Indiana Medicaid rate for CPT 99213
Indiana Health Coverage Programs pays $83.88 for CPT 99213 in its September 2026 fee-for-service schedule: the 12th-highest of 45 state Medicaid programs, at 118% of the $71.05 median.
- Non-facility rate
- $83.88
- Rank
- 12 of 45
- vs. state median
- 118%
- vs. IN Medicare
- 93%
What Indiana Health Coverage Programs publishes for 99213
12th-highest of 45 · 118% of median
- Schedule
- September 2026
- In effect since
- Jan 1, 2026
- Prior authorization
- Not required
1 rate type
- General (SE)
- $83.88
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. IHCP Fee Schedules
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 Indiana is $90.09; Indiana Health Coverage Programs's rate is 93% of that. The national amount before geographic adjustment is $95.193.
See 99213 Medicare ratesSee Indiana's full schedule: all 12,853 codes, every published period, and commercial payer rates for 99213.
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