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Fee-for-service rateAs of September 2026

Michigan Medicaid rate for CPT 99213

Michigan Medicaid pays $60.71 for CPT 99213 in its September 2026 fee-for-service schedule: the 13th-lowest of 45 state Medicaid programs, at 85% of the $71.05 median.

Non-facility rate
$60.71
Rank
33 of 45
vs. state median
85%
vs. MI Medicare
64-66%

What Michigan Medicaid publishes for 99213

13th-lowest of 45 · 85% of median

13th-lowest of 45 · 85% of median

Schedule
September 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. MDHHS Practitioner Fee Schedule

99213 in neighboring states

Each state's comparable non-facility rate for 99213 in its current schedule.

StateRatevs. Michigan
Indiana$83.88+38%
Ohio$46.23-24%
Wisconsin$60.42-0%

99213 under Medicare

Medicare's 2026 non-facility payment for 99213 in Michigan is $91.34 to $95.55 across its 2 payment localities; Michigan Medicaid's rate is 64-66% of that. The national amount before geographic adjustment is $95.193.

See 99213 Medicare rates

See Michigan's full schedule: all 9,255 codes, every published period, and commercial payer rates for 99213.

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Other Michigan Medicaid rates