Montana Medicaid rate for CPT 99213
Montana Medicaid pays $124.79 for CPT 99213 in its January 2026 fee-for-service schedule: the 3rd-highest of 45 state Medicaid programs, at 176% of the $71.05 median.
- Non-facility rate
- $124.79
- Rank
- 3 of 45
- vs. state median
- 176%
- vs. MT Medicare
- 131%
What Montana Medicaid publishes for 99213
3rd-highest of 45 · 176% of median
- Schedule
- January 2026
- In effect since
- Jul 1, 2025
- Prior authorization
- Not required
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. Montana Medicaid Fee Schedules
99213 in neighboring states
Each state's comparable non-facility rate for 99213 in its current schedule.
| State | Rate | vs. Montana |
|---|---|---|
| Idaho | $86.12 | -31% |
| North Dakota | $105.14 | -16% |
| South Dakota | $89.93 | -28% |
| Wyoming | $79.31 | -36% |
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 Montana is $95.19; Montana Medicaid's rate is 131% of that. The national amount before geographic adjustment is $95.193.
See 99213 Medicare ratesSee Montana's full schedule: all 10,452 codes, every published period, and commercial payer rates for 99213.
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