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RPM Reimbursement Rates 2026: What Medicare Pays for Each RPM and RTM Code
RPM reimbursement rates for 2026: Medicare's national amounts for every RPM and RTM code, the new 2026 codes, why your local rate differs and how to look it up.
The short answer
- 01In 2026 Medicare's national non-facility amount is $52.11 for a month of device supply (99454 or the new 99445) and $51.77 for the first 20 minutes of management (99457)
- 02The new 10-minute code 99470 pays $26.05, and the new short-month device code 99445 pays the same as 99454
- 03Your own rate depends on your locality, so look it up in the CMS Physician Fee Schedule Look-Up tool before you budget
RPM reimbursement rates in 2026 come from the Medicare Physician Fee Schedule, and the headline numbers are simple. At the national non-facility level, a month of device supply pays $52.11, the first 20 minutes of treatment management pays $51.77, and each extra 20 minutes pays $41.42. Two new codes started on January 1, 2026: one for months with only 2 to 15 days of readings, and one for months with 10 to 19 minutes of management. The tables below list every remote patient monitoring (RPM) and remote therapeutic monitoring (RTM) code with its 2026 national amount, then explain why the rate your practice receives is different, and how to find it.
How the 2026 amounts are worked out
Medicare sets a number of relative value units (RVUs) for each code and multiplies it by a conversion factor. For 2026 the conversion factor is $33.4009 for most clinicians, and $33.5675 for qualifying participants in advanced alternative payment models. Every amount in this article uses the $33.4009 factor and the total RVUs in CMS's 2026 Physician Fee Schedule data, rounded to the cent.
"Non-facility" is the rate for a service billed from an office setting. The device codes pay the same in either setting. The treatment management codes pay less in a facility setting, such as a hospital outpatient department, because the facility is paid separately for its costs.
These are allowed amounts, not the check you receive. Medicare generally pays 80% and the patient owes 20% coinsurance after the Part B deductible, so collecting the patient's share is part of the revenue.
RPM reimbursement rates 2026, code by code
| Code | What it covers | 2026 national non-facility amount |
|---|---|---|
| 99453 | Device setup and patient education, once per episode | $21.71 |
| 99454 | Device supply, 16 to 30 days of readings in 30 days | $52.11 |
| 99445 | Device supply, 2 to 15 days of readings in 30 days (new in 2026) | $52.11 |
| 99457 | Treatment management, first 20 minutes in a calendar month | $51.77 |
| 99458 | Each additional 20 minutes in the same month | $41.42 |
| 99470 | Treatment management, first 10 minutes in a calendar month (new in 2026) | $26.05 |
| 99091 | Collection and interpretation of data by the practitioner, at least 30 minutes in 30 days | $55.45 |
Source for every amount: total non-facility RVUs from the CMS 2026 fee schedule data multiplied by $33.4009.
Two of these deserve a closer look.
- 99445 pays the same as 99454. CMS gave the short-month device code the same RVUs as the 16-day code, as the 2026 final rule explains. You bill one or the other for a 30-day period, never both.
- 99470 pays about half of 99457. It is for months that reach 10 minutes of management but not 20, and it is billed instead of 99457, not with it.
In a facility setting, 99457 drops to $26.39, 99458 to $26.39 and 99470 to $13.36, using the facility RVUs in the same CMS data.
For what each code requires (the day counts, the interactive communication, who can do the work), see our guide to the RPM CPT codes.
