Iowa Medicaid Fee Schedule
Iowa Medicaid pays $36.75 to $43.23 for an established-patient office visit (99213), depending on the rate type. Its median across rate types, $42.15, is the 4th-lowest of 45 Medicaid programs.
- Schedule as of
- September 2026
- Codes priced
- 10,139
- 99213 vs. median
- 59% of median
Current Iowa Medicaid rates for common codes
Each amount is the unmodified non-facility rate in the September 2026 schedule. Where a code appears under more than one rate type, it is the state's ordinary statewide rate when its rules name one, and otherwise the median across rate types. Modifier-specific and facility-only rows are listed separately under the service.
| Code | Service | Non-facility rate |
|---|---|---|
| 99213 | Office visit, established patient (low complexity)$36.75 to $43.23 across 6 rate types
| $42.15Median across rate typesIn effect since Oct 1, 20254th-lowest of 45 · 59% of median |
| 99214 | Office visit, established patient (moderate complexity)$56.78 to $66.80 across 6 rate types
| $65.13Median across rate typesIn effect since Oct 1, 20253rd-lowest of 45 · 64% of median |
| 99203 | Office visit, new patient (low complexity)$69.16 to $81.37 across 6 rate types
| $79.33Median across rate typesIn effect since Oct 1, 202514th-lowest of 45 · 89% of median |
| 99204 | Office visit, new patient (moderate complexity)$100.15 to $117.82 across 6 rate types
| $114.87Median across rate typesIn effect since Jul 1, 202413th-lowest of 45 · 86% of median |
| 99285 | Emergency department visit, high severity with threat to function$121.64 to $143.10 across 5 rate types
| $135.92Median across rate typesIn effect since Jul 1, 202419th-lowest of 42 · 98% of median |
Dot: Iowa. Tick: median across state programs. Line: lowest to highest state. Base fee-for-service rates; supplemental payments some states add are not included.
Iowa's median is 4th-lowest of 45 for 99213. See where all 10,139 Iowa Medicaid codes rank.
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Compare any other code across state programs. The free view shows a few states per code; Iowa's full schedule is in the complete dataset.
Neighboring and high-enrollment Medicaid fee schedules
States bordering Iowa first, then the largest programs.