81403 Medicaid Fee Schedule Rates by State
Compare 81403 across covered Medicaid fee-for-service physician schedules. Comparable rankings use unmodified non-facility rates; provider, program, and modifier-specific fees appear as labeled ranges or separate choices.
These are agency-published fee-for-service amounts, not managed-care contracted rates or a guarantee of payment. The free view shows all covered jurisdictions for 20 common codes, including 99213, 99214, 99203 and up to 8 jurisdictions for other published codes.
81403 8 jurisdictions shown, more may be in the platform
Medicaid rate by state
- Comparable rates shown
- 8
- Shown lowest
- $135.22
- Shown median
- $182.885
- Shown highest
- $519.34
Ranked by rate
shown median $182.885- KS$519.34
- HI$185.20
- IN$185.20
- MN$185.20
- VT$180.57
- ID$160.01
- OR$148.16
- AR$135.22
Hatched states are not shown here. Flat grey means no single comparable rate is available for 81403.
Rate history for one state
Select a state on the map to see how its rate has moved - the platform holds 195 published periods back to 2001. Not part of the free view.
The table behind this panel shows the fields available in historical schedules; it does not display synthetic dates or rates. The real history, every published schedule back to 2001 for all 17,674 codes, is in the platform.
Book a 15-min Medicaid walkthroughThe 8 jurisdictions shown in full
| Jurisdiction | Prior auth | Non-facility rate |
|---|---|---|
KansasJan 1, 2013$389.51 to $519.34 across 3 rate types
| Not published | $519.34ordinary statewide rate |
| HawaiiJune 2026 | Not published | $185.20 |
| IndianaOct 1, 2020 | Required | $185.20 |
| MinnesotaJan 1, 2018 | Not published | $185.20 |
| VermontJan 1, 2026 | Required | $180.57 |
| IdahoSep 1, 2025 | Required | $160.01 |
| OregonOct 1, 2024 | Not published | $148.16 |
| ArkansasSeptember 2026 | Not published | $135.22 |
Rates by provider, program, modifier, or setting
Check the rate type, modifiers, and place of service before using an amount. These amounts are not interchangeable.
| Jurisdiction | Rate type | Modifiers | Non-facility rate | Facility rate |
|---|---|---|---|---|
| Arkansas | General | 26 | $9.46 | — |
| Arkansas | General | TC | $125.76 | — |
| Idaho | General | EP | $129.89 | — |
Labels summarize each state's published rate context. Provider specialty lists, place-of-service lists and adjustment codes are in the full dataset. See the full context in the platform
Comparable figures use unmodified non-facility rows. California provider rates and exact modifier tuples are listed separately where published.
More states may price 81403 than are shown here
The platform includes every schedule period published since 2001, plus the section, modifier and facility detail behind each rate.
Compare this state-published Medicaid fee-for-service amount with the negotiated commercial rates payers have published for the same code.
No comparable statewide physician fee schedule is available for Tennessee. Why.
Methodology
Each jurisdiction's published Medicaid fee-for-service physician schedule is downloaded at the source, parsed, and normalized into a shared schema of jurisdiction, effective period, rate type, code, modifier, non-facility rate, and facility rate. Rates are carried through unchanged - no averaging, interpolation, or cross-jurisdiction adjustment is applied. Where a program publishes a single rate for both settings, the same value appears in both columns. Managed-care contracts, eligibility, coverage rules, modifiers not shown, and claim-specific adjustments can produce different payment.
Medicaid benefits and coverage at Medicaid.gov