Iowa Medicaid rate for CPT 99213
Iowa Medicaid pays a median of $42.15 across its rate types for CPT 99213 in its September 2026 fee-for-service schedule: the 4th-lowest of 45 state Medicaid programs, at 59% of the $71.05 median.
- Non-facility rate
- $42.15
- Rank
- 42 of 45
- vs. state median
- 59%
- vs. IA Medicare
- 47%
What Iowa Medicaid publishes for 99213
4th-lowest of 45 · 59% of median
- Schedule
- September 2026
- In effect since
- Oct 1, 2025
$36.75 to $43.23 across 6 rate types
- General
- $43.23
- Provider type 03
- $43.23
- Provider type 44
- $43.23
- Provider type 38
- $41.06
- Provider type 68
- $37.54
- Provider type 50
- $36.75
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. Iowa HHS 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 Iowa is $89.23; Iowa Medicaid's rate is 47% of that. The national amount before geographic adjustment is $95.193.
See 99213 Medicare ratesSee Iowa's full schedule: all 10,139 codes, every published period, and commercial payer rates for 99213.
Book a 15-min Medicaid walkthrough