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Ambetter fee schedule 2026, by CPT code.
Ambetter (Centene marketplace plans) publishes the rate it negotiated with each practice it contracts with, by NPI. Enter yours and we read Ambetter’s files for your rates.
What you’ll get
| Code | Visit | Your Ambetter rate | Source file |
|---|---|---|---|
| Filled in from Ambetter’s own file when you enter your NPI. | |||
Ambetter publishes 28 in-network rate files. We read them for the rate listed for your practice, code by code.
Need the codes you bill, across your payers? Start a fee schedule from $99/month.
Inside Ambetter’s files
What Ambetter publishes.
Published by Ambetter under the federal Transparency in Coverage rule.
What you get
The number, and everything behind it.
The exact dollar Ambetter negotiated for a CPT code and your NPI — the genuinely negotiated figure, chosen by a fixed rule, not the “derived” line beside it.
Which Ambetter network the rate sits in (an HMO and a PPO product can pay differently), and that it’s the in-office professional rate.
The source file and its “as of” month, linked — so the number survives being questioned by a contracting manager.
On a paid plan, Ambetter becomes one column of a sheet next to every other payer you take, with underpayment checks and change alerts.
After the rate
Is Ambetter paying you what it published?
Upload your allowed amounts by code and see which ones Ambetter allowed below the rate it published for you, the claims affected and the dollar gap. Totals only, no patient data. →
Fee scheduleAmbetter next to every other payer you take, code by code, in one sheet, with the source behind every number and an alert when a rate changes. →
Also in Alabama, Arkansas, Arizona, California, Delaware, Florida, Georgia, Iowa, Illinois, Indiana, Kansas, Kentucky, Louisiana, Michigan, Missouri, Mississippi, North Carolina, Nebraska, New Hampshire, New Jersey, Nevada, Ohio, Oklahoma, Pennsylvania, South Carolina, Tennessee, Texas, Washington
The other payers we read here.
Your states
All the payers we read in Alabama, Arkansas, Arizona, California, Delaware, Florida, Georgia, Iowa, Illinois, Indiana, Kansas, Kentucky, Louisiana, Michigan, Missouri, Mississippi, North Carolina, Nebraska, New Hampshire, New Jersey, Nevada, Ohio, Oklahoma, Pennsylvania, South Carolina, Tennessee, Texas, Washington.
Questions about Ambetter’s rates or your contract? Ask us →