Minnesota Medicaid rate for CPT 99213
Minnesota Health Care Programs pays $73.99 for CPT 99213 in its September 2026 fee-for-service schedule: the 20th-highest of 45 state Medicaid programs, at 104% of the $71.05 median.
- Non-facility rate
- $73.99
- Rank
- 20 of 45
- vs. state median
- 104%
- vs. MN Medicare
- 78%
What Minnesota Health Care Programs publishes for 99213
20th-highest of 45 · 104% 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
99213 in neighboring states
Each state's comparable non-facility rate for 99213 in its current schedule.
| State | Rate | vs. Minnesota |
|---|---|---|
| Iowa | $42.15 | -43% |
| North Dakota | $105.14 | +42% |
| South Dakota | $89.93 | +22% |
| Wisconsin | $60.42 | -18% |
99213 in every state
Map and ranking of every state program that prices 99213.
Compare 99213 across states99213 under Medicare
Medicare's 2026 non-facility payment for 99213 in Minnesota is $94.49; Minnesota Health Care Programs's rate is 78% of that. The national amount before geographic adjustment is $95.193.
See 99213 Medicare ratesSee Minnesota's full schedule: all 12,602 codes, every published period, and commercial payer rates for 99213.
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