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Medicare rate data current as of December 23, 2024 (CMS Physician Fee Schedule RVU25A). Next scheduled CMS update: January 2026. About our data

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Reimbursement rates sourced from CMS Medicare Physician Fee Schedule RVU25A. Data accurate as of release date. For informational purposes only — verify with payer contracts before billing decisions.

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Home/CPT codes/99282/By state
CPT 99282E&M

Reimbursement by state

Emergency dept visit sf mdm

Highest
$54.73
Alaska
Median
$40.04
across 53 states
Lowest
$37.59
Nebraska
Spread
46%
highest vs lowest
RankStateLocalityRatevs Median
1topAlaskaAlaska$54.73+36.7%
2New YorkManhattanⓘ$45.69+14.1%
3FloridaMiamiⓘ$45.48+13.6%
4IllinoisChicagoⓘ$44.10+10.1%
5District of ColumbiaWashington DC + MD/VA Suburbs$44.06+10.0%

Methodology

Each state shows the non-facility rate for one representative Medicare locality. Most states have only one locality, but several (CA, NY, TX, FL, IL, MA, MO, NJ, OR, WA, PA) have multiple. For those, we use the largest metropolitan locality. States like California span a wide GPCI range — billers in different California cities should check the locality-specific rate on the main code page.

Rates derived from 2025 CMS Physician Fee Schedule (RVU25A) with 2025 GPCI adjustments. Conversion factor: 32.3465.

← Back to CPT 99282

6
New Jersey
Northern NJ
$43.69
+9.1%
7WashingtonSeattle (King County)$42.82+6.9%
8MassachusettsMetro Boston$42.76+6.8%
9MichiganDetroit$42.75+6.8%
10MarylandBaltimore / Surrounding Counties$42.59+6.4%
11ConnecticutConnecticut$42.41+5.9%
12PennsylvaniaMetropolitan Philadelphia$42.10+5.1%
13Rhode IslandRhode Island$40.97+2.3%
14OregonPortland$40.55+1.3%
15West VirginiaWest Virginia$40.53+1.2%
16CaliforniaLos Angeles-Long Beach-Anaheimⓘ$40.51+1.2%
17ColoradoColorado$40.49+1.1%
18DelawareDelaware$40.48+1.1%
19LouisianaNew Orleans$40.48+1.1%
20TexasHoustonⓘ$40.48+1.1%
21Puerto RicoPuerto Rico$40.42+0.9%
22Virgin IslandsVirgin Islands$40.42+0.9%
23MontanaMontana$40.36+0.8%
24New HampshireNew Hampshire$40.35+0.8%
25New MexicoNew Mexico$40.33+0.7%
26HawaiiHawaii / Guam$40.07+0.1%
27MissouriSt. Louis$40.04+0.0%
28GeorgiaGeorgia$40.00-0.1%
29NevadaNevada$39.93-0.3%
30OhioOhio$39.91-0.3%
31ArizonaArizona$39.78-0.6%
32UtahUtah$39.73-0.8%
33VirginiaVirginia$39.59-1.1%
34WyomingWyoming$39.59-1.1%
35MaineMaine (rest)$39.41-1.6%
36KentuckyKentucky$39.28-1.9%
37South CarolinaSouth Carolina$39.22-2.0%
38OklahomaOklahoma$39.05-2.5%
39North DakotaNorth Dakota$38.87-2.9%
40North CarolinaNorth Carolina$38.82-3.0%
41VermontVermont$38.82-3.0%
42MississippiMississippi$38.63-3.5%
43South DakotaSouth Dakota$38.43-4.0%
44MinnesotaMinnesota$38.35-4.2%
45KansasKansas$38.28-4.4%
46TennesseeTennessee$38.22-4.5%
47IndianaIndiana$38.21-4.6%
48AlabamaAlabama$38.13-4.8%
49IowaIowa$38.06-4.9%
50IdahoIdaho$38.03-5.0%
51WisconsinWisconsin$37.96-5.2%
52ArkansasArkansas$37.88-5.4%
53lowNebraskaNebraska$37.59-6.1%