Massachusetts Medicaid rate for CPT 99214
MassHealth pays $96.15 for CPT 99214 in its October 2026 fee-for-service schedule: the 19th-lowest of 45 state Medicaid programs, at 95% of the $101.32 median.
- Non-facility rate
- $96.15
- Rank
- 27 of 45
- vs. state median
- 95%
- vs. MA Medicare
- 64-69%
What MassHealth publishes for 99214
19th-lowest of 45 · 95% of median
- Schedule
- October 2026
- In effect since
- Oct 1, 2026
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. 101 CMR 317.00, Rates for Medicine Services
99214 in neighboring states
Each state's comparable non-facility rate for 99214 in its current schedule.
| State | Rate | vs. Massachusetts |
|---|---|---|
| Connecticut | $89.68 | -7% |
| New Hampshire | $72.03 | -25% |
| Rhode Island | $138.53 | +44% |
| Vermont | $112.91 | +17% |
99214 in every state
Map and ranking of every state program that prices 99214.
Compare 99214 across states99214 under Medicare
Medicare's 2026 non-facility payment for 99214 in Massachusetts is $139.22 to $150.68 across its 2 payment localities; MassHealth's rate is 64-69% of that. The national amount before geographic adjustment is $135.608.
See 99214 Medicare ratesSee Massachusetts's full schedule: all 7,483 codes, every published period, and commercial payer rates for 99214.
Book a 15-min Medicaid walkthrough