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

29881 Medicaid Fee Schedule Rates by State

Compare 29881 across covered Medicaid fee-for-service physician schedules. Comparable rankings use unmodified non-facility rates; provider, program, and modifier-specific fees appear as labeled ranges or separate choices.

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 20 common codes, including 99213, 99214, 99203 and up to 8 jurisdictions for other published codes.

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Current, state-published Medicaid fee-for-service rates; managed-care contracts are not included.See complete Medicaid history for 29881

29881 112 published rates across 46 jurisdictions

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Medicaid rate by state

29881each state's current schedule
Jurisdictions compared
46
Lowest comparable
$306.52
Median of 42
$479.285
Highest comparable
$1,141.14
Comparable spread
3.7x
Alaska: $869.97, effective July 2026Alabama: $826.61, effective September 2026Arkansas: $590.26 (median of $196.75 to $983.77 by rate type), effective September 2026Arizona: $531.84 (median of $372.29 to $531.84 by rate type), effective October 2026California: non-facility rates $551.00 by provider, program, or modifier; exact rates are listed belowColorado: $438.00, effective July 2026Connecticut: $449.87, effective October 2026District of Columbia: no published rate for 29881Delaware: $499.39, effective January 2026Florida: no published rate for 29881Georgia: $532.13, effective July 2026Hawaii: $558.12, effective June 2026Iowa: $463.16 (median of $414.50 to $487.65 by rate type), effective September 2026Idaho: $407.68, effective October 2026Illinois: $534.49, effective July 2026Indiana: $494.35, effective September 2026Kansas: $494.35 (ordinary statewide rate; $370.76 to $494.35 by rate type), effective October 2026Kentucky: $519.01, effective January 2026Louisiana: $459.21 (median of $438.97 to $479.45 by rate type), effective July 2026Massachusetts: $411.98, effective October 2026Maryland: $548.34, effective September 2026Maine: no published rate for 29881Michigan: rate choices by provider, program, or modifier; exact rates are listed belowMinnesota: $377.20, effective September 2026Missouri: non-facility rates $81.91 to $491.46 by provider, program, or modifier; exact rates are listed belowMississippi: $423.37, effective July 2026Montana: $754.21, effective January 2026North Carolina: $465.87, effective January 2026North Dakota: $548.59, effective August 2026Nebraska: $1,141.14, effective July 2026New Hampshire: $505.82, effective July 2026New Jersey: $352.58 (median of $222.67 to $521.40 by rate type), effective July 2026New Mexico: $785.78, effective March 2026Nevada: $572.06 (median of $338.36 to $657.87 by rate type), effective July 2026New York: no published rate for 29881Ohio: $453.93, effective January 2026Oklahoma: $449.04, effective July 2026Oregon: $407.56 (ordinary statewide rate; $407.56 to $1,315.90 by rate type), effective September 2026Pennsylvania: $543.50, effective October 2026Rhode Island: $336.00, effective October 2026South Carolina: $361.35 (ordinary statewide rate; $289.08 to $505.90 by rate type), effective October 2026South Dakota: $484.66, effective July 2026Texas: rate choices by provider, program, or modifier; exact rates are listed belowUtah: $413.16 (median of $389.77 to $436.54 by rate type), effective October 2026Virginia: $446.76, effective October 2026Vermont: $417.68, effective October 2026Washington: $306.52, effective October 2026Wisconsin: $516.57 (median of $489.38 to $543.75 by rate type), effective August 2026West Virginia: $365.02, effective April 2026Wyoming: $473.91, effective September 2026AK$869.97ALARAZ$531.84CA$551CO$438FLGAIAID$407.68ILINKS$494.35KYLAMEMIMN$377.20MO$81.91-$491.46MSMT$754.21NCND$548.59NE$1,141.14NM$785.78NV$572.06NYOHOK$449.04OR$407.56PASCSD$484.66TN!TXRatesUT$413.16VAWA$306.52WIWVWY$473.91
Small states:CT$449.87DC—DE$499.39HI$558.12MA$411.98MD$548.34NH$505.82NJ$352.58RI$336VT$417.68
No published rateRate choicesNot loaded yetNo schedule published

Ranked by rate

comparable median $479.285

Rate choices are placed by their lowest published non-facility fee.

