Virginia Medicaid rate for CPT 99214
Virginia Medicaid pays a median of $97.76 across its rate types for CPT 99214 in its October 2026 fee-for-service schedule: the 21st-lowest of 45 state Medicaid programs, at 96% of the $101.32 median.
- Non-facility rate
- $97.76
- Rank
- 25 of 45
- vs. state median
- 96%
- vs. VA Medicare
- 65-73%
What Virginia Medicaid publishes for 99214
21st-lowest of 45 · 96% of median
- Schedule
- October 2026
- In effect since
- Jul 1, 2026
- Prior authorization
- Not required
$97.71 to $97.81 across 2 rate types
- Ages 21+
- $97.81
- Under 21
- $97.71
2 rate types
- Under 21
- Facility $60.89
- Ages 21+
- Facility $60.95
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. DMAS Procedure Fee Files
99214 in neighboring states
Each state's comparable non-facility rate for 99214 in its current schedule.
| State | Rate | vs. Virginia |
|---|---|---|
| Kentucky | $67.10 | -31% |
| Maryland | $133.26 | +36% |
| North Carolina | $81.76 | -16% |
| West Virginia | $93.21 | -5% |
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 Virginia is $133.10 to $151.49 across its 2 payment localities; Virginia Medicaid's rate is 65-73% of that. The national amount before geographic adjustment is $135.608.
See 99214 Medicare ratesSee Virginia's full schedule: all 8,748 codes, every published period, and commercial payer rates for 99214.
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