# CPT 99486: Supervision Interfacility Transport Addl 30 Min

Medicare CPT 99486 pays $55.45 in a non-facility setting and $55.45 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $52.95 in Arkansas to $76.74 in Alaska, a 45% spread.

Web page: https://www.med-reveal.com/rates/99486-cpt-fee-schedule
Section: Evaluation and Management
Billed by: Evaluation

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $55.45 |
| National facility | $55.45 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| Alaska | $76.74 | $76.74 |
| District of Columbia | $59.78 | $59.78 |
| New York | $59.46 | $59.46 |
| New Jersey | $59.10 | $59.10 |
| California | $57.71 | $57.71 |
| Florida | $57.69 | $57.69 |
| Washington | $57.68 | $57.68 |
| Connecticut | $57.55 | $57.55 |
| Massachusetts | $57.52 | $57.52 |
| Illinois | $57.40 | $57.40 |
| Maryland | $56.60 | $56.60 |
| Rhode Island | $56.34 | $56.34 |
| Colorado | $56.07 | $56.07 |
| Michigan | $55.81 | $55.81 |
| Pennsylvania | $55.80 | $55.80 |
| Hawaii | $55.79 | $55.79 |
| Oregon | $55.67 | $55.67 |
| New Hampshire | $55.55 | $55.55 |
| Georgia | $55.53 | $55.53 |
| Puerto Rico | $55.52 | $55.52 |
| Virgin Islands | $55.52 | $55.52 |
| Montana | $55.44 | $55.44 |
| Texas | $55.37 | $55.37 |
| Delaware | $55.31 | $55.31 |
| West Virginia | $55.18 | $55.18 |
| New Mexico | $55.11 | $55.11 |
| Nevada | $55.06 | $55.06 |
| Wyoming | $54.84 | $54.84 |
| Arizona | $54.81 | $54.81 |
| Louisiana | $54.71 | $54.71 |
| Utah | $54.63 | $54.63 |
| Ohio | $54.62 | $54.62 |
| Missouri | $54.61 | $54.61 |
| Virginia | $54.59 | $54.59 |
| South Carolina | $54.36 | $54.36 |
| Vermont | $54.19 | $54.19 |
| Kentucky | $54.17 | $54.17 |
| Maine | $54.15 | $54.15 |
| Minnesota | $54.08 | $54.08 |
| North Dakota | $54.06 | $54.06 |
| North Carolina | $53.95 | $53.95 |
| Oklahoma | $53.89 | $53.89 |
| South Dakota | $53.89 | $53.89 |
| Indiana | $53.54 | $53.54 |
| Mississippi | $53.49 | $53.49 |
| Tennessee | $53.48 | $53.48 |
| Idaho | $53.44 | $53.44 |
| Wisconsin | $53.42 | $53.42 |
| Kansas | $53.36 | $53.36 |
| Nebraska | $53.25 | $53.25 |
| Alabama | $53.22 | $53.22 |
| Iowa | $53.21 | $53.21 |
| Arkansas | $52.95 | $52.95 |

## 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 99486 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