North Carolina Medicaid rate for CPT 99284
NC Medicaid pays $93.26 for CPT 99284 in its January 2026 fee-for-service schedule: the 20th-lowest of 42 state Medicaid programs, at 98% of the $95.28 median.
- Non-facility rate
- $93.26
- Rank
- 23 of 42
- vs. state median
- 98%
- vs. NC Medicare
- 83%
What NC Medicaid publishes for 99284
20th-lowest of 42 · 98% 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
99284 in neighboring states
Each state's comparable non-facility rate for 99284 in its current schedule.
| State | Rate | vs. North Carolina |
|---|---|---|
| Georgia | $84.21 | -10% |
| South Carolina | $89.10 | -4% |
| Virginia | $82.68 | -11% |
99284 in every state
Map and ranking of every state program that prices 99284.
Compare 99284 across states99284 under Medicare
Medicare's 2026 non-facility payment for 99284 in North Carolina is $113.01; NC Medicaid's rate is 83% of that. The national amount before geographic adjustment is $118.239.
See 99284 Medicare ratesSee North Carolina's full schedule: all 8,402 codes, every published period, and commercial payer rates for 99284.
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