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Fee-for-service rateAs of July 2026

Nebraska Medicaid rate for CPT 99213

Nebraska Medicaid pays $99.69 for CPT 99213 in its July 2026 fee-for-service schedule: the 6th-highest of 45 state Medicaid programs, at 140% of the $71.05 median.

Non-facility rate
$99.69
Rank
6 of 45
vs. state median
140%
vs. NE Medicare
111%

What Nebraska Medicaid publishes for 99213

6th-highest of 45 · 140% of median

6th-highest of 45 · 140% of median

Schedule
July 2026
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. DHHS Provider Rates & Fee Schedules

99213 in neighboring states

Each state's comparable non-facility rate for 99213 in its current schedule.

StateRatevs. Nebraska
Colorado$73.99-26%
Iowa$42.15-58%
Kansas$45.86-54%
Missouri$75.21-25%
South Dakota$89.93-10%
Wyoming$79.31-20%

99213 under Medicare

Medicare's 2026 non-facility payment for 99213 in Nebraska is $89.57; Nebraska Medicaid's rate is 111% of that. The national amount before geographic adjustment is $95.193.

See 99213 Medicare rates

See Nebraska's full schedule: all 8,474 codes, every published period, and commercial payer rates for 99213.

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Other Nebraska Medicaid rates