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Rates through October 2026State-published files · No login required

99053 Medicaid Fee Schedule Rates by State

Compare 99053 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.

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Current, state-published Medicaid fee-for-service rates; managed-care contracts are not included.See complete Medicaid history for 99053

99053 8 jurisdictions shown, more may be in the platform

After Hours Services, After Hours Services Are Provided In The Doctors Office Outside Typical Business Hours But At Times An Office Is Open. This May Include Hours On Sundays And Holidays Or Late At Night.Sign up free to see the CPT description

Medicaid rate by state

990538 jurisdictions shown, more may be in the platform
Rates shown
8
Shown lowest
$5.00
Shown median
$10.48
Shown highest
$26.48
Alaska: not shown here - Alaska's full fee schedule is in the platformAlabama: not shown here - Alabama's full fee schedule is in the platformArkansas: not shown here - Arkansas's full fee schedule is in the platformArizona: $11.58 (median of $11.58 to $12.87 by rate type), effective October 2026California: not shown here - California's full fee schedule is in the platformColorado: not shown here - Colorado's full fee schedule is in the platformConnecticut: $7.00, effective October 2026District of Columbia: not shown here - District of Columbia's full fee schedule is in the platformDelaware: not shown here - Delaware's full fee schedule is in the platformFlorida: not shown here - Florida's full fee schedule is in the platformGeorgia: not shown here - Georgia's full fee schedule is in the platformHawaii: not shown here - Hawaii's full fee schedule is in the platformIowa: not shown here - Iowa's full fee schedule is in the platformIdaho: not shown here - Idaho's full fee schedule is in the platformIllinois: not shown here - Illinois's full fee schedule is in the platformIndiana: not shown here - Indiana's full fee schedule is in the platformKansas: not shown here - Kansas's full fee schedule is in the platformKentucky: not shown here - Kentucky's full fee schedule is in the platformLouisiana: not shown here - Louisiana's full fee schedule is in the platformMassachusetts: not shown here - Massachusetts's full fee schedule is in the platformMaryland: not shown here - Maryland's full fee schedule is in the platformMaine: not shown here - Maine's full fee schedule is in the platformMichigan: not shown here - Michigan's full fee schedule is in the platformMinnesota: not shown here - Minnesota's full fee schedule is in the platformMissouri: $16.13, effective October 2026Mississippi: not shown here - Mississippi's full fee schedule is in the platformMontana: not shown here - Montana's full fee schedule is in the platformNorth Carolina: $26.48, effective January 2026North Dakota: not shown here - North Dakota's full fee schedule is in the platformNebraska: not shown here - Nebraska's full fee schedule is in the platformNew Hampshire: not shown here - New Hampshire's full fee schedule is in the platformNew Jersey: $5.00, effective July 2026New Mexico: $9.38, effective March 2026Nevada: not shown here - Nevada's full fee schedule is in the platformNew York: not shown here - New York's full fee schedule is in the platformOhio: not shown here - Ohio's full fee schedule is in the platformOklahoma: not shown here - Oklahoma's full fee schedule is in the platformOregon: not shown here - Oregon's full fee schedule is in the platformPennsylvania: not shown here - Pennsylvania's full fee schedule is in the platformRhode Island: not shown here - Rhode Island's full fee schedule is in the platformSouth Carolina: not shown here - South Carolina's full fee schedule is in the platformSouth Dakota: not shown here - South Dakota's full fee schedule is in the platformTexas: not shown here - Texas's full fee schedule is in the platformUtah: not shown here - Utah's full fee schedule is in the platformVirginia: not shown here - Virginia's full fee schedule is in the platformVermont: not shown here - Vermont's full fee schedule is in the platformWashington: $6.69, effective October 2026Wisconsin: not shown here - Wisconsin's full fee schedule is in the platformWest Virginia: not shown here - West Virginia's full fee schedule is in the platformWyoming: $23.58, effective September 2026AKALARAZ$11.58CACOFLGAIAIDILINKSKYLAMEMIMNMO$16.13MSMTNCNDNENM$9.38NVNYOHOKORPASCSDTN!TXUTVAWA$6.69WIWVWY$23.58
Small states:CT$7DCDEHIMAMDNHNJ$5RIVT
No published rateNot shown hereNot loaded yetNo schedule published

Ranked by rate

shown median $10.48
  1. NC$26.48
  2. WY$23.58
  3. MO$16.13
  4. AZ$11.58
  5. NM$9.38
  6. CT$7.00
  7. WA$6.69
  8. NJ$5.00

Hatched states are not shown here. Flat grey means no single comparable rate is available for 99053.

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.

Historical rates are part of the platform

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.

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The 8 jurisdictions shown in full

JurisdictionPrior authNon-facility rate
North CarolinaOct 1, 2025Not published$26.48
WyomingJan 1, 2021Not required$23.58
MissouriJul 1, 2022Not required$16.13
ArizonaOct 1, 2020
$11.58 to $12.87 across 7 rate types
General
$12.87
Provider type 08
$12.87
Provider type 31
$12.87
Provider type 09
$11.58
Provider type 18
$11.58
Provider type 19
$11.58
Provider type CN
$11.58
Not published$11.58median across rate types
New MexicoJan 1, 2025Not published$9.38
ConnecticutJan 1, 2010Not required$7.00
WashingtonOctober 2026Not published$6.69
New JerseyJul 1, 2026Not published$5.00

Comparable figures use unmodified non-facility rows. California provider rates and exact modifier tuples are listed separately where published.

More states may price 99053 than are shown here

The platform includes every schedule period published since 2001, plus the section, modifier and facility detail behind each rate.

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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
Looking for Medicare rates? Search the Medicare fee schedule.