  1. NE$1,141.14
  2. AK$869.97
  3. AL$826.61
  4. NM$785.78
  5. MT$754.21
  6. AR$590.26
  7. NV$572.06
  8. HI$558.12
  9. CA$551.00
  10. ND$548.59
  11. MD$548.34
  12. PA$543.50
  13. IL$534.49
  14. GA$532.13
  15. AZ$531.84
  16. KY$519.01
  17. WI$516.57
  18. NH$505.82
  19. DE$499.39
  20. IN$494.35
  21. KS$494.35
  22. SD$484.66
  23. WY$473.91
  24. NC$465.87
  25. IA$463.16
  26. LA$459.21
  27. OH$453.93
  28. CT$449.87
  29. OK$449.04
  30. VA$446.76
  31. CO$438.00
  32. MS$423.37
  33. VT$417.68
  34. UT$413.16
  35. MA$411.98
  36. ID$407.68
  37. OR$407.56
  38. MN$377.20
  39. WV$365.02
  40. SC$361.35
  41. NJ$352.58
  42. RI$336.00
  43. WA$306.52
  44. MO$81.91to $491.46

Blue states show comparable rates or published rate choices. Use the exact rate type below.

Rate history for one state

Select a state on the map to see how its rate has moved - the platform holds 195 published periods back to 2001. 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 2001 for all 17,674 codes, is in the platform.

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42 jurisdictions with comparable rates for 29881

JurisdictionPrior authNon-facility rate
NebraskaJuly 2026Not required$1,141.14
AlaskaJuly 2026Not published$869.97
AlabamaSeptember 2026Not required$826.61
New MexicoJan 1, 2025Not published$785.78
MontanaJul 1, 2025Not required$754.21
ArkansasSeptember 2026
$196.75 to $983.77 across 2 rate types
Surgeon
$983.77
Assistant Surgeon
$196.75
Not published$590.26median across rate types
NevadaJan 1, 2024
$338.36 to $657.87 across 5 rate types
APRN · Pediatric enhancement · Under 21
$657.87
Pediatric enhancement · Under 21
$657.87
APRN · Rate type DEF
$572.06
Rate type DEF
$572.06
Physician Assistant · Rate type PR1
$338.36
Not published$572.06median across rate types
HawaiiJune 2026Not published$558.12
North DakotaAugust 2026Not required$548.59
MarylandSeptember 2026Not required$548.34
PennsylvaniaMar 1, 2004Not published$543.50
IllinoisApr 1, 2024Not published$534.49
GeorgiaJuly 2026Not published$532.13
ArizonaOct 1, 2026
$372.29 to $531.84 across 5 rate types
General
$531.84
Provider type 08
$531.84
Provider type 31
$531.84
Provider type 18
$478.66
Provider type 82
$372.29
Not published$531.84median across rate types
KentuckyJanuary 2026Not published$519.01
WisconsinOct 1, 2009
$489.38 to $543.75 across 2 rate types
Rate type C30 · 4 provider specialties · 32 places of service
$543.75
Rate type PT1 · Provider type 10, specialty 100 · 32 places of service
$489.38
Not published$516.57median across rate types
New HampshireJul 1, 2023Not required$505.82
DelawareJanuary 2026Not published$499.39
IndianaJan 1, 2026Not required$494.35
KansasAug 1, 2024
$370.76 to $494.35 across 5 rate types
Max Fee
$494.35
Allow 1 Unit with Adjust · Exempt Physician · 75% of max fee
$370.76
Allow 1 Unit with Adjust · Mid Level Practitioner · 75% of max fee
$370.76
Max Fee with Adjustment · Exempt Physician · 75% of max fee
$370.76
Max Fee with Adjustment · Mid Level Practitioner · 75% of max fee
$370.76
Not published$494.35ordinary statewide rate
South DakotaJul 1, 2026Not published$484.66
WyomingJul 1, 2026Not required$473.91
North CarolinaOct 1, 2025Not published$465.87
IowaJul 1, 2024
$414.50 to $487.65 across 5 rate types
General
$487.65
Provider type 03
$487.65
Provider type 38
$463.16
Provider type 68
$423.36
Provider type 50
$414.50
Not published$463.16median across rate types
LouisianaJul 1, 2025
$438.97 to $479.45 across 2 rate types
Pediatric · Under 16
$479.45
Full Service
$438.97
Not required$459.21median across rate types
OhioJan 1, 2000Not published$453.93
ConnecticutJan 1, 2026Not required$449.87
OklahomaJul 1, 2026Not published$449.04
VirginiaJul 1, 2026Not required$446.76
ColoradoJul 1, 2026Not published$438.00
MississippiJul 1, 2026Not published$423.37
VermontJan 1, 2026Not required$417.68
UtahJul 1, 2026
$389.77 to $436.54 across 2 rate types
Global (Rural)
$436.54
Global
$389.77
Not required$413.16median across rate types
MassachusettsOct 1, 2026Not published$411.98
IdahoJul 1, 2026Not required$407.68
OregonFeb 1, 2026
$407.56 to $1,315.90 across 2 rate types
Rate type A
$1,315.90
General
$407.56
Not published$407.56ordinary statewide rate
MinnesotaFeb 1, 2026Conditional$377.20
West VirginiaApr 1, 2026Not published$365.02
South CarolinaJul 1, 2024
$289.08 to $505.90 across 4 rate types
Pediatric Subspecialty
$505.90
General
$361.35
Nurse Midwife
$289.08
PA/NP
$289.08
Not published$361.35ordinary statewide rate
New JerseyJul 1, 2026
$222.67 to $521.40 across 4 rate types
Children Specialist or Purchase
$521.40
Children Non Specialist or Rental
$443.19
Fee Specialist or Purchase
$261.96
Fee Non Specialist or Rental
$222.67
Not published$352.58median across rate types
Rhode IslandApr 1, 1993Not published$336.00
WashingtonOctober 2026Required$306.52

