PayerPrice
Data Platform
Who We Serve
Use Cases
More
Check Local Rates
Fee-for-service rateAs of September 2026

Arkansas Medicaid rate for CPT 99204

Arkansas Medicaid pays $95.17 for CPT 99204 in its September 2026 fee-for-service schedule: the 6th-lowest of 45 state Medicaid programs, at 71% of the $134.20 median.

Non-facility rate
$95.17
Rank
40 of 45
vs. state median
71%
vs. AR Medicare
59%

What Arkansas Medicaid publishes for 99204

6th-lowest of 45 · 71% of median

6th-lowest of 45 · 71% of median

Schedule
September 2026
3 rate types
General (TH)
$161.79
General (X2)
$92.40
General (X4)
$92.40

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. DHS Provider Fee Schedules

99204 in neighboring states

Each state's comparable non-facility rate for 99204 in its current schedule.

StateRatevs. Arkansas
Louisiana$134.57+41%
Missouri$138.56+46%
Mississippi$147.42+55%
Oklahoma$156.12+64%
Texas$88.35-7%

99204 under Medicare

Medicare's 2026 non-facility payment for 99204 in Arkansas is $161.84; Arkansas Medicaid's rate is 59% of that. The national amount before geographic adjustment is $177.359.

See 99204 Medicare rates

See Arkansas's full schedule: all 9,511 codes, every published period, and commercial payer rates for 99204.

Book a 15-min Medicaid walkthrough

Other Arkansas Medicaid rates