Notice: Standard CPT Distribution Pricing Schedule 2026 – American Medical Association

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CPT^® DATA FILES	Download
CPT^® EDUCATIONAL CONTENT	Download

CPT DATA FILES LICENSE AGREEMENT:

APPENDIX C: ROYALTY RATES

UPFRONT ANNUAL ROYALTY FEE

Effective Date	Upfront Annual Royalty Fee*	Minimum Prior Year Total Paid Royalties to Qualify for Waiver of Upfront Annual Royalty Fee**
Jan. 1, 2020	$1,050	$11,550

* Initial Upfront Annual Royalty Fee payment is due upon execution of this Agreement. An additional Upfront Annual Royalty Fee at AMA’s then-current rates is due no later than July 31 of each subsequent year of the Term.

** If Licensee’s total royalties in the previous calendar year, inclusive of all Distribution Royalties and the Upfront Annual Royalty Fee (if it was paid), exceeds the minimum amount of total paid royalties detailed in Upfront Annual Royalty Fee table, an Upfront Annual Royalty Fee will be waived.

DISTRIBUTION ROYALTY RATES

Distribution Royalty rates for applicable Licensing Models are listed below for the AMA content available for license under this Agreement. Royalty rates for content not currently included as Licensed Content under this Agreement are for reference only. Pursuant to Section 13.6, additional content may be added as Licensed Content upon execution of a written amendment to this Agreement, or such use may be subject to a separate license agreement.

2026 DISTRIBUTION ROYALTY RATES (EFFECTIVE AS OF JANUARY 1, 2026)

Table 1.1 Counting Users Model
Name of Data File	Effective Date	Distribution Royalty Rate
Current Procedural Terminology (CPT^®) Standard	January 1, 2026	$18.50 for each User
Each previous annual release of CPT	January 1, 2026	$9.25 for each User (in addition to per User royalty for current annual release as listed above)
Current Procedural Terminology (CPT®) Relative Value Units	January 1, 2026	Calculated as $18.50 for each User, in addition to $18.50 CPT Standard royalty for each User
AMA’s Version of Healthcare Common Procedure Coding System, Level II	January 1, 2026	$19.50
AMA’s Version of International Classification of Diseases, 10th Revision, Clinical Modification and Procedure Coding System	January 1, 2026	$22.00
CPT^® Consumer Friendly Data	January 1, 2026	$111.00 per 10,000 unique Consumer Users

Table 1.2 Counting Users Model – Print Licensed Products
Name of Licensed Content	Effective Date	Distribution Royalty Rate
Current Procedural Terminology, Fourth Edition and CPT® Standard Data File	January 1, 2026	$18.50 per Distributed Copy

Table 2 User Proxy Model
Name of Data File	Effective Date	Distribution Royalty Rate
Current Procedural Terminology (CPT®) Standard	January 1, 2026	$18.50 for each User
Each previous annual release of CPT	January 1, 2026	$9.25 for each User, (in addition to per User royalty for current annual release as listed above)
Current Procedural Terminology (CPT®) Relative Value Units	January 1, 2026	Calculated as $18.50 for each User, in addition to $18.50 CPT Standard royalty for each User
AMA’s Version of Healthcare Common Procedure Coding System, Level II	January 1, 2026	$19.50
AMA’s Version of International Classification of Diseases, 10th Revision, Clinical Modification and Procedure Coding System	January 1, 2026	$22.00

Table 3.1 Health Plan Model
Name of Data File	Effective Date	Supporting Product Distribution Royalty Rate (per Member)
Current Procedural Terminology (CPT^®) Standard	January 1, 2026	$0.00546
AMA’s Version of Healthcare Common Procedure Coding System, Level II	January 1, 2026	$0.00579
AMA’s Version of International Classification of Diseases, 10th Revision, Clinical Modification and Procedure Coding System	January 1, 2026	$0.00657

