South Dakota Medicaid rate for CPT 99213
South Dakota Medicaid pays $89.93 for CPT 99213 in its July 2026 fee-for-service schedule: the 10th-highest of 45 state Medicaid programs, at 127% of the $71.05 median.
- Non-facility rate
- $89.93
- Rank
- 10 of 45
- vs. state median
- 127%
- vs. SD Medicare
- 96%
What South Dakota Medicaid publishes for 99213
10th-highest of 45 · 127% of median
- Schedule
- July 2026
- In effect since
- Jul 1, 2026
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. DSS Medicaid Fee Schedules
99213 in neighboring states
Each state's comparable non-facility rate for 99213 in its current schedule.
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 South Dakota is $93.20; South Dakota Medicaid's rate is 96% of that. The national amount before geographic adjustment is $95.193.
See 99213 Medicare ratesSee South Dakota's full schedule: all 7,775 codes, every published period, and commercial payer rates for 99213.
Book a 15-min Medicaid walkthrough