PayerPrice
Data Platform
Who We Serve
Use Cases
More
Check Local Rates
Fee-for-service rateAs of September 2026

Wyoming Medicaid rate for CPT 99213

Wyoming Medicaid pays $79.31 for CPT 99213 in its September 2026 fee-for-service schedule: the 16th-highest of 45 state Medicaid programs, at 112% of the $71.05 median.

Non-facility rate
$79.31
Rank
16 of 45
vs. state median
112%
vs. WY Medicare
84%

What Wyoming Medicaid publishes for 99213

16th-highest of 45 · 112% of median

16th-highest of 45 · 112% of median

Schedule
September 2026
In effect since
Jul 1, 2026
Prior authorization
Not required
$79.31 to $103.14 across 3 rate types
Breast and Cervical Cancer Screening
$103.14
Behavioral Health Center Full Coverage
$82.67
General
$79.31

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. Wyoming Medicaid Fee Schedules

99213 in neighboring states

Each state's comparable non-facility rate for 99213 in its current schedule.

StateRatevs. Wyoming
Colorado$73.99-7%
Idaho$86.12+9%
Montana$124.79+57%
Nebraska$99.69+26%
South Dakota$89.93+13%
Utah$71.05-10%

99213 under Medicare

Medicare's 2026 non-facility payment for 99213 in Wyoming is $94.41; Wyoming Medicaid's rate is 84% of that. The national amount before geographic adjustment is $95.193.

See 99213 Medicare rates

See Wyoming's full schedule: all 11,582 codes, every published period, and commercial payer rates for 99213.

Book a 15-min Medicaid walkthrough

Other Wyoming Medicaid rates