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Fee-for-service rateAs of October 2026

Utah Medicaid rate for CPT 99214

Utah Medicaid pays a median of $101.32 across its rate types for CPT 99214 in its October 2026 fee-for-service schedule: the 23rd-highest of 45 state Medicaid programs, at 100% of the $101.32 median.

Non-facility rate
$101.32
Rank
23 of 45
vs. state median
100%
vs. UT Medicare
77%

What Utah Medicaid publishes for 99214

23rd-highest of 45 · 100% of median

23rd-highest of 45 · 100% of median

Schedule
October 2026
In effect since
Jul 1, 2026
Prior authorization
Not required
$95.58 to $107.05 across 2 rate types
Global (Rural)
$107.05
Global
$95.58

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

99214 in neighboring states

Each state's comparable non-facility rate for 99214 in its current schedule.

StateRatevs. Utah
Arizona$85.81-15%
Colorado$104.54+3%
Idaho$122.69+21%
New Mexico$182.19+80%
Nevada$90.35-11%
Wyoming$111.54+10%

99214 under Medicare

Medicare's 2026 non-facility payment for 99214 in Utah is $131.12; Utah Medicaid's rate is 77% of that. The national amount before geographic adjustment is $135.608.

See 99214 Medicare rates

See Utah's full schedule: all 9,338 codes, every published period, and commercial payer rates for 99214.

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Other Utah Medicaid rates