99204 NP rates in every state
New patient visit. Across 25 states with enough data, the typical listed rate for a solo NP practice runs from $127.04 (Ohio) to $182.32 (Massachusetts); the middle state is $142.29.
| State | Solo NP typical | Insurers | Medicare 2026 | % of Medicare | Medicaid NP |
|---|---|---|---|---|---|
| Alabama | $134.25 | 6 | $139.03 | 97% | — |
| Arizona | $142.29 | 6 | $147.60 | 96% | — |
| California | $149.18 | 6 | $155.58–$186.71 | 87% | $151.90 |
| Colorado | $142.29 | 5 | $154.64 | 92% | — |
| Connecticut | $151.69 | 5 | $159.06 | 95% | — |
| Florida | $142.21 | 9 | $151.10–$164.05 | 90% | $110.35 |
| Georgia | $142.29 | 7 | $144.49–$153.47 | 96% | $99.46 |
| Illinois | $149.40 | 7 | $148.49–$160.45 | 97% | — |
| Indiana | $134.11 | 6 | $142.14 | 94% | $130.71 |
| Kentucky | $131.75 | 6 | $142.39 | 93% | — |
| Maryland | $139.09 | 4 | $151.78–$158.67 | 90% | — |
| Massachusetts | $182.32 | 4 | $154.27–$166.63 | 114% | — |
| Michigan | $142.29 | 6 | $145.54–$152.97 | 95% | — |
| Minnesota | $140.87 | 4 | $147.99 | 95% | — |
| Missouri | $134.36 | 7 | $140.90–$147.40 | 93% | — |
| New Jersey | $149.40 | 7 | $160.82–$167.08 | 91% | $116.96 |
| New York | $152.45 | 6 | $145.22–$174.57 | 95% | $151.23 |
| North Carolina | $135.18 | 6 | $143.60 | 94% | $125.39 |
| Ohio | $127.04 | 8 | $144.71 | 88% | $93.36 |
| Pennsylvania | $142.29 | 8 | $144.63–$156.27 | 95% | $90.37 |
| Tennessee | $134.12 | 7 | $141.22 | 95% | — |
| Texas | $136.21 | 8 | $143.96–$154.19 | 91% | $74.74 |
| Virginia | $134.51 | 6 | $147.56 | 91% | — |
| Washington | $168.75 | 5 | $153.80–$169.12 | 105% | — |
| Wisconsin | $149.52 | 5 | $143.10 | 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 · 99205 · 90792 · 90833 · 90836 · 90837 · G2211