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

Connecticut Medicaid rate for CPT 99214

Connecticut Medical Assistance Program pays a median of $89.68 across its rate types for CPT 99214 in its October 2026 fee-for-service schedule: the 15th-lowest of 45 state Medicaid programs, at 89% of the $101.32 median.

Non-facility rate
$89.68
Rank
31 of 45
vs. state median
89%
vs. CT Medicare
63%

What Connecticut Medical Assistance Program publishes for 99214

15th-lowest of 45 · 89% of median

15th-lowest of 45 · 89% of median

Schedule
October 2026
In effect since
Jan 1, 2026
Prior authorization
Not required
$79.71 to $152.78 across 4 rate types
Rate type OBS
$152.78
Rate type PED
$99.64
General
$79.71
Rate type MPH
$79.71
3 rate types
Rate type FTM
Facility $59.17
Rate type FTO
Facility $113.41
Rate type FTP
Facility $73.97

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

99214 in neighboring states

Each state's comparable non-facility rate for 99214 in its current schedule.

StateRatevs. Connecticut
Massachusetts$96.15+7%
Rhode Island$138.53+54%

99214 under Medicare

Medicare's 2026 non-facility payment for 99214 in Connecticut is $143.02; Connecticut Medical Assistance Program's rate is 63% of that. The national amount before geographic adjustment is $135.608.

See 99214 Medicare rates

See Connecticut's full schedule: all 8,312 codes, every published period, and commercial payer rates for 99214.

Book a 15-min Medicaid walkthrough

Other Connecticut Medical Assistance Program rates