PayerPrice
Data Platform
Who We Serve
Use Cases
More
Check Local Rates
Fee-for-service rateAs of September 2026

Minnesota Medicaid rate for CPT 99285

Minnesota Health Care Programs pays $126.21 for CPT 99285 in its September 2026 fee-for-service schedule: the 14th-lowest of 42 state Medicaid programs, at 91% of the $138.69 median.

Non-facility rate
$126.21
Rank
29 of 42
vs. state median
91%
vs. MN Medicare
79%

What Minnesota Health Care Programs publishes for 99285

14th-lowest of 42 · 91% of median

14th-lowest of 42 · 91% 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

99285 in neighboring states

Each state's comparable non-facility rate for 99285 in its current schedule.

StateRatevs. Minnesota
Iowa$135.92+8%
North Dakota$181.74+44%
South Dakota$160.70+27%
Wisconsin$62.87-50%

99285 under Medicare

Medicare's 2026 non-facility payment for 99285 in Minnesota is $160.69; Minnesota Health Care Programs's rate is 79% of that. The national amount before geographic adjustment is $171.347.

See 99285 Medicare rates

See Minnesota's full schedule: all 12,602 codes, every published period, and commercial payer rates for 99285.

Book a 15-min Medicaid walkthrough

Other Minnesota Health Care Programs rates