70 |
| Arkansas | $16.51 | $7.62 |

## 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 99474 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