South Dakota Medicaid Fee Schedule
South Dakota Medicaid pays $89.93 for an established-patient office visit (99213): 10th-highest of 45 Medicaid programs, at 127% of the median. Its rates for the most-billed codes are below, ranked against every state.
- Schedule as of
- July 2026
- Codes priced
- 7,775
- 99213 vs. median
- 127% of median
Current South Dakota Medicaid rates for common codes
Each amount is the unmodified non-facility rate in the July 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 |
|---|---|---|
| 99213 | Office visit, established patient (low complexity) | $89.93In effect since Jul 1, 202610th-highest of 45 · 127% of median |
| 99214 | Office visit, established patient (moderate complexity) | $127.87In effect since Jul 1, 202610th-highest of 45 · 126% of median |
| 99203 | Office visit, new patient (low complexity) | $110.03In effect since Jul 1, 202612th-highest of 45 · 123% of median |
| 99204 | Office visit, new patient (moderate complexity) | $166.01In effect since Jul 1, 202612th-highest of 45 · 124% of median |
| 99285 | Emergency department visit, high severity with threat to function | $160.70In effect since Jul 1, 202610th-highest of 42 · 116% of median |
Dot: South Dakota. Tick: median across state programs. Line: lowest to highest state. Base fee-for-service rates; supplemental payments some states add are not included.
South Dakota is 10th-highest of 45 for 99213. See where all 7,775 South Dakota Medicaid codes rank.
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Compare any other code across state programs. The free view shows a few states per code; South Dakota's full schedule is in the complete dataset.
Neighboring and high-enrollment Medicaid fee schedules
States bordering South Dakota first, then the largest programs.