Minnesota Medicaid rate for CPT 99204
Minnesota Health Care Programs pays $136.71 for CPT 99204 in its September 2026 fee-for-service schedule: the 21st-highest of 45 state Medicaid programs, at 102% of the $134.20 median.
- Non-facility rate
- $136.71
- Rank
- 21 of 45
- vs. state median
- 102%
- vs. MN Medicare
- 79%
What Minnesota Health Care Programs publishes for 99204
21st-highest of 45 · 102% of median
- Schedule
- September 2026
- In effect since
- Feb 1, 2026
- Prior authorization
- Not published
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. MHCP Fee Schedule
99204 in neighboring states
Each state's comparable non-facility rate for 99204 in its current schedule.
| State | Rate | vs. Minnesota |
|---|---|---|
| Iowa | $114.87 | -16% |
| North Dakota | $194.13 | +42% |
| South Dakota | $166.01 | +21% |
| Wisconsin | $110.94 | -19% |
99204 in every state
Map and ranking of every state program that prices 99204.
Compare 99204 across states99204 under Medicare
Medicare's 2026 non-facility payment for 99204 in Minnesota is $174.11; Minnesota Health Care Programs's rate is 79% of that. The national amount before geographic adjustment is $177.359.
See 99204 Medicare ratesSee Minnesota's full schedule: all 12,602 codes, every published period, and commercial payer rates for 99204.
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