99215 NP rates in every state
Follow-up visit, complex. Across 25 states with enough data, the typical listed rate for a solo NP practice runs from $117.72 (Kentucky) to $161.61 (Massachusetts); the middle state is $137.84.
| State | Solo NP typical | Insurers | Medicare 2026 | % of Medicare | Medicaid NP |
|---|---|---|---|---|---|
| Alabama | $118.92 | 6 | $151.18 | 79% | — |
| Arizona | $140.18 | 6 | $160.25 | 87% | — |
| California | $145.58 | 6 | $169.61–$204.02 | 78% | $162.11 |
| Colorado | $152.95 | 5 | $168.17 | 91% | — |
| Connecticut | $134.80 | 5 | $172.39 | 78% | — |
| Florida | $152.95 | 9 | $163.10–$175.85 | 90% | $82.72 |
| Georgia | $152.95 | 7 | $156.25–$166.22 | 95% | $84.11 |
| Illinois | $155.00 | 7 | $160.10–$172.20 | 93% | — |
| Indiana | $131.81 | 6 | $154.77 | 85% | $141.13 |
| Kentucky | $117.72 | 6 | $154.36 | 76% | — |
| Maryland | $136.23 | 4 | $164.77–$171.91 | 81% | — |
| Massachusetts | $161.61 | 4 | $167.73–$181.28 | 93% | — |
| Michigan | $145.21 | 6 | $157.50–$164.89 | 90% | — |
| Minnesota | $125.91 | 4 | $161.59 | 78% | — |
| Missouri | $137.84 | 7 | $152.60–$159.79 | 88% | — |
| New Jersey | $160.60 | 7 | $174.47–$181.43 | 90% | $127.00 |
| New York | $135.56 | 6 | $157.85–$188.49 | 78% | $162.39 |
| North Carolina | $131.83 | 6 | $156.14 | 84% | $110.58 |
| Ohio | $123.17 | 8 | $156.78 | 79% | $95.01 |
| Pennsylvania | $152.95 | 8 | $156.80–$169.31 | 94% | $78.05 |
| Tennessee | $135.63 | 7 | $153.66 | 88% | — |
| Texas | $129.34 | 8 | $156.08–$167.53 | 80% | $67.53 |
| Virginia | $131.97 | 6 | $160.45 | 82% | — |
| Washington | $154.00 | 5 | $167.28–$184.14 | 88% | — |
| Wisconsin | $141.38 | 5 | $156.13 | 91% | — |
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 · 99204 · 99205 · 90792 · 90833 · 90836 · 90837 · G2211