Minnesota Medicaid Fee Schedule (Minnesota Health Care Programs)
Minnesota Health Care Programs pays $73.99 for an established-patient office visit (99213): 20th-highest of 45 Medicaid programs, at 104% of the median. Its rates for the most-billed codes are below, ranked against every state.
- Schedule as of
- September 2026
- Codes priced
- 12,602
- 99213 vs. median
- 104% of median
Current Minnesota Health Care Programs 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 | Prior auth |
|---|---|---|---|
| 99213 | Office visit, established patient (low complexity) | $73.99In effect since Feb 1, 202620th-highest of 45 · 104% of median | Not published |
| 99214 | Office visit, established patient (moderate complexity) | $105.22In effect since Feb 1, 202620th-highest of 45 · 104% of median | Not published |
| 99203 | Office visit, new patient (low complexity) | $90.52In effect since Feb 1, 202622nd-highest of 45 · 101% of median | Not published |
| 99204 | Office visit, new patient (moderate complexity) | $136.71In effect since Feb 1, 202621st-highest of 45 · 102% of median | Not published |
| 99285 | Emergency department visit, high severity with threat to function | $126.21In effect since Feb 1, 202614th-lowest of 42 · 91% of median | Not published |
Dot: Minnesota. Tick: median across state programs. Line: lowest to highest state. Base fee-for-service rates; supplemental payments some states add are not included.
Minnesota is 20th-highest of 45 for 99213. See where all 12,602 Minnesota Health Care Programs codes rank.
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Compare any other code across state programs. The free view shows a few states per code; Minnesota's full schedule is in the complete dataset.
Neighboring and high-enrollment Medicaid fee schedules
States bordering Minnesota first, then the largest programs.