Connecticut Medicaid rate for CPT 99213
Connecticut Medical Assistance Program pays a median of $63.80 across its rate types for CPT 99213 in its October 2026 fee-for-service schedule: the 16th-lowest of 45 state Medicaid programs, at 90% of the $71.05 median.
- Non-facility rate
- $63.80
- Rank
- 30 of 45
- vs. state median
- 90%
- vs. CT Medicare
- 64%
What Connecticut Medical Assistance Program publishes for 99213
16th-lowest of 45 · 90% of median
- Schedule
- October 2026
- In effect since
- Jan 1, 2026
- Prior authorization
- Not required
$56.71 to $108.70 across 4 rate types
- Rate type OBS
- $108.70
- Rate type PED
- $70.89
- General
- $56.71
- Rate type MPH
- $56.71
3 rate types
- Rate type FTM
- Facility $40.20
- Rate type FTO
- Facility $77.05
- Rate type FTP
- Facility $50.25
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
99213 in neighboring states
Each state's comparable non-facility rate for 99213 in its current schedule.
| State | Rate | vs. Connecticut |
|---|---|---|
| Massachusetts | $68.11 | +7% |
| Rhode Island | $97.30 | +53% |
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 Connecticut is $100.45; Connecticut Medical Assistance Program's rate is 64% of that. The national amount before geographic adjustment is $95.193.
See 99213 Medicare ratesSee Connecticut's full schedule: all 8,312 codes, every published period, and commercial payer rates for 99213.
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