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Fee-for-service rateAs of January 2026

North Carolina Medicaid rate for CPT 99283

NC Medicaid pays $49.81 for CPT 99283 in its January 2026 fee-for-service schedule: the 12th-lowest of 42 state Medicaid programs, at 89% of the $56.245 median.

Non-facility rate
$49.81
Rank
31 of 42
vs. state median
89%
vs. NC Medicare
75%

What NC Medicaid publishes for 99283

12th-lowest of 42 · 89% of median

12th-lowest of 42 · 89% 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

99283 in neighboring states

Each state's comparable non-facility rate for 99283 in its current schedule.

StateRatevs. North Carolina
Georgia$54.80+10%
South Carolina$52.35+5%
Virginia$48.58-2%

99283 under Medicare

Medicare's 2026 non-facility payment for 99283 in North Carolina is $66.44; NC Medicaid's rate is 75% of that. The national amount before geographic adjustment is $69.474.

See 99283 Medicare rates

See North Carolina's full schedule: all 8,402 codes, every published period, and commercial payer rates for 99283.

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Other NC Medicaid rates