Texas Medicaid rate for CPT 99203
Texas Medicaid pays a median of $60.39 across its rate types for CPT 99203 in its September 2026 fee-for-service schedule: the 4th-lowest of 45 state Medicaid programs, at 68% of the $89.35 median.
- Non-facility rate
- $60.39
- Rank
- 42 of 45
- vs. state median
- 68%
- vs. TX Medicare
- 50-54%
What Texas Medicaid publishes for 99203
4th-lowest of 45 · 68% of median
- Schedule
- September 2026
- In effect since
- Sep 1, 2023
$55.52 to $65.25 across 4 rate types
- Medical Services · Under 21
- $65.25
- Surgery · Ages 10-20
- $65.25
- Medical Services · Ages 21+
- $55.52
- Surgery · Ages 21-55
- $55.52
2 rate types
- Medical Services · Ages 10-20 (TH)
- $65.25
- Medical Services · Ages 21-55 (TH)
- $55.52
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. TMHP Static Fee Schedules
99203 in neighboring states
Each state's comparable non-facility rate for 99203 in its current schedule.
| State | Rate | vs. Texas |
|---|---|---|
| Arkansas | $70.19 | +16% |
| Louisiana | $89.35 | +48% |
| New Mexico | $158.71 | +163% |
| Oklahoma | $103.08 | +71% |
99203 in every state
Map and ranking of every state program that prices 99203.
Compare 99203 across states99203 under Medicare
Medicare's 2026 non-facility payment for 99203 in Texas is $111.90 to $120.48 across its 8 payment localities; Texas Medicaid's rate is 50-54% of that. The national amount before geographic adjustment is $117.571.
See 99203 Medicare ratesSee Texas's full schedule: all 8,435 codes, every published period, and commercial payer rates for 99203.
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