Utah Medicaid rate for CPT 99213
Utah Medicaid pays a median of $71.05 across its rate types for CPT 99213 in its October 2026 fee-for-service schedule: the 23rd-highest of 45 state Medicaid programs, at 100% of the $71.05 median.
- Non-facility rate
- $71.05
- Rank
- 23 of 45
- vs. state median
- 100%
- vs. UT Medicare
- 77%
What Utah Medicaid publishes for 99213
23rd-highest of 45 · 100% of median
- Schedule
- October 2026
- In effect since
- Jul 1, 2026
- Prior authorization
- Not required
$67.03 to $75.07 across 2 rate types
- Global (Rural)
- $75.07
- Global
- $67.03
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. Utah Medicaid Fee Schedule Lookup
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 Utah is $91.96; Utah Medicaid's rate is 77% of that. The national amount before geographic adjustment is $95.193.
See 99213 Medicare ratesSee Utah's full schedule: all 9,338 codes, every published period, and commercial payer rates for 99213.
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