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Fee-for-service rateAs of September 2026

Alabama Medicaid rate for CPT 99213

Alabama Medicaid pays $110.42 for CPT 99213 in its September 2026 fee-for-service schedule: the 4th-highest of 45 state Medicaid programs, at 155% of the $71.05 median.

Non-facility rate
$110.42
Rank
4 of 45
vs. state median
155%
vs. AL Medicare
126%

What Alabama Medicaid publishes for 99213

4th-highest of 45 · 155% of median

4th-highest of 45 · 155% of median

Schedule
September 2026
Prior authorization
Not required

Unmodified non-facility fee-for-service rate from the state's published file. Managed-care contracts, supplemental payments, and claim-specific adjustments can change what is paid. Alabama Medicaid Fee Schedules

99213 in neighboring states

Each state's comparable non-facility rate for 99213 in its current schedule.

StateRatevs. Alabama
Georgia$82.05-26%
Mississippi$78.87-29%

99213 under Medicare

Medicare's 2026 non-facility payment for 99213 in Alabama is $87.79; Alabama Medicaid's rate is 126% of that. The national amount before geographic adjustment is $95.193.

See 99213 Medicare rates

See Alabama's full schedule: all 5,928 codes, every published period, and commercial payer rates for 99213.

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Other Alabama Medicaid rates