North Carolina Medicaid rate for CPT 99285
NC Medicaid pays $138.64 for CPT 99285 in its January 2026 fee-for-service schedule: the 21st-lowest of 42 state Medicaid programs, at 100% of the $138.69 median.
- Non-facility rate
- $138.64
- Rank
- 22 of 42
- vs. state median
- 100%
- vs. NC Medicare
- 84%
What NC Medicaid publishes for 99285
21st-lowest of 42 · 100% 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
99285 in neighboring states
Each state's comparable non-facility rate for 99285 in its current schedule.
| State | Rate | vs. North Carolina |
|---|---|---|
| Georgia | $132.41 | -4% |
| South Carolina | $129.13 | -7% |
| Virginia | $119.82 | -14% |
99285 in every state
Map and ranking of every state program that prices 99285.
Compare 99285 across states99285 under Medicare
Medicare's 2026 non-facility payment for 99285 in North Carolina is $164.10; NC Medicaid's rate is 84% of that. The national amount before geographic adjustment is $171.347.
See 99285 Medicare ratesSee North Carolina's full schedule: all 8,402 codes, every published period, and commercial payer rates for 99285.
Book a 15-min Medicaid walkthrough