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

New Hampshire Medicaid Fee Schedule

New Hampshire Medicaid pays $46.77 for an established-patient office visit (99213): 9th-lowest of 45 Medicaid programs, at 66% of the median. Its rates for the most-billed codes are below, ranked against every state.

Schedule as of
July 2026
Codes priced
12,538
99213 vs. median
66% of median

Current New Hampshire 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.

CodeServiceNon-facility ratePrior auth
99213Office visit, established patient (low complexity)
9 rate types
General (33)
$64.62
General (HE)
$92.06
General (HF)
$137.17
General (HW + U1)
$92.06
General (HW + U2)
$92.06
General (HW + U5)
$92.06
General (HW + U6)
$92.06
General (HW + U7)
$92.06
General (U1)
$137.17
$46.77In effect since Jul 1, 20239th-lowest of 45 · 66% of medianNot required
99214Office visit, established patient (moderate complexity)
9 rate types
General (33)
$89.88
General (HE)
$108.46
General (HF)
$193.85
General (HW + U1)
$108.46
General (HW + U2)
$108.46
General (HW + U5)
$108.46
General (HW + U6)
$108.46
General (HW + U7)
$108.46
General (U1)
$193.85
$72.03In effect since Jul 1, 20237th-lowest of 45 · 71% of medianNot required
99203Office visit, new patient (low complexity)
9 rate types
General (33)
$64.45
General (HE)
$109.37
General (HF)
$170.17
General (HW + U1)
$109.37
General (HW + U2)
$109.37
General (HW + U5)
$109.37
General (HW + U6)
$109.37
General (HW + U7)
$109.37
General (U1)
$170.17
$46.60In effect since Jul 1, 2023Lowest of 45 · 52% of medianNot required
99204Office visit, new patient (moderate complexity)
15 rate types
General (33)
$87.75
General (GY + HE)
$166.45
General (GY + HW + U1)
$166.45
General (GY + HW + U2)
$166.45
General (GY + HW + U5)
$166.45
General (GY + HW + U6)
$166.45
General (GY + HW + U7)
$166.45
General (HE)
$166.45
General (HF)
$252.18
General (HW + U1)
$166.45
General (HW + U2)
$166.45
General (HW + U5)
$166.45
General (HW + U6)
$166.45
General (HW + U7)
$166.45
General (U1)
$252.18
$69.90In effect since Jul 1, 2023Lowest of 45 · 52% of medianNot required
99285Emergency department visit, high severity with threat to function
6 rate types
General (HE)
$186.79
General (HW + U1)
$186.79
General (HW + U2)
$186.79
General (HW + U5)
$186.79
General (HW + U6)
$186.79
General (HW + U7)
$186.79
$103.01In effect since Jul 1, 20237th-lowest of 42 · 74% of medianNot required

Compare any other code across state programs. The free view shows a few states per code; New Hampshire's full schedule is in the complete dataset.