Table 4.1 Provider Health Analytics Model

Name of Data File	Effective Date	Provider Health Analytics Model Systems Array	Hospital/ Health System Setting Core Product Distribution Royalty Rate (per Weighted Patient Interaction)	Hospital/ Health System Setting Supporting Product Distribution Royalty Rate (per Weighted Patient Interaction)	Ambulatory Only Setting Core Product Distribution Royalty Rate (per Billing Provider)	Ambulatory Only Setting Supporting Product Distribution Royalty Rate (per Billing Provider)	Targeted Product Distribution Royalty Rate (per Person in Population)	Per Member Per Year Core Product Distribution Royalty Rate	Per Member Per Year Supporting Product Distribution Royalty Rate
Current Procedural Terminology (CPT^®) Standard	Jan. 1, 2026	Applies to all Provider Health Analytics Model Systems Arrays	$0.00163	$0.000272	$3.82	$0.65	$0.0109 (Value Based Care Analytics Systems Array only)	$0.0218	$0.00546
Each Previous Annual Release of CPT Standard	Jan. 1, 2026	Applies to all Provider Health Analytics Model Systems Arrays	50% of current annual release Royalty Rate for Applicable Systems Array	50% of current annual release Royalty Rate for Applicable Systems Array	50% of current annual release Royalty Rate for Applicable Systems Array	50% of current annual release Royalty Rate for Applicable Systems Array	50% of current annual release Royalty Rate for Value-Based Care Analytics Systems Array	50% of current annual release Royalty Rate for Applicable Systems Array	50% of current annual release Royalty Rate for Applicable Systems Array

AMA’s Version of Healthcare Common Procedure Coding System, Level II	Jan. 1, 2026	Applies to all Provider Health Analytics Model Systems Arrays	$0.00175	$0.000294	$4.05	$0.70	$0.0115	N/A	N/A
AMA’s Version of International Classification of Diseases, 10th Revision, Clinical Modification and Procedure Coding System	Jan. 1, 2026	Applies to all Provider Health Analytics Model Systems Arrays	$0.00196	$0.000328	$4.59	$0.78	$0.01308	N/A	N/A

Table 4.2 Provider Health Analytics Model – Integrated Products
Name of Data File	Effective Date	Number of Systems Arrays In which Covered Product is recorded as a Core Product	Hospital/Health System Setting Integrated Product Distribution Royalty Rate (per Weighted Patient Interaction)	Ambulatory Only Setting Integrated Product Distribution Royalty Rate (per Billing Provider)
Current Procedural Terminology (CPT®) Standard	Jan. 1, 2026	2 - 3	$0.00326	$7.65
Each Previous Annual Release of CPT Standard	Jan. 1, 2026	2 - 3	50% of current annual release Royalty Rate detailed above	50% of current annual release Royalty Rate detailed above
Current Procedural Terminology (CPT®) Standard	Jan. 1, 2026	4 - 5	$0.00573	$13.39
Each Previous Annual Release of CPT Standard	Jan. 1, 2026	4 - 5	50% of current annual release Royalty Rate detailed above	50% of current annual release Royalty Rate detailed above

Table 4(A) Provider Health Analytics Model – Provider Clearinghouse
Name of Data File	Effective Date	Provider Clearinghouse Tier	Distribution Royalty Rate (per Billing Provider)
Current Procedural Terminology (CPT®) Standard	Jan. 1, 2026	Tier 1	N/A
		Tier 2	$0.65
		Tier 3	$1.30
AMA’s Version of Healthcare Common Procedure Coding System, Level II	Jan. 1, 2026	Tier 1	N/A
		Tier 2	$0.70
		Tier 3	$1.40
AMA’s Version of International Classification of Diseases, 10th Revision, Clinical Modification and Procedure Coding System	Jan. 1, 2026	Tier 1	N/A
		Tier 2	$0.78
		Tier 3	$1.56

Table 5.1 Telemedicine and Remote Patient Monitoring Model
Name of Data File	Effective Date	Virtual Clinical Care Product Distribution Royalty Rate (per Countable Virtual Interaction)	Remote Patient Monitoring Product Distribution Royalty Rate (per Quarterly Monitored Person)	Remote Patient Monitoring Program Distribution Royalty Rate (per Quarterly Active Enrolled Person)
Current Procedural Terminology (CPT®) Standard	January 1, 2026	$0.053	$0.053	$0.079
Each Previous Annual Release of CPT Standard	January 1, 2026	$0.0265	$0.0265	$0.0395

