CMS October 2026Physician Fee Schedule · Free lookup

CPT 99453 Medicare Fee Schedule 2026

Medicare's 2026 national payment for CPT 99453 is $21.71 in a non-facility setting ($21.71 in a facility), up 10.0% from $19.73 in 2025.

National rate, October 2026

Non-facility: $21.71
Facility: $21.71
vs. 2025: +10.0%
Commercial national avg.: $27.33

Filters

HCPCS Codes

99453

State

Year

20262025

Select one or more years

Up to 5 codes · 4 remaining

Need commercial rates?

Compare Medicare against in-network rates from 180+ payers.

Run a free sample report

Showing

Physician Fee Schedule·99453·National·2026, 2025

Current non-facility rate

$21.71▲0.0%

Facility: $21.71

Recent trend

Code description

Rem Mntr Physiol Param Setup, Remote Monitoring Of Physiologic Parameter S Eg Weight Blood Pressure Pulse Oximetry Respiratory Flow Rate Initial Set Up And Patient Education On Use Of Equipment

Code	Date	State	Non-Facility Fee	Facility Fee	Description
99453	10/2026	N/A	$21.71	$21.71	Rem Mntr Physiol Param Setup, Remote Monitoring Of Physiologic Parameter S Eg Weight Blood Pressure Pulse Oximetry Respiratory Flow Rate Initial Set Up And Patient Education On Use Of Equipment
99453	7/2026	N/A	$21.71	$21.71	Rem Mntr Physiol Param Setup, Remote Monitoring Of Physiologic Parameter S Eg Weight Blood Pressure Pulse Oximetry Respiratory Flow Rate Initial Set Up And Patient Education On Use Of Equipment
99453	4/2026	N/A	$21.71	$21.71	Rem Mntr Physiol Param Setup, Remote Monitoring Of Physiologic Parameter S Eg Weight Blood Pressure Pulse Oximetry Respiratory Flow Rate Initial Set Up And Patient Education On Use Of Equipment
99453	1/2026	N/A	$21.71	$21.71	Rem Mntr Physiol Param Setup, Remote Monitoring Of Physiologic Parameter S Eg Weight Blood Pressure Pulse Oximetry Respiratory Flow Rate Initial Set Up And Patient Education On Use Of Equipment
99453	10/2025	N/A	$19.73	$19.73	Rem Mntr Physiol Param Setup, Remote Monitoring Of Physiologic Parameter S Eg Weight Blood Pressure Pulse Oximetry Respiratory Flow Rate Initial Set Up And Patient Education On Use Of Equipment
99453	7/2025	N/A	$19.73	$19.73	Rem Mntr Physiol Param Setup, Remote Monitoring Of Physiologic Parameter S Eg Weight Blood Pressure Pulse Oximetry Respiratory Flow Rate Initial Set Up And Patient Education On Use Of Equipment
99453	4/2025	N/A	$19.73	$19.73	Rem Mntr Physiol Param Setup, Remote Monitoring Of Physiologic Parameter S Eg Weight Blood Pressure Pulse Oximetry Respiratory Flow Rate Initial Set Up And Patient Education On Use Of Equipment
99453	1/2025	N/A	$19.73	$19.73	Rem Mntr Physiol Param Setup, Remote Monitoring Of Physiologic Parameter S Eg Weight Blood Pressure Pulse Oximetry Respiratory Flow Rate Initial Set Up And Patient Education On Use Of Equipment

99453 national rate by year

Each row is the latest CMS file published that year. Change is against the year before.

CMS file	Non-facility	Facility	Change
October 2026	$21.71	$21.71	+10.0%
October 2025	$19.73	$19.73	-1.2%
March 2024	$19.97	$19.97	+3.4%
January 2023	$19.32	$19.32	+1.5%
July 2022	$19.03	$19.03	-

This is the national amount before geographic adjustment. Medicare multiplies each relative value unit by its locality's geographic practice cost index, so a practice's own allowed amount can be higher or lower; pick a state above to see its localities. The facility amount applies when the service is performed in a hospital or other facility setting.

99453: Medicare vs. commercial national average

The commercial national average for 99453, the mean of what BCBS, UnitedHealthcare, Aetna and Cigna publish nationwide, is $27.33, 126% of Medicare's $21.71.

BCBS $24.54
UnitedHealthcare $23.64
Aetna $21.94
Cigna $39.21

A national average, not a local rate: each payer's figure averages the unmodified, in-network professional rates it publishes for 99453 across the country in its transparency files. Contracted rates vary widely by market, provider and plan. Medicare's figure is its national non-facility amount before geographic adjustment.

See commercial rates in your market Commercial rates for 99453

Nearby codes

99439 Medicare rate 99454 Medicare rate 99457 Medicare rate 99458 Medicare rate 99459 Medicare rate 99487 Medicare rate

PayerPrice Platform

Compare Medicare's rate for 99453 with published commercial rates

Search negotiated rates from more than 180 commercial payers by NPI, TIN, and ZIP code. Review historical rates or export the data through API, SQL, MCP, or bulk download.

Schedule a demo Run a free sample report

Medicaid comparison

See what state Medicaid programs pay for 99453

50 state Medicaid agencies publish their own physician fee schedule. The 99453 page shows real published rates for several of them free, with effective dates and official sources.

17,674 codes and 974,327 published rates, taken from the files the state agencies publish themselves.

See Medicaid rates for 99453

$52.11

99457Rpm Tx Mgmt 1st 20 Min, Remote Physiologic Monitoring Treatment Management Services Clinical Staff/Physician/Other Qualified Health Care Professional Time In A Calendar Month Requiring 1 Real-Time Interactive Communication With The Patient/Caregiver During The Calendar Month; First 20 Minutes

$51.77

99458Rpm Tx Mgmt Ea Addl 20 Min, Remote Physiologic Monitoring Treatment Management Services Clinical Staff/Physician/Other Qualified Health Care Professional Time In A Calendar Month Requiring 1 Real-Time Interactive Communication With The Patient/Caregiver During The Calendar Month; Each Additional 20 Minutes (List Separately In Addition To Code For Primary Procedure)

$41.42

Methodology

Rates are sourced directly from CMS Physician Fee Schedule files, indexed quarterly. Non-facility and facility prices are calculated using the published GPCI for each locality and the year's conversion factor.

View CMS Physician Fee Schedule