Ohio Medicaid rate for CPT 99213
Ohio Medicaid pays $46.23 for CPT 99213 in its January 2026 fee-for-service schedule: the 8th-lowest of 45 state Medicaid programs, at 65% of the $71.05 median.
- Non-facility rate
- $46.23
- Rank
- 38 of 45
- vs. state median
- 65%
- vs. OH Medicare
- 51%
What Ohio Medicaid publishes for 99213
8th-lowest of 45 · 65% of median
- Schedule
- January 2026
- In effect since
- Jan 1, 2024
1 rate type
- General (TH)
- $56.80
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. Ohio Medicaid Schedules & Rates
99213 in neighboring states
Each state's comparable non-facility rate for 99213 in its current schedule.
| State | Rate | vs. Ohio |
|---|---|---|
| Indiana | $83.88 | +81% |
| Kentucky | $42.63 | -8% |
| Michigan | $60.71 | +31% |
| Pennsylvania | $35.00 | -24% |
| West Virginia | $65.15 | +41% |
99213 in every state
Map and ranking of every state program that prices 99213.
Compare 99213 across states99213 under Medicare
Medicare's 2026 non-facility payment for 99213 in Ohio is $90.97; Ohio Medicaid's rate is 51% of that. The national amount before geographic adjustment is $95.193.
See 99213 Medicare ratesSee Ohio's full schedule: all 7,309 codes, every published period, and commercial payer rates for 99213.
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