Alabama Medicaid Fee Schedule
Alabama Medicaid pays $110.42 for an established-patient office visit (99213): 4th-highest of 45 Medicaid programs, at 155% of the median. Its rates for the most-billed codes are below, ranked against every state.
- Schedule as of
- September 2026
- Codes priced
- 5,928
- 99213 vs. median
- 155% of median
Current Alabama Medicaid rates for common codes
Each amount is the unmodified non-facility rate in the September 2026 schedule. Where a code appears under more than one rate type, it is the state's ordinary statewide rate when its rules name one, and otherwise the median across rate types. Modifier-specific and facility-only rows are listed separately under the service.
| Code | Service | Non-facility rate | Prior auth |
|---|---|---|---|
| 99213 | Office visit, established patient (low complexity) | $110.424th-highest of 45 · 155% of median | Not required |
| 99214 | Office visit, established patient (moderate complexity) | $164.234th-highest of 45 · 162% of median | Not required |
| 99203 | Office visit, new patient (low complexity) | $163.922nd-highest of 45 · 183% of median | Not required |
| 99204 | Office visit, new patient (moderate complexity) | $251.302nd-highest of 45 · 187% of median | Not required |
| 99285 | Emergency department visit, high severity with threat to function | $272.742nd-highest of 42 · 197% of median | Not required |
Dot: Alabama. Tick: median across state programs. Line: lowest to highest state. Base fee-for-service rates; supplemental payments some states add are not included.
Alabama is 4th-highest of 45 for 99213. See where all 5,928 Alabama Medicaid codes rank.
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Compare any other code across state programs. The free view shows a few states per code; Alabama's full schedule is in the complete dataset.
Neighboring and high-enrollment Medicaid fee schedules
States bordering Alabama first, then the largest programs.