North Carolina Medicaid rate for CPT 99203
NC Medicaid pays $80.86 for CPT 99203 in its January 2026 fee-for-service schedule: the 16th-lowest of 45 state Medicaid programs, at 90% of the $89.35 median.
- Non-facility rate
- $80.86
- Rank
- 30 of 45
- vs. state median
- 90%
- vs. NC Medicare
- 72%
What NC Medicaid publishes for 99203
16th-lowest of 45 · 90% of median
- Schedule
- January 2026
- In effect since
- Oct 1, 2025
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. NC Medicaid Physician Services Fee Schedules
99203 in neighboring states
Each state's comparable non-facility rate for 99203 in its current schedule.
| State | Rate | vs. North Carolina |
|---|---|---|
| Georgia | $76.53 | -5% |
| South Carolina | $81.29 | +1% |
| Virginia | $84.76 | +5% |
99203 in every state
Map and ranking of every state program that prices 99203.
Compare 99203 across states99203 under Medicare
Medicare's 2026 non-facility payment for 99203 in North Carolina is $111.70; NC Medicaid's rate is 72% of that. The national amount before geographic adjustment is $117.571.
See 99203 Medicare ratesSee North Carolina's full schedule: all 8,402 codes, every published period, and commercial payer rates for 99203.
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