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

99367 Medicaid Fee Schedule Rates by State

Compare 99367 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.

Current, state-published Medicaid fee-for-service rates; managed-care contracts are not included.See complete Medicaid history for 99367

99367 8 jurisdictions shown, more may be in the platform

Medicaid rate by state

993678 jurisdictions shown, more may be in the platform
Comparable rates shown
7
Shown lowest
$18.40
Shown median
$34.96
Shown highest
$54.63
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: not shown here - Arizona's full fee schedule is in the platformCalifornia: rate choices by provider, program, or modifier; exact rates are listed belowColorado: not shown here - Colorado's full fee schedule is in the platformConnecticut: not shown here - Connecticut's full fee schedule is in the platformDistrict 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: $20.80 (ordinary statewide rate; $15.60 to $20.80 by rate type), effective October 2026Kentucky: $45.72, effective January 2026Louisiana: 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: not shown here - Missouri's full fee schedule is in the platformMississippi: 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: not shown here - North Carolina's full fee schedule is in the platformNorth 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: $18.40, effective July 2026New Jersey: not shown here - New Jersey's full fee schedule is in the platformNew Mexico: not shown here - New Mexico's full fee schedule is in the platformNevada: 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: $42.80, effective July 2026Oregon: 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: $34.96, effective October 2026South 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: $34.00 (median of $34.00 to $50.00 by rate type), effective October 2026Washington: not shown here - Washington's full fee schedule is in the platformWisconsin: 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: $54.63, effective September 2026AKALARAZCARatesCOFLGAIAIDILINKS$20.80KYLAMEMIMNMOMSMTNCNDNENMNVNYOHOK$42.80ORPASCSDTN!TXUTVAWAWIWVWY$54.63
Small states:CTDCDEHIMAMDNH$18.40NJRI$34.96VT$34
No published rateRate choicesNot shown hereNot loaded yetNo schedule published

Ranked by rate

shown median $34.96
  1. WY$54.63
  2. KY$45.72
  3. OK$42.80
  4. RI$34.96
  5. VT$34.00
  6. KS$20.80
  7. NH$18.40

Hatched states are not shown here. Flat grey means no single comparable rate is available for 99367.

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 7 jurisdictions shown in full

JurisdictionPrior authNon-facility rate
WyomingJul 1, 2026Not required$54.63
KentuckyJanuary 2026Not published$45.72
OklahomaJul 1, 2026Not published$42.80
Rhode IslandJan 1, 2016Not published$34.96
VermontJan 1, 2013
$34.00 to $50.00 across 9 rate types
Provider type 010 · Specialty S20 · PAC 3
$50.00
Provider type 010 · Specialty S21 · PAC 3
$50.00
Provider type 040 · Specialty S12 · PAC 3
$50.00
Provider type 017 · Specialty 065 · PAC 3
$34.00
Provider type 017 · Specialty 067 · PAC 3
$34.00
Provider type 017 · Specialty S30 · PAC 3
$34.00
Provider type T21 · Specialty 060 · PAC 3
$34.00
Provider type T44 · Specialty 098 · PAC 3
$34.00
Provider type T44 · Specialty S38 · PAC 3
$34.00
Required$34.00median across rate types
KansasJul 1, 2022
$15.60 to $20.80 across 3 rate types
Max Fee
$20.80
Max Fee with Adjustment · Exempt Physician · 75% of max fee
$15.60
Max Fee with Adjustment · Mid Level Practitioner · 75% of max fee
$15.60
Not published$20.80ordinary statewide rate
New HampshireJul 1, 2023Not required$18.40

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.

JurisdictionRate typeModifiersNon-facility rateFacility rate
CaliforniaJustice InvolvedNone$48.26$48.26
KentuckyStandard rateNone—$45.72

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 99367 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.

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