North Carolina Medicaid rate for CPT 99214
NC Medicaid pays $81.76 for CPT 99214 in its January 2026 fee-for-service schedule: the 11th-lowest of 45 state Medicaid programs, at 81% of the $101.32 median.
- Non-facility rate
- $81.76
- Rank
- 35 of 45
- vs. state median
- 81%
- vs. NC Medicare
- 63%
What NC Medicaid publishes for 99214
11th-lowest of 45 · 81% 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
99214 in neighboring states
Each state's comparable non-facility rate for 99214 in its current schedule.
| State | Rate | vs. North Carolina |
|---|---|---|
| Georgia | $115.71 | +42% |
| South Carolina | $98.84 | +21% |
| Virginia | $97.76 | +20% |
99214 in every state
Map and ranking of every state program that prices 99214.
Compare 99214 across states99214 under Medicare
Medicare's 2026 non-facility payment for 99214 in North Carolina is $129.44; NC Medicaid's rate is 63% of that. The national amount before geographic adjustment is $135.608.
See 99214 Medicare ratesSee North Carolina's full schedule: all 8,402 codes, every published period, and commercial payer rates for 99214.
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