# HCPCS G0557: Advanced primary care management, level 2 (2 or more chronic conditions)

Medicare HCPCS G0557 pays $53.78 in a non-facility setting and $33.73 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $49.24 in Arkansas to $67.60 in Alaska, a 37% spread.

Web page: https://www.med-reveal.com/rates/G0557-hcpcs-fee-schedule
Section: Evaluation and Management

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $53.78 |
| National facility | $33.73 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| Alaska | $67.60 | $46.26 |
| District of Columbia | $60.05 | $36.44 |
| California | $58.77 | $35.06 |
| New York | $58.64 | $36.29 |
| New Jersey | $58.56 | $35.99 |
| Washington | $57.93 | $35.08 |
| Massachusetts | $57.51 | $34.99 |
| Hawaii | $56.69 | $33.90 |
| Connecticut | $56.67 | $35.09 |
| Florida | $55.44 | $35.34 |
| Colorado | $55.41 | $34.08 |
| Maryland | $55.36 | $34.47 |
| Rhode Island | $54.95 | $34.25 |
| Oregon | $54.93 | $33.82 |
| New Hampshire | $54.65 | $33.79 |
| Illinois | $54.50 | $35.13 |
| Puerto Rico | $54.04 | $33.78 |
| Virgin Islands | $54.04 | $33.78 |
| Montana | $53.77 | $33.73 |
| Pennsylvania | $53.58 | $33.95 |
| Nevada | $53.52 | $33.46 |
| Delaware | $53.42 | $33.62 |
| Texas | $53.39 | $33.66 |
| Minnesota | $53.36 | $32.74 |
| Wyoming | $53.34 | $33.30 |
| Georgia | $52.93 | $33.81 |
| Michigan | $52.85 | $34.03 |
| Virginia | $52.84 | $33.14 |
| North Dakota | $52.78 | $32.74 |
| Arizona | $52.72 | $33.30 |
| Vermont | $52.69 | $32.85 |
| South Dakota | $52.67 | $32.63 |
| Utah | $52.02 | $33.18 |
| Maine | $51.98 | $32.83 |
| New Mexico | $51.92 | $33.54 |
| Missouri | $51.58 | $33.19 |
| Louisiana | $51.56 | $33.26 |
| South Carolina | $51.52 | $33.00 |
| Wisconsin | $51.51 | $32.31 |
| Ohio | $51.49 | $33.20 |
| North Carolina | $51.40 | $32.71 |
| West Virginia | $51.04 | $33.62 |
| Indiana | $50.99 | $32.41 |
| Idaho | $50.78 | $32.35 |
| Kentucky | $50.70 | $32.89 |
| Nebraska | $50.70 | $32.21 |
| Tennessee | $50.60 | $32.38 |
| Oklahoma | $50.58 | $32.68 |
| Iowa | $50.53 | $32.19 |
| Kansas | $50.41 | $32.30 |
| Alabama | $49.75 | $32.22 |
| Mississippi | $49.67 | $32.42 |
| Arkansas | $49.24 | $32.03 |

## 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 G0557 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