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Rates through August 2026State-published files · No login required

28020 Medicaid Fee Schedule Rates by State

Compare 28020 across covered Medicaid fee-for-service physician schedules. Each figure is the median unmodified non-facility amount in that jurisdiction's latest published schedule.

These are agency-published fee-for-service amounts, not managed-care contracted rates or a guarantee of payment. The free view shows all covered jurisdictions for 99213, 99214, 99203, 99204, 99285 and up to 8 jurisdictions for other published codes.

Current, state-published Medicaid fee-for-service rates; managed-care contracts are not included.See complete Medicaid history for 28020

28020 8 jurisdictions shown, more may be in the platform

Medicaid rate by state

280208 jurisdictions shown, more may be in the platform
Rates shown
8
Shown lowest
$164.22
Shown median
$428.85
Shown highest
$480.42
Alaska: not shown here - Alaska's full fee schedule is in the platformAlabama: not shown here - Alabama's full fee schedule is in the platformArkansas: not shown here - Arkansas's full fee schedule is in the platformArizona: not shown here - Arizona's full fee schedule is in the platformCalifornia: not shown here - California's full fee schedule is in the platformColorado: not shown here - Colorado's full fee schedule is in the platformConnecticut: not shown here - Connecticut's full fee schedule is in the platformDistrict of Columbia: not shown here - District of Columbia's full fee schedule is in the platformDelaware: not shown here - Delaware's full fee schedule is in the platformFlorida: not shown here - Florida's full fee schedule is in the platformGeorgia: not shown here - Georgia's full fee schedule is in the platformHawaii: $373.11, effective June 2026Iowa: not shown here - Iowa's full fee schedule is in the platformIdaho: $427.75, effective July 2025Illinois: not shown here - Illinois's full fee schedule is in the platformIndiana: $480.42, effective August 2026Kansas: $382.10, effective August 2026Kentucky: not shown here - Kentucky's full fee schedule is in the platformLouisiana: not shown here - Louisiana's full fee schedule is in the platformMassachusetts: not shown here - Massachusetts's full fee schedule is in the platformMD: not covered yet - its fee schedule is not in the datasetMaine: not shown here - Maine's full fee schedule is in the platformMichigan: not shown here - Michigan's full fee schedule is in the platformMinnesota: $429.94, effective August 2026Missouri: not shown here - Missouri's full fee schedule is in the platformMississippi: not shown here - Mississippi's full fee schedule is in the platformMontana: not shown here - Montana's full fee schedule is in the platformNorth Carolina: not shown here - North Carolina's full fee schedule is in the platformNorth Dakota: not shown here - North Dakota's full fee schedule is in the platformNebraska: not shown here - Nebraska's full fee schedule is in the platformNew Hampshire: $164.22, effective January 2026New Jersey: not shown here - New Jersey's full fee schedule is in the platformNew Mexico: not shown here - New Mexico's full fee schedule is in the platformNevada: not shown here - Nevada's full fee schedule is in the platformNew York: not shown here - New York's full fee schedule is in the platformOhio: not shown here - Ohio's full fee schedule is in the platformOklahoma: not shown here - Oklahoma's full fee schedule is in the platformOregon: $453.17, effective July 2026Pennsylvania: not shown here - Pennsylvania's full fee schedule is in the platformRI: not covered yet - its fee schedule is not in the datasetSouth Carolina: not shown here - South Carolina's full fee schedule is in the platformSouth Dakota: not shown here - South Dakota's full fee schedule is in the platformTN: not covered yet - its fee schedule is not in the datasetTexas: not shown here - Texas's full fee schedule is in the platformUtah: not shown here - Utah's full fee schedule is in the platformVirginia: not shown here - Virginia's full fee schedule is in the platformVermont: $468.25, effective August 2026Washington: not shown here - Washington's full fee schedule is in the platformWisconsin: not shown here - Wisconsin's full fee schedule is in the platformWest Virginia: not shown here - West Virginia's full fee schedule is in the platformWY: not covered yet - its fee schedule is not in the datasetAKALARAZCACOFLGAIAID$427.75ILINKS$382.10KYLAMEMIMN$429.94MOMSMTNCNDNENMNVNYOHOKOR$453.17PASCSDTNTXUTVAWAWIWVWY
Small states:CT•••DC•••DE•••HI$373.11MA•••MD—NH$164.22NJ•••RI—VT$468.25No published rateNot shown hereNot covered yet

Ranked by rate

shown median $428.85
  1. IN$480.42
  2. VT$468.25
  3. OR$453.17
  4. MN$429.94
  5. ID$427.75
  6. KS$382.10
  7. HI$373.11
  8. NH$164.22

Hatched states are not shown here. Flat grey means the state is shown and publishes no rate for 28020.

Rate history for one state

Select a state on the map to see how its rate has moved - the platform holds 105 published periods back to 2003. Not part of the free view.

Historical rates are part of the platform

The table behind this panel shows the fields available in historical schedules; it does not display synthetic dates or rates. The real history, every published schedule back to 2003 for all 16,344 codes, is in the platform.

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The 8 jurisdictions shown in full

JurisdictionProgramEffectiveNon-facility rate
IndianaIndiana Health Coverage ProgramsAugust 2026$480.42
VermontVermont MedicaidAugust 2026$468.25
OregonOregon Health PlanJuly 2026$453.17
MinnesotaMinnesota Health Care ProgramsAugust 2026$429.94
IdahoIdaho MedicaidJuly 2025$427.75
KansasKansas Medical Assistance ProgramAugust 2026$382.10
HawaiiMed-QUESTJune 2026$373.11
New HampshireNew Hampshire MedicaidJanuary 2026$164.22

Each figure is the median of that state's unmodified non-facility rows at its most recently published schedule. Which states are shown is chosen per code, so that every code with a published rate has one.

More states may price 28020 than are shown here

The platform includes every schedule period published since 2003, plus the section, modifier and facility detail behind each rate.

Book a demo to see all 47 jurisdictions

Methodology

Each jurisdiction's published Medicaid fee-for-service physician schedule is downloaded at the source, parsed, and normalized into a shared schema of jurisdiction, effective period, section, code, modifier, non-facility rate, and facility rate. Rates are carried through unchanged - no averaging, interpolation, or cross-jurisdiction adjustment is applied. Where a program publishes a single rate for both settings, the same value appears in both columns. Managed-care contracts, eligibility, coverage rules, modifiers not shown, and claim-specific adjustments can produce different payment.

Medicaid benefits and coverage at Medicaid.gov
Looking for Medicare rates? Search the Medicare fee schedule.