Fee-for-service ratesJuly 2026
New York Medicaid Fee Schedule
Search current physician rates from the NY Medicaid fee-for-service schedule, see the official source, and compare common CPT codes with other state programs.
- Effective
- July 2026
- Distinct codes
- 6,215
- Published rows
- 6,215
Search a CPT or HCPCS code
Open the national code comparison. The five common codes below show every covered jurisdiction; other codes show the states available in the free preview.
Current NY Medicaid rates for common codes
Each amount is the median unmodified non-facility rate in the July 2026 schedule when the code appears in more than one section.
| Code | Service | Non-facility rate |
|---|---|---|
| 99213 | Office visit, established patient (low complexity) | $86.75 |
| 99214 | Office visit, established patient (moderate complexity) | $121.96 |
| 99203 | Office visit, new patient (low complexity) | $106.47 |
| 99204 | Office visit, new patient (moderate complexity) | $159.19 |
| 99285 | Emergency department visit, high severity with threat to function | Not separately priced |
Other high-enrollment Medicaid fee schedules
Explore current state-published rates, effective periods, and official sources.
CaliforniaMedi-Cal - April 2026TexasTexas Medicaid - July 2026FloridaFlorida Medicaid - January 2026PennsylvaniaPennsylvania Medical Assistance - August 2026IllinoisIllinois Medicaid - July 2026North CarolinaNC Medicaid - January 2026OhioOhio Medicaid - January 2026MichiganMichigan Medicaid - July 2026GeorgiaGeorgia Medicaid - July 2026