What Medicare pays for RTM in 2026
Remote therapeutic monitoring tracks things like musculoskeletal function, respiratory status or therapy adherence, instead of physiologic readings such as blood pressure. CMS added matching short-month and 10-minute RTM codes for 2026.
| Code | What it covers | 2026 national non-facility amount |
|---|---|---|
| 98975 | RTM setup and patient education | $21.71 |
| 98976 | Device supply, respiratory, 16 to 30 days | $52.11 |
| 98984 | Device supply, respiratory, 2 to 15 days (new) | $52.11 |
| 98977 | Device supply, musculoskeletal, 16 to 30 days | $51.44 |
| 98985 | Device supply, musculoskeletal, 2 to 15 days (new) | $51.44 |
| 98978 and 98986 | Device supply, cognitive behavioral therapy | Priced by your Medicare contractor |
| 98979 | Treatment management, first 10 minutes (new) | $26.39 |
| 98980 | Treatment management, first 20 minutes | $54.11 |
| 98981 | Each additional 20 minutes | $41.42 |
The two cognitive behavioral therapy device codes carry status C in the CMS data, which means your Medicare Administrative Contractor (MAC) sets the price, not the national schedule.
Why your RPM rate is not the national rate
Medicare adjusts every code for local costs. It splits the RVUs into three parts (physician work, practice expense and malpractice) and multiplies each part by a geographic practice cost index (GPCI) for your payment locality. The 2026 data has more than 100 localities.
The spread is real. Using the 2026 GPCIs in CMS's locality table, 99454 works out to about $45 in Arkansas and about $75 in the San Jose area of California. The device codes swing the most because they are almost entirely practice expense, and practice expense has the widest index range.
Two more things move your number:
- Your conversion factor. Qualifying advanced APM participants use $33.5675, so their amounts are slightly higher.
- Commercial plans and Medicaid. They set their own rates, often by contract, and some do not cover every code above. Medicare's schedule is a reference point, not a promise.
How to look up your own rate
The CMS Physician Fee Schedule Look-Up Tool shows the amount for your locality.
- Open the tool and start a search for payment amounts.
- Pick the year (2026) and enter the codes you bill, such as 99453, 99454, 99457 and 99458.
- Choose your MAC and your locality, or choose the national amount to compare.
- Read the non-facility price if you bill from an office.
- Repeat for 99445, 99470 and any RTM codes you plan to use.
Will these rates change in 2027?
Probably. The proposed rule for 2027 would lower the value of several RPM and RTM codes, pay only when the practice's own employed staff do the work, and may replace today's codes with four new Medicare codes. None of that is final yet. Our article on the 2027 Medicare physician fee schedule proposed rule explains what was proposed and when the final rule is due.
Frequently asked questions
How much does Medicare pay for RPM in 2026?
At the national non-facility level, Medicare's 2026 amounts are $21.71 for setup (99453), $52.11 for a month of device supply (99454 or 99445), $51.77 for the first 20 minutes of management (99457), $41.42 for each additional 20 minutes (99458) and $26.05 for the first 10 minutes (99470). Your local amount will differ.
What are the new RPM codes for 2026?
CPT 99445 covers device supply when a patient has 2 to 15 days of readings in a 30-day period, and CPT 99470 covers the first 10 minutes of treatment management in a calendar month. Both took effect on January 1, 2026.
Does 99445 pay less than 99454?
No. In the 2026 Medicare fee schedule, 99445 has the same RVUs as 99454, so both pay $52.11 at the national non-facility rate. They are never billed for the same 30-day period.
How do I find the RPM rate for my area?
Use the CMS Physician Fee Schedule Look-Up Tool. Choose 2026, enter the code, then choose your Medicare contractor and locality. Read the non-facility price if you bill from an office.
Is the fee schedule amount what my practice is paid?
Not all of it. The fee schedule amount is the total allowed. Medicare generally pays 80% and the patient owes 20% coinsurance after the Part B deductible, unless secondary coverage pays that share.
Sources
- CY 2026 Payment Policies Under the Physician Fee Schedule (final rule), Federal Register
- CY 2026 Medicare Physician Fee Schedule final rule fact sheet, CMS
- Physician Fee Schedule relative value files, CY 2026 (RVU26D, with GPCIs), CMS
- Search the Physician Fee Schedule (Look-Up Tool), CMS
- Medicare costs, Medicare.gov
- CY 2027 Payment Policies Under the Physician Fee Schedule (proposed rule), Federal Register
- CY 2027 Medicare Physician Fee Schedule proposed rule fact sheet, CMS