Idaho Medicaid rate for CPT 99213
Idaho Medicaid pays $86.12 for CPT 99213 in its October 2026 fee-for-service schedule: the 11th-highest of 45 state Medicaid programs, at 121% of the $71.05 median.
- Non-facility rate
- $86.12
- Rank
- 11 of 45
- vs. state median
- 121%
- vs. ID Medicare
- 96%
What Idaho Medicaid publishes for 99213
11th-highest of 45 · 121% of median
- Schedule
- October 2026
- In effect since
- Jul 1, 2026
- Prior authorization
- Not required
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. Idaho Medicaid Fee Schedule
99213 in neighboring states
Each state's comparable non-facility rate for 99213 in its current schedule.
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 Idaho is $89.71; Idaho Medicaid's rate is 96% of that. The national amount before geographic adjustment is $95.193.
See 99213 Medicare ratesSee Idaho's full schedule: all 12,409 codes, every published period, and commercial payer rates for 99213.
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