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CMS RVU26D · Effective 2026-10-01
99214 Medicare reimbursement rates in Washington
Compare 99214 physician payment amounts across CMS localities, including office and facility settings.
Amounts below use the non-QP conversion factor for participating physicians. These are base physician payments before claim-level adjustments, not patient costs or total hospital charges.
What does Medicare pay for 99214 in Washington?
Washington has 2 payment localities in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the 2 payment areas shown below, using the same CMS release.
Office / nonfacility
$138.86–$153.12
2 of 2 localities have a supported rate.
Facility setting
$85.05–$90.42
2 of 2 localities have a supported rate.
These are locality ranges, not averages or address-specific quotes. A facility-setting amount covers the physician service; it does not include a hospital’s separate bill. Choose a locality below to inspect its calculation, compare other payment areas, or price a percentage of Medicare.
Understanding the service
99213 and 99214: what changes?
Both concern established-patient office or outpatient evaluation and management. Under the medical-decision-making route, 99213 corresponds to low complexity and 99214 to moderate complexity. Eligible visits can instead be selected using qualifying practitioner time.
99213
Low medical decision making
99214
This pageModerate medical decision making
A diagnosis, medication change or the length of a note does not by itself establish the visit level. The documented service must meet the applicable requirements. The payment difference is useful for comparing a fee schedule; it does not decide which code to bill.
Compare 99214 by payment locality
Find the payment area for your service address, then open its rate page for calculation inputs, release history and the percentage-of-Medicare tool. A city may cross payment-area boundaries; the ZIP lookup above helps resolve the location.
2 of 2 payment localities
Rest Of Washington →
Office / nonfacility
$138.86
Facility
$85.05
Seattle (King Cnty) →
Office / nonfacility
$153.12
Facility
$90.42
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Primary care
Compare office and outpatient evaluation-and-management base rates.
Where these rates come from
FeeBase calculates base physician payments from CMS work, practice-expense, and malpractice RVUs, adjusted by each locality’s geographic indices and the applicable conversion factor. Unavailable or separately priced services are labeled rather than assigned a made-up amount.
Source: RVU26D. Effective 2026-10-01 through the day before 2027-01-01.