Rates by provider, program, modifier, or setting

Check the rate type, modifiers, and place of service before using an amount. These amounts are not interchangeable.

JurisdictionRate typeModifiersNon-facility rateFacility rate
CaliforniaPrimary SurgeonNone$551.00$551.00
IdahoASC FacilityNone—$1,399.06656
KentuckyStandard rateNone—$519.01
MichiganGeneralNone—$328.87
MissouriGeneral54 + 50$491.46—
MissouriGeneral54$327.64—
MissouriGeneral55 + 50$122.87—
MissouriGeneral55$81.91—
NebraskaGeneral50$1,556.10—
NebraskaGeneral80$227.85—
Rhode IslandLevel 3 · PAC I · Up to 1 unitAB$336.00—
Rhode IslandLevel 3 · PAC I · Up to 1 unitLT$336.00—
Rhode IslandLevel 3 · PAC I · Up to 1 unitRT$336.00—
Rhode IslandLevel 3 · PAC P · Up to 1 unit62$193.20—
Rhode IslandLevel 3 · PAC P · Up to 1 unit80 + 51 + 78$50.40—
Rhode IslandLevel 3 · PAC P · Up to 1 unit80$50.40—
Rhode IslandLevel 3 · PAC P · Up to 1 unit82$50.40—
Rhode IslandLevel 3 · PAC P · Up to 1 unitAA$84.00—
Rhode IslandLevel 3 · PAC P · Up to 1 unitAD$84.00—
Rhode IslandLevel 3 · PAC P · Up to 1 unitAS + LT$50.40—
Rhode IslandLevel 3 · PAC P · Up to 1 unitAS + RT$50.40—
Rhode IslandLevel 3 · PAC P · Up to 1 unitAS$50.40—
Rhode IslandLevel 3 · PAC P · Up to 1 unitQX$33.60—
Rhode IslandLevel 3 · PAC P · Up to 1 unitQY$33.60—
Rhode IslandLevel 3 · PAC P · Up to 1 unitQZ$67.20—
South CarolinaGeneral54$277.04$277.04
South CarolinaGeneral55$84.32$84.32
South Carolina
2 rate contexts at this amount
Nurse Midwife
PA/NP
54$221.63$221.63
South Carolina
2 rate contexts at this amount
Nurse Midwife
PA/NP
55$67.45$67.45
South CarolinaPediatric Subspecialty54$387.85$387.85
South CarolinaPediatric Subspecialty55$118.04$118.04
TexasSurgery · Under 21None—$467.04
TexasSurgery · Ages 21+None—$444.80
WisconsinRate type C30 · 4 provider specialties · 32 places of service · Payment adjustment50$543.75—
WisconsinRate type PT1 · Provider type 10, specialty 100 · 32 places of service · Payment adjustment50$489.38—

Labels summarize each state's published rate context. Provider specialty lists, place-of-service lists and adjustment codes are in the full dataset. See the full context in the platform

29881 Medicaid vs. Medicare

Medicare's 2026 national non-facility payment for 29881 is $515.71. Medicaid's $479.29, the median across 42 state programs, is 93% of Medicare.

Medicaid figures are unmodified non-facility fee-for-service rates; Medicare's is the national amount before geographic adjustment.

See 29881 Medicare rates

29881 Medicaid rates in high-enrollment states

Open a state schedule for its current rate, effective period, methodology, and official source.

CaliforniaMedi-Cal - September 2026TexasTexas Medicaid - September 2026PennsylvaniaPennsylvania Medical Assistance - October 2026IllinoisIllinois Medicaid - July 2026North CarolinaNC Medicaid - January 2026OhioOhio Medicaid - January 2026MichiganMichigan Medicaid - September 2026GeorgiaGeorgia Medicaid - July 2026

29881 Medicaid rate by state

AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming

No comparable statewide physician fee schedule is available for Tennessee. Why.

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, rate type, 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.