CPT 99493

Sbsq Psychiatric Collab Care Mgmt 1st 60 Mins

CPT 99493 pays $144.96 in a non-facility setting and $89.51 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $132.57 in Arkansas to $181.76 in Alaska, a 37% spread.

National non-facility rate

$144.96

Office and other outpatient settings

Facility rate
$89.51

Hospital and ASC settings

Highest state
$181.76

Alaska

Lowest state
$132.57

Arkansas · 37% 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 $144.96
CPT 99493 Medicare reimbursement rate by state, 33.4009 conversion factor, 2026 Physician Fee Schedule. National non-facility $144.96, national facility $89.51.
StateRate compared visuallyNon-facilityFacility
Alaska
$181.76$122.71
District of Columbia
$161.97$96.65
California
$158.43$92.83
New York
$158.19$96.33
New Jersey
$157.92$95.49
Washington
$156.18$92.98
Massachusetts
$155.05$92.76
Connecticut
$152.84$93.13
Hawaii
$152.83$89.79
Florida
$149.63$94.00
Colorado
$149.35$90.36
Maryland
$149.26$91.46
Rhode Island
$148.13$90.85
Oregon
$148.06$89.64
New Hampshire
$147.32$89.60
Illinois
$147.04$93.46
Puerto Rico
$145.68$89.62
Virgin Islands
$145.68$89.62
Montana
$144.95$89.51
Pennsylvania
$144.43$90.12
Nevada
$144.25$88.75
Delaware
$143.97$89.19
Texas
$143.89$89.30
Minnesota
$143.75$86.70
Wyoming
$143.74$88.30
Georgia
$142.68$89.78
Michigan
$142.48$90.42
Virginia
$142.36$87.86
North Dakota
$142.18$86.74
Arizona
$142.06$88.33
Vermont
$141.93$87.04
South Dakota
$141.85$86.41
Utah
$140.17$88.06
Maine
$140.02$87.04
New Mexico
$139.94$89.10
Missouri
$138.97$88.09
Louisiana
$138.93$88.31
South Carolina
$138.80$87.57
Ohio
$138.75$88.13
Wisconsin
$138.71$85.59
North Carolina
$138.46$86.73
West Virginia
$137.57$89.39
Indiana
$137.31$85.92
Idaho
$136.75$85.74
Kentucky
$136.59$87.30
Nebraska
$136.52$85.35
Tennessee
$136.26$85.86
Oklahoma
$136.23$86.72
Iowa
$136.04$85.30
Kansas
$135.75$85.62
Alabama
$133.95$85.44
Mississippi
$133.76$86.02
Arkansas
$132.57$84.94

Commercial rates for 99493

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

See negotiated rates