99213 NP rates in every state
Follow-up visit, simpler. Across 25 states with enough data, the typical listed rate for a solo NP practice runs from $58.26 (Ohio) to $82.88 (Massachusetts); the middle state is $70.15.
| State | Solo NP typical | Insurers | Medicare 2026 | % of Medicare | Medicaid NP |
|---|---|---|---|---|---|
| Alabama | $61.58 | 6 | $74.62 | 83% | — |
| Arizona | $70.69 | 6 | $79.26 | 89% | — |
| California | $72.49 | 6 | $84.34–$102.11 | 78% | $82.02 |
| Colorado | $77.20 | 5 | $83.45 | 93% | — |
| Connecticut | $69.50 | 5 | $85.38 | 81% | — |
| Florida | $75.65 | 9 | $80.38–$86.52 | 91% | $27.43 |
| Georgia | $77.20 | 7 | $76.92–$82.20 | 97% | $73.85 |
| Illinois | $79.00 | 7 | $78.74–$84.69 | 97% | — |
| Indiana | $66.86 | 6 | $76.58 | 87% | $71.30 |
| Kentucky | $64.54 | 6 | $76.09 | 85% | — |
| Maryland | $70.15 | 4 | $81.57–$85.14 | 84% | — |
| Massachusetts | $82.88 | 4 | $83.18–$90.18 | 96% | — |
| Michigan | $70.57 | 6 | $77.64–$81.22 | 89% | — |
| Minnesota | $62.40 | 4 | $80.32 | 78% | — |
| Missouri | $69.09 | 7 | $75.12–$78.93 | 90% | — |
| New Jersey | $81.06 | 7 | $86.45–$90.04 | 92% | $63.03 |
| New York | $66.91 | 6 | $78.08–$93.30 | 78% | $82.41 |
| North Carolina | $67.18 | 6 | $77.21 | 87% | $54.26 |
| Ohio | $58.26 | 8 | $77.32 | 75% | $46.23 |
| Pennsylvania | $77.20 | 8 | $77.38–$83.77 | 96% | $35.00 |
| Tennessee | $66.29 | 7 | $75.96 | 87% | — |
| Texas | $65.19 | 8 | $77.00–$83.10 | 81% | $31.23 |
| Virginia | $65.55 | 6 | $79.46 | 82% | — |
| Washington | $77.20 | 5 | $82.98–$91.70 | 88% | — |
| Wisconsin | $72.05 | 5 | $77.40 | 93% | — |
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 · 99215 · 99204 · 99205 · 90792 · 90833 · 90836 · 90837 · G2211