Fee-for-service ratesAs of October 2026

Kansas Medicaid Fee Schedule (Kansas Medical Assistance Program)

Kansas Medical Assistance Program pays $45.86 on its ordinary schedule for an established-patient office visit (99213), and $34.40 to $45.86 across its rate types. The ordinary rate is the 7th-lowest of 45 Medicaid programs.

Schedule as of: October 2026
Codes priced: 11,545
99213 vs. median: 65% of median

Current Kansas Medical Assistance Program rates for common codes

Each amount is the unmodified non-facility rate in the October 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	Across state programs
99213	Office visit, established patient (low complexity) $34.40 to $45.86 across 4 rate types Max Fee $45.86 Max Fee · Mid Level Practitioner · 75% of max fee $34.40 Max Fee with Adjustment · Exempt Physician · 75% of max fee $34.40 Max Fee with Adjustment · Mid Level Practitioner · 75% of max fee $34.40 2 rate types Max Fee (TD) $42.07 Max Fee · Mid Level Practitioner · 75% of max fee and 2 more (TD) $31.55	$45.86Ordinary statewide rateIn effect since Aug 1, 20247th-lowest of 45 · 65% of median	7th-lowest of 45 · 65% of median
99214	Office visit, established patient (moderate complexity) $54.08 to $72.10 across 4 rate types Max Fee $72.10 Max Fee · Mid Level Practitioner · 75% of max fee $54.08 Max Fee with Adjustment · Exempt Physician · 75% of max fee $54.08 Max Fee with Adjustment · Mid Level Practitioner · 75% of max fee $54.08 2 rate types Max Fee (TD) $66.15 Max Fee · Mid Level Practitioner · 75% of max fee and 2 more (TD) $49.61	$72.10Ordinary statewide rateIn effect since Aug 1, 20248th-lowest of 45 · 71% of median	8th-lowest of 45 · 71% of median
99203	Office visit, new patient (low complexity) $63.53 to $84.70 across 4 rate types Max Fee $84.70 Max Fee · Mid Level Practitioner · 75% of max fee $63.53 Max Fee with Adjustment · Exempt Physician · 75% of max fee $63.53 Max Fee with Adjustment · Mid Level Practitioner · 75% of max fee $63.53 2 rate types Max Fee (TD) $77.71 Max Fee · Mid Level Practitioner · 75% of max fee and 2 more (TD) $58.28	$84.70Ordinary statewide rateIn effect since Aug 1, 202421st-lowest of 45 · 95% of median	21st-lowest of 45 · 95% of median
99204	Office visit, new patient (moderate complexity) $90.20 to $120.26 across 3 rate types Max Fee $120.26 Max Fee with Adjustment · Exempt Physician · 75% of max fee $90.20 Max Fee with Adjustment · Mid Level Practitioner · 75% of max fee $90.20 2 rate types Max Fee (TD) $110.33 Max Fee with Adjustment · Exempt Physician · 75% of max fee and 1 more (TD) $82.75	$120.26Ordinary statewide rateIn effect since Aug 1, 202415th-lowest of 45 · 90% of median	15th-lowest of 45 · 90% of median
99285	Emergency department visit, high severity with threat to function $73.86 to $98.48 across 3 rate types Allow 1 Unit $98.48 Allow 1 Unit with Adjust · Exempt Physician · 75% of max fee $73.86 Allow 1 Unit with Adjust · Mid Level Practitioner · 75% of max fee $73.86	$73.86Median across rate typesIn effect since Aug 1, 20242nd-lowest of 42 · 53% of median	2nd-lowest of 42 · 53% of median

Dot: Kansas. Tick: median across state programs. Line: lowest to highest state. Base fee-for-service rates; supplemental payments some states add are not included.

Kansas is 7th-lowest of 45 for 99213. See where all 11,545 Kansas Medical Assistance Program codes rank.

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Neighboring and high-enrollment Medicaid fee schedules

States bordering Kansas first, then the largest programs.

ColoradoHealth First Colorado - July 2026 MissouriMO HealthNet - October 2026 NebraskaNebraska Medicaid - July 2026 OklahomaSoonerCare - July 2026 CaliforniaMedi-Cal - September 2026 New YorkNY Medicaid - October 2026 TexasTexas Medicaid - September 2026 FloridaFlorida Medicaid - July 2026 PennsylvaniaPennsylvania Medical Assistance - October 2026 IllinoisIllinois Medicaid - July 2026