Illinois Medicaid rate for CPT 99203
Illinois Medicaid pays $55.95 for CPT 99203 in its July 2026 fee-for-service schedule: the 3rd-lowest of 45 state Medicaid programs, at 63% of the $89.35 median.
- Non-facility rate
- $55.95
- Rank
- 43 of 45
- vs. state median
- 63%
- vs. IL Medicare
- 45-48%
What Illinois Medicaid publishes for 99203
3rd-lowest of 45 · 63% of median
- Schedule
- July 2026
- In effect since
- Apr 1, 2024
- Prior authorization
- Not published
1 rate type
- Prenatal Subsequent (U5)
- $104.96
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. HFS Practitioner Fee Schedule
99203 in neighboring states
Each state's comparable non-facility rate for 99203 in its current schedule.
99203 in every state
Map and ranking of every state program that prices 99203.
Compare 99203 across states99203 under Medicare
Medicare's 2026 non-facility payment for 99203 in Illinois is $115.47 to $125.16 across its 4 payment localities; Illinois Medicaid's rate is 45-48% of that. The national amount before geographic adjustment is $117.571.
See 99203 Medicare ratesSee Illinois's full schedule: all 9,319 codes, every published period, and commercial payer rates for 99203.
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