99205 NP rates in every state
New patient visit, complex. Across 25 states with enough data, the typical listed rate for a solo NP practice runs from $165.65 (Alabama) to $228.34 (Massachusetts); the middle state is $185.55.
| State | Solo NP typical | Insurers | Medicare 2026 | % of Medicare | Medicaid NP |
|---|---|---|---|---|---|
| Alabama | $165.65 | 6 | $185.39 | 89% | — |
| Arizona | $184.58 | 6 | $196.98 | 94% | — |
| California | $192.97 | 6 | $207.04–$248.01 | 85% | $197.98 |
| Colorado | $187.80 | 5 | $206.12 | 91% | — |
| Connecticut | $191.40 | 5 | $212.48 | 90% | — |
| Florida | $187.80 | 9 | $202.39–$220.68 | 89% | $147.34 |
| Georgia | $187.80 | 7 | $193.35–$205.11 | 94% | $123.41 |
| Illinois | $197.19 | 7 | $199.07–$215.68 | 95% | — |
| Indiana | $173.14 | 6 | $189.35 | 91% | $172.51 |
| Kentucky | $166.87 | 6 | $190.25 | 88% | — |
| Maryland | $179.75 | 4 | $202.55–$212.00 | 87% | — |
| Massachusetts | $228.34 | 4 | $205.67–$222.03 | 107% | — |
| Michigan | $187.80 | 6 | $194.63–$205.10 | 94% | — |
| Minnesota | $178.49 | 4 | $196.76 | 91% | — |
| Missouri | $170.96 | 7 | $188.37–$196.91 | 89% | — |
| New Jersey | $197.19 | 7 | $214.69–$222.92 | 90% | — |
| New York | $194.57 | 6 | $193.67–$233.74 | 91% | $199.75 |
| North Carolina | $175.32 | 6 | $191.45 | 92% | $158.51 |
| Ohio | $167.62 | 8 | $193.39 | 87% | $117.31 |
| Pennsylvania | $185.55 | 8 | $193.21–$208.81 | 92% | $117.54 |
| Tennessee | $172.59 | 7 | $188.22 | 92% | — |
| Texas | $179.99 | 8 | $192.31–$205.64 | 90% | $92.92 |
| Virginia | $174.64 | 6 | $196.72 | 89% | — |
| Washington | $209.25 | 5 | $205.00–$225.21 | 97% | — |
| Wisconsin | $197.79 | 5 | $190.37 | 104% | — |
Listed rates from insurer price files, 2026 Q4; typical = middle of insurer typicals (one vote per insurer), 5+ groups. % of Medicare uses the middle of the state's Medicare NP range.
Other codes: 99214 · 99213 · 99215 · 99204 · 90792 · 90833 · 90836 · 90837 · G2211