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

90581 Medicaid Fee Schedule Rates by State

Compare 90581 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 90581

90581 8 jurisdictions shown, more may be in the platform

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Medicaid rate by state

905818 jurisdictions shown, more may be in the platform
Rates shown
8
Shown lowest
$4.00
Shown median
$99.635
Shown highest
$118.83
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: $4.00, effective June 2026Iowa: $100.27, effective September 2026Idaho: $108.64, effective October 2026Illinois: not shown here - Illinois's full fee schedule is in the platformIndiana: not shown here - Indiana's full fee schedule is in the platformKansas: not shown here - Kansas's full fee schedule is in the platformKentucky: 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 platformMaryland: not shown here - Maryland's full fee schedule is in the platformMaine: $94.05, effective September 2026Michigan: not shown here - Michigan's full fee schedule is in the platformMinnesota: $99.00, effective September 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: not shown here - New Hampshire's full fee schedule is in the platformNew 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: $118.83 (median of $113.17 to $118.83 by rate type), effective July 2026New 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: not shown here - Oregon's full fee schedule is in the platformPennsylvania: not shown here - Pennsylvania's full fee schedule is in the platformRhode Island: not shown here - Rhode Island's full fee schedule is in the platformSouth Carolina: $97.42, effective October 2026South Dakota: not shown here - South Dakota's full fee schedule is in the platformTexas: $115.83, effective September 2026Utah: not shown here - Utah's full fee schedule is in the platformVirginia: not shown here - Virginia's full fee schedule is in the platformVermont: not shown here - Vermont's full fee schedule is in the platformWashington: 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 platformWyoming: not shown here - Wyoming's full fee schedule is in the platformAKALARAZCACOFLGAIAID$108.64ILINKSKYLAMEMIMN$99MOMSMTNCNDNENMNV$118.83NYOHOKORPASCSDTN!TX$115.83UTVAWAWIWVWY
Small states:CTDCDEHI$4MAMDNHNJRIVT
No published rateNot shown hereNot loaded yetNo schedule published

Ranked by rate

shown median $99.635
  1. NV$118.83
  2. TX$115.83
  3. ID$108.64
  4. IA$100.27
  5. MN$99.00
  6. SC$97.42
  7. ME$94.05
  8. HI$4.00

Hatched states are not shown here. Flat grey means no single comparable rate is available for 90581.

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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The 8 jurisdictions shown in full

JurisdictionPrior authNon-facility rate
NevadaJan 1, 2024
$113.17 to $118.83 across 3 rate types
APRN · Rate type DEF
$118.83
Rate type DEF
$118.83
Physician Assistant · Rate type PR1
$113.17
Not published$118.83median across rate types
TexasMar 1, 2026Not published$115.83
IdahoSep 1, 2025Not required$108.64
IowaApr 1, 2022Not published$100.27
MinnesotaJan 1, 2018Not published$99.00
South CarolinaJul 1, 2024Not published$97.42
MaineJul 1, 2026Not published$94.05
HawaiiJune 2026Not published$4.00

Comparable figures use unmodified non-facility rows. California provider rates and exact modifier tuples are listed separately where published.

More states may price 90581 than are shown here

The platform includes every schedule period published since 2001, plus the section, modifier and facility detail behind each rate.

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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.