Texas Medicaid rate for CPT 99214
Texas Medicaid pays a median of $51.86 across its rate types for CPT 99214 in its September 2026 fee-for-service schedule: the lowest of 45 state Medicaid programs, at 51% of the $101.32 median.
- Non-facility rate
- $51.86
- Rank
- 45 of 45
- vs. state median
- 51%
- vs. TX Medicare
- 37-40%
What Texas Medicaid publishes for 99214
Lowest of 45 · 51% of median
- Schedule
- September 2026
- In effect since
- Sep 1, 2023
$47.68 to $56.03 across 4 rate types
- Medical Services · Under 21
- $56.03
- Surgery · Ages 10-20
- $56.03
- Medical Services · Ages 21+
- $47.68
- Surgery · Ages 21-55
- $47.68
4 rate types
- Medical Services · Under 21 (FP)
- $52.86
- Medical Services · Ages 10-20 (TH)
- $56.03
- Medical Services · Ages 21-55 (TH)
- $47.68
- Medical Services · Ages 21+ (FP)
- $47.68
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
99214 in neighboring states
Each state's comparable non-facility rate for 99214 in its current schedule.
| State | Rate | vs. Texas |
|---|---|---|
| Arkansas | $75.76 | +46% |
| Louisiana | $102.83 | +98% |
| New Mexico | $182.19 | +251% |
| Oklahoma | $119.30 | +130% |
99214 in every state
Map and ranking of every state program that prices 99214.
Compare 99214 across states99214 under Medicare
Medicare's 2026 non-facility payment for 99214 in Texas is $129.26 to $139.08 across its 8 payment localities; Texas Medicaid's rate is 37-40% of that. The national amount before geographic adjustment is $135.608.
See 99214 Medicare ratesSee Texas's full schedule: all 8,435 codes, every published period, and commercial payer rates for 99214.
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