# CPT 99491: Chronic care management services personally performed by physician/QHP, first 30 minutes per month

Medicare CPT 99491 pays $89.18 in a non-facility setting and $65.47 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $82.64 in Arkansas to $115.23 in Alaska, a 39% spread.

Web page: https://www.med-reveal.com/rates/99491-cpt-fee-schedule
Section: Evaluation and Management
Billed by: Endocrinology, Evaluation, Family Medicine, Hematology & Oncology, Infectious Disease, Internal Medicine, Rheumatology, Social Worker

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $89.18 |
| National facility | $65.47 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| Alaska | $115.23 | $89.97 |
| District of Columbia | $98.65 | $70.71 |
| New York | $96.80 | $70.35 |
| New Jersey | $96.55 | $69.85 |
| California | $96.21 | $68.15 |
| Washington | $95.18 | $68.14 |
| Massachusetts | $94.59 | $67.95 |
| Connecticut | $93.59 | $68.05 |
| Hawaii | $92.86 | $65.89 |
| Florida | $92.15 | $68.35 |
| Maryland | $91.60 | $66.88 |
| Colorado | $91.43 | $66.20 |
| Rhode Island | $91.00 | $66.50 |
| Illinois | $90.88 | $67.96 |
| Oregon | $90.68 | $65.69 |
| New Hampshire | $90.28 | $65.60 |
| Puerto Rico | $89.53 | $65.56 |
| Virgin Islands | $89.53 | $65.56 |
| Montana | $89.17 | $65.46 |
| Pennsylvania | $89.10 | $65.87 |
| Nevada | $88.71 | $64.98 |
| Delaware | $88.69 | $65.26 |
| Texas | $88.68 | $65.34 |
| Wyoming | $88.40 | $64.68 |
| Michigan | $88.21 | $65.94 |
| Georgia | $88.19 | $65.57 |
| Minnesota | $88.11 | $63.71 |
| Virginia | $87.68 | $64.37 |
| Arizona | $87.63 | $64.65 |
| North Dakota | $87.39 | $63.68 |
| Vermont | $87.33 | $63.86 |
| South Dakota | $87.18 | $63.47 |
| New Mexico | $86.79 | $65.04 |
| Utah | $86.71 | $64.42 |
| Maine | $86.46 | $63.80 |
| Louisiana | $86.19 | $64.54 |
| Missouri | $86.16 | $64.40 |
| Ohio | $86.07 | $64.41 |
| South Carolina | $85.99 | $64.08 |
| West Virginia | $85.75 | $65.14 |
| North Carolina | $85.68 | $63.55 |
| Wisconsin | $85.59 | $62.87 |
| Indiana | $85.00 | $63.02 |
| Kentucky | $84.92 | $63.84 |
| Idaho | $84.71 | $62.89 |
| Oklahoma | $84.65 | $63.47 |
| Nebraska | $84.53 | $62.64 |
| Tennessee | $84.51 | $62.95 |
| Iowa | $84.30 | $62.60 |
| Kansas | $84.23 | $62.79 |
| Mississippi | $83.38 | $62.96 |
| Alabama | $83.37 | $62.62 |
| Arkansas | $82.64 | $62.27 |

## Related codes

- 99424: Principal care management services, first 30 minutes per month, physician or QHP — https://www.med-reveal.com/rates/99424-cpt-fee-schedule
- 99425: Principal care management services, each additional 30 minutes per month, physician or QHP (add-on) — https://www.med-reveal.com/rates/99425-cpt-fee-schedule
- 99426: Principal care management services, first 30 minutes per month, clinical staff — https://www.med-reveal.com/rates/99426-cpt-fee-schedule
- 99427: Principal care management services, each additional 30 minutes per month, clinical staff (add-on) — https://www.med-reveal.com/rates/99427-cpt-fee-schedule
- 99439: Chronic care management services, non-complex, each additional 20 minutes per month (add-on) — https://www.med-reveal.com/rates/99439-cpt-fee-schedule
- 99484: General behavioral health integration care management, first 20 minutes per month — https://www.med-reveal.com/rates/99484-cpt-fee-schedule
- 99487: Complex chronic care management services, first 60 minutes per month — https://www.med-reveal.com/rates/99487-cpt-fee-schedule
- 99489: Complex chronic care management services, each additional 30 minutes per month (add-on) — https://www.med-reveal.com/rates/99489-cpt-fee-schedule

Commercial negotiated rates for 99491 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