North Dakota Medicaid Fee Schedule
North Dakota Medicaid pays $105.14 for an established-patient office visit (99213): 5th-highest of 45 Medicaid programs, at 148% of the median. Its rates for the most-billed codes are below, ranked against every state.
- Schedule as of
- August 2026
- Codes priced
- 8,971
- 99213 vs. median
- 148% of median
Current North Dakota Medicaid rates for common codes
Each amount is the unmodified non-facility rate in the August 2026 schedule. Where a code appears under more than one rate type, it is the state's ordinary statewide rate when its rules name one, and otherwise the median across rate types. Modifier-specific and facility-only rows are listed separately under the service.
| Code | Service | Non-facility rate | Prior auth |
|---|---|---|---|
| 99213 | Office visit, established patient (low complexity) | $105.145th-highest of 45 · 148% of median | Not required |
| 99214 | Office visit, established patient (moderate complexity) | $149.455th-highest of 45 · 148% of median | Not required |
| 99203 | Office visit, new patient (low complexity) | $128.425th-highest of 45 · 144% of median | Not required |
| 99204 | Office visit, new patient (moderate complexity) | $194.136th-highest of 45 · 145% of median | Not required |
| 99285 | Emergency department visit, high severity with threat to function | $181.746th-highest of 42 · 131% of median | Not required |
Dot: North Dakota. Tick: median across state programs. Line: lowest to highest state. Base fee-for-service rates; supplemental payments some states add are not included.
North Dakota is 5th-highest of 45 for 99213. See where all 8,971 North Dakota Medicaid codes rank.
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Compare any other code across state programs. The free view shows a few states per code; North Dakota's full schedule is in the complete dataset.
Neighboring and high-enrollment Medicaid fee schedules
States bordering North Dakota first, then the largest programs.