Nevada Medicaid Fee Schedule
Nevada Medicaid pays $47.47 to $75.16 for an established-patient office visit (99213), depending on the rate type. Its median across rate types, $61.32, is the 15th-lowest of 45 Medicaid programs.
- Schedule as of
- July 2026
- Codes priced
- 9,242
- 99213 vs. median
- 86% of median
Current Nevada 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 |
|---|---|---|
| 99213 | Office visit, established patient (low complexity)$47.47 to $75.16 across 4 rate types
2 rate types
| $61.32Median across rate typesIn effect since Jan 1, 202415th-lowest of 45 · 86% of median |
| 99214 | Office visit, established patient (moderate complexity)$69.95 to $110.75 across 4 rate types
2 rate types
| $90.35Median across rate typesIn effect since Jan 1, 202416th-lowest of 45 · 89% of median |
| 99203 | Office visit, new patient (low complexity)$70.32 to $111.34 across 3 rate types
2 rate types
| $111.34Median across rate typesIn effect since Jan 1, 202411th-highest of 45 · 125% of median |
| 99204 | Office visit, new patient (moderate complexity)$107.77 to $170.64 across 3 rate types
2 rate types
| $170.64Median across rate typesIn effect since Jan 1, 202411th-highest of 45 · 127% of median |
| 99285 | Emergency department visit, high severity with threat to function$111.18 to $176.04 across 3 rate types
| $176.04Median across rate typesIn effect since Jan 1, 20247th-highest of 42 · 127% of median |
Dot: Nevada. Tick: median across state programs. Line: lowest to highest state. Base fee-for-service rates; supplemental payments some states add are not included.
Nevada's median is 15th-lowest of 45 for 99213. See where all 9,242 Nevada Medicaid codes rank.
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Compare any other code across state programs. The free view shows a few states per code; Nevada's full schedule is in the complete dataset.
Neighboring and high-enrollment Medicaid fee schedules
States bordering Nevada first, then the largest programs.