CPT 99484

Care Mgmt Services Behavioral Hlth Cond 20 Mins

CPT 99484 pays $57.45 in a non-facility setting and $38.75 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $53.04 in Arkansas to $73.67 in Alaska, a 39% spread.

National non-facility rate

$57.45

Office and other outpatient settings

Facility rate
$38.75

Hospital and ASC settings

Highest state
$73.67

Alaska

Lowest state
$53.04

Arkansas · 39% spread

Medicare rate by state

53 Medicare jurisdictions, highest to lowest. State values average every locality in the jurisdiction at a 33.4009 conversion factor.

Non-facilityFacilityNational $57.45
CPT 99484 Medicare reimbursement rate by state, 33.4009 conversion factor, 2026 Physician Fee Schedule. National non-facility $57.45, national facility $38.75.
StateRate compared visuallyNon-facilityFacility
Alaska
$73.67$53.75
District of Columbia
$63.69$41.66
New York
$62.46$41.59
New Jersey
$62.29$41.23
California
$62.11$39.98
Washington
$61.42$40.10
Massachusetts
$61.03$40.02
Connecticut
$60.37$40.22
Hawaii
$59.95$38.68
Florida
$59.43$40.66
Maryland
$59.04$39.55
Colorado
$58.94$39.04
Rhode Island
$58.63$39.31
Illinois
$58.56$40.49
Oregon
$58.45$38.74
New Hampshire
$58.20$38.73
Puerto Rico
$57.69$38.78
Virgin Islands
$57.69$38.78
Montana
$57.45$38.74
Pennsylvania
$57.37$39.05
Nevada
$57.14$38.42
Delaware
$57.11$38.63
Texas
$57.10$38.69
Wyoming
$56.93$38.22
Michigan
$56.78$39.22
Georgia
$56.77$38.92
Minnesota
$56.75$37.50
Virginia
$56.45$38.06
Arizona
$56.41$38.28
North Dakota
$56.26$37.55
Vermont
$56.22$37.70
South Dakota
$56.12$37.41
New Mexico
$55.83$38.68
Utah
$55.78$38.20
Maine
$55.62$37.74
Louisiana
$55.42$38.35
Missouri
$55.41$38.25
Ohio
$55.34$38.27
South Carolina
$55.30$38.01
West Virginia
$55.12$38.86
North Carolina
$55.09$37.64
Wisconsin
$55.04$37.12
Indiana
$54.64$37.30
Kentucky
$54.57$37.94
Idaho
$54.44$37.23
Oklahoma
$54.39$37.69
Nebraska
$54.33$37.06
Tennessee
$54.30$37.30
Iowa
$54.17$37.05
Kansas
$54.11$37.21
Mississippi
$53.54$37.43
Alabama
$53.53$37.17
Arkansas
$53.04$36.97

Billed by 2 specialties

Commercial rates for 99484

Medicare is the floor, not the market. See what UHC, Aetna, Cigna and BCBS actually pay — down to the TIN.

See negotiated rates