Nebraska Medicaid Fee Schedule
Nebraska Medicaid pays $99.69 for an established-patient office visit (99213): 6th-highest of 45 Medicaid programs, at 140% of the median. Its rates for the most-billed codes are below, ranked against every state.
- Schedule as of
- July 2026
- Codes priced
- 8,474
- 99213 vs. median
- 140% of median
Current Nebraska Medicaid rates for common codes
Each amount is the unmodified non-facility rate in the July 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) | $99.696th-highest of 45 · 140% of median | Not required |
| 99214 | Office visit, established patient (moderate complexity)1 rate type
| $140.366th-highest of 45 · 139% of median | Not required |
| 99203 | Office visit, new patient (low complexity)1 rate type
| $121.296th-highest of 45 · 136% of median | Not required |
| 99204 | Office visit, new patient (moderate complexity)1 rate type
| $182.417th-highest of 45 · 136% of median | Not required |
| 99285 | Emergency department visit, high severity with threat to function | $188.455th-highest of 42 · 136% of median | Not required |
Dot: Nebraska. Tick: median across state programs. Line: lowest to highest state. Base fee-for-service rates; supplemental payments some states add are not included.
Nebraska is 6th-highest of 45 for 99213. See where all 8,474 Nebraska Medicaid codes rank.
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Compare any other code across state programs. The free view shows a few states per code; Nebraska's full schedule is in the complete dataset.
Neighboring and high-enrollment Medicaid fee schedules
States bordering Nebraska first, then the largest programs.