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Fee-for-service rateAs of October 2026

Connecticut Medicaid rate for CPT 99203

Connecticut Medical Assistance Program pays a median of $78.28 across its rate types for CPT 99203 in its October 2026 fee-for-service schedule: the 12th-lowest of 45 state Medicaid programs, at 88% of the $89.35 median.

Non-facility rate
$78.28
Rank
34 of 45
vs. state median
88%
vs. CT Medicare
63%

What Connecticut Medical Assistance Program publishes for 99203

12th-lowest of 45 · 88% of median

12th-lowest of 45 · 88% of median

Schedule
October 2026
In effect since
Jan 1, 2026
Prior authorization
Not required
$69.58 to $133.35 across 4 rate types
Rate type OBS
$133.35
Rate type PED
$86.97
General
$69.58
Rate type MPH
$69.58
3 rate types
Rate type FTM
Facility $50.09
Rate type FTO
Facility $96.01
Rate type FTP
Facility $62.62

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. CMAP Provider Fee Schedule Download

99203 in neighboring states

Each state's comparable non-facility rate for 99203 in its current schedule.

StateRatevs. Connecticut
Massachusetts$84.36+8%
Rhode Island$119.95+53%

99203 under Medicare

Medicare's 2026 non-facility payment for 99203 in Connecticut is $124.29; Connecticut Medical Assistance Program's rate is 63% of that. The national amount before geographic adjustment is $117.571.

See 99203 Medicare rates

See Connecticut's full schedule: all 8,312 codes, every published period, and commercial payer rates for 99203.

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Other Connecticut Medical Assistance Program rates