Arizona Medicaid rate for CPT 99213
AHCCCS pays a median of $60.84 across its rate types for CPT 99213 in its October 2026 fee-for-service schedule: the 14th-lowest of 45 state Medicaid programs, at 86% of the $71.05 median.
- Non-facility rate
- $60.84
- Rank
- 32 of 45
- vs. state median
- 86%
- vs. AZ Medicare
- 65%
What AHCCCS publishes for 99213
14th-lowest of 45 · 86% of median
- Schedule
- October 2026
- In effect since
- Oct 1, 2024
$57.78 to $67.60 across 7 rate types
- Provider type 08
- $67.60
- Provider type 31
- $67.60
- General
- $64.20
- Provider type 18
- $60.84
- Provider type 19
- $60.84
- Provider type 09
- $57.78
- Provider type CN
- $57.78
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. AHCCCS Physician Rates
99213 in neighboring states
Each state's comparable non-facility rate for 99213 in its current schedule.
| State | Rate | vs. Arizona |
|---|---|---|
| Colorado | $73.99 | +22% |
| New Mexico | $128.92 | +112% |
| Nevada | $61.32 | +1% |
| Utah | $71.05 | +17% |
99213 in every state
Map and ranking of every state program that prices 99213.
Compare 99213 across states99213 under Medicare
Medicare's 2026 non-facility payment for 99213 in Arizona is $93.25; AHCCCS's rate is 65% of that. The national amount before geographic adjustment is $95.193.
See 99213 Medicare ratesSee Arizona's full schedule: all 7,610 codes, every published period, and commercial payer rates for 99213.
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