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

Nevada Medicaid rate for CPT 99213

Nevada Medicaid pays a median of $61.32 across its rate types for CPT 99213 in its July 2026 fee-for-service schedule: the 15th-lowest of 45 state Medicaid programs, at 86% of the $71.05 median.

Non-facility rate
$61.32
Rank
31 of 45
vs. state median
86%
vs. NV Medicare
65%

What Nevada Medicaid publishes for 99213

15th-lowest of 45 · 86% of median

15th-lowest of 45 · 86% of median

Schedule
July 2026
In effect since
Jan 1, 2024
$47.47 to $75.16 across 4 rate types
APRN · Rate type DEF
$75.16
Rate type DEF
$75.16
Nurse Anesthetist · Rate type NRS
$47.47
Physician Assistant · Rate type PR1
$47.47
2 rate types
APRN · Rate type DEF and 1 more (U6)
$37.58
Physician Assistant · Rate type PR1 (U6)
$23.74

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. Nevada Medicaid Fee Schedules

99213 in neighboring states

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

StateRatevs. Nevada
Arizona$60.84-1%
Idaho$86.12+40%
Oregon$76.54+25%
Utah$71.05+16%

99213 under Medicare

Medicare's 2026 non-facility payment for 99213 in Nevada is $94.74; Nevada Medicaid's rate is 65% of that. The national amount before geographic adjustment is $95.193.

See 99213 Medicare rates

See Nevada's full schedule: all 9,242 codes, every published period, and commercial payer rates for 99213.

Book a 15-min Medicaid walkthrough

Other Nevada Medicaid rates