PayerPrice
Data Platform
Who We Serve
Use Cases
More
Check Local Rates
Fee-for-service rateAs of August 2026

North Dakota Medicaid rate for CPT 99213

North Dakota Medicaid pays $105.14 for CPT 99213 in its August 2026 fee-for-service schedule: the 5th-highest of 45 state Medicaid programs, at 148% of the $71.05 median.

Non-facility rate
$105.14
Rank
5 of 45
vs. state median
148%
vs. ND Medicare
113%

What North Dakota Medicaid publishes for 99213

5th-highest of 45 · 148% of median

5th-highest of 45 · 148% of median

Schedule
August 2026
Prior authorization
Not required

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. ND HHS Fee Schedules

99213 in neighboring states

Each state's comparable non-facility rate for 99213 in its current schedule.

StateRatevs. North Dakota
Minnesota$73.99-30%
Montana$124.79+19%
South Dakota$89.93-14%

99213 under Medicare

Medicare's 2026 non-facility payment for 99213 in North Dakota is $93.41; North Dakota Medicaid's rate is 113% of that. The national amount before geographic adjustment is $95.193.

See 99213 Medicare rates

See North Dakota's full schedule: all 8,971 codes, every published period, and commercial payer rates for 99213.

Book a 15-min Medicaid walkthrough

Other North Dakota Medicaid rates