CPT^® EDUCATIONAL CONTENT LICENSE AGREEMENT:

APPENDIX C: ROYALTY RATES

ACQUISITION ROYALTY FEES (IF APPLICABLE)
Name of Educational Content	Effective Date	Acquisition Royalty Fee due for Each Annual Release***
CPT^® Link	January 1, 2020	$13,000
******* The Acquisition Royalty Fee for specified Educational Content is due prior to AMA’s delivery or grant of access to the Educational Content. Additional Acquisition Royalty Fees at AMA’s then-current rates shall be due for each subsequent annual release of specified Educational Content licensed under this Agreement.

UPFRONT ROYALTY (IF APPLICABLE)
Name of Educational Content	Effective Date	Metric Range: Number of “Customers”	Upfront Royalty Rate (per annual product)
CPT^® Refresh	January 1, 2026	1 to 49	$2,000.00
		50 to 124	$10,000.00
		125 to 349	$20,000.00
		350 to 1,999	$35,000.00
		2,000 to 9,999	$75,000.00
		10,000 and over	$200,000.00
CPT^® Refresh Premium*	January 1, 2026	1 to 49	$5,000.00
		50 to 124	$25,000.00
		125 to 349	$50,000.00
		350 to 1,999	$95,000.00
		2,000 to 9,999	$200,000.00
		10,000 and over	$500,000.00

* Upgrade to CPT Refresh Premium from CPT Refresh requires an existing license in good standing for CPT Refresh content and payment of the difference between the Upfront Royalty for CPT Refresh and CPT Refresh Premium, with no proration. The upgrade license for CPT Refresh Premium is coterminous with the Licensee’s original CPT Refresh or CPT Refresh Premium license term.

DISTRIBUTION ROYALTY RATES

Distribution Royalty rates for applicable Licensing Models are listed below for the AMA content available for license under this Agreement. Royalty rates for content not currently included as Educational Content under this Agreement are for reference only. Pursuant to Section 13.6, additional content may be added as Educational Content upon execution of a written amendment to this Agreement, or such use may be subject to a separate license agreement.

2026 DISTRIBUTION ROYALTY RATES (EFFECTIVE AS OF JANUARY 1, 2026)

Table 1 Counting Users Model
Name of Educational Content	Effective Date	Distribution Royalty Rate
CPT^® Advanced Coding Pack (content included: CPT^® Assistant, CPT^® Knowledge Base, and CPT^® Vignettes)*	January 1, 2026	$195.00 for each User*
CPT^® Assistant (base content)	January 1, 2026	$143.00 for each User
Upgrade from CPT^® Assistant base content to CPT^® Advanced Coding Pack**	January 1, 2026	$52.00 for each User
CPT^® Changes	January 1, 2026	$143.00 for each User

* Full Distribution Royalty for bundled content offering at AMA’s then-current rate (at the time of execution, renewal or extension) applies for each twelve-months period for every End User and is not conditioned on an End User’s use of all components of the bundled content offering.

**Upgrade to CPT Advanced Coding Pack requires an existing license in good standing for CPT Assistant base content, and is coterminous with the End User’s original CPT Assistant license term.

Table 2 User Proxy Model
Name of Educational Content	Effective Date	Distribution Royalty Rate
CPT^® Advanced Coding Pack (content included: CPT^® Assistant, CPT^® Knowledge Base, and CPT^® Vignettes)*	January 1, 2026	$195.00 for each User*
CPT^® Assistant (base content)	January 1, 2026	$143.00 for each User
Upgrade from CPT^® Assistant base content to CPT^® Advanced Coding Pack**	January 1, 2026	$52.00 for each User
CPT^® Changes	January 1, 2026	$143.00 for each User

**Upgrade to CPT Advanced Coding Pack requires an existing license in good standing for CPT Assistant base content, and is coterminous with the End User’s original CPT Assistant license term.

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