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

93000 Medicaid Fee Schedule Rates by State

Compare 93000 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 93000

93000 94 published rates across 46 jurisdictions

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Medicaid rate by state

93000each state's current schedule
Jurisdictions compared
46
Lowest comparable
$9.36
Median of 45
$14.55
Highest comparable
$62.50
Comparable spread
6.7x
Alaska: $25.75, effective July 2026Alabama: $25.50, effective September 2026Arkansas: $28.60, effective September 2026Arizona: $14.55 (median of $13.52 to $15.64 by rate type), effective October 2026California: non-facility rates $28.70 by provider, program, or modifier; exact rates are listed belowColorado: $11.87, effective July 2026Connecticut: $11.60, effective October 2026District of Columbia: no published rate for 93000Delaware: $14.92, effective January 2026Florida: no published rate for 93000Georgia: $25.09, effective July 2026Hawaii: $14.78, effective June 2026Iowa: $24.36 (median of $21.80 to $25.65 by rate type), effective September 2026Idaho: $12.35, effective October 2026Illinois: $13.64, effective July 2026Indiana: $12.97, effective September 2026Kansas: $24.16 (ordinary statewide rate; $18.12 to $24.16 by rate type), effective October 2026Kentucky: $21.79, effective January 2026Louisiana: $15.09 (median of $13.72 to $16.46 by rate type), effective July 2026Massachusetts: $10.99, effective October 2026Maryland: $14.82, effective September 2026Maine: no published rate for 93000Michigan: $9.80, effective September 2026Minnesota: $11.57, effective September 2026Missouri: $18.75, effective October 2026Mississippi: $12.55, effective July 2026Montana: $19.53, effective January 2026North Carolina: $16.34, effective January 2026North Dakota: $16.90, effective August 2026Nebraska: $62.50, effective July 2026New Hampshire: $16.88, effective July 2026New Jersey: $11.46 (median of $6.66 to $17.74 by rate type), effective July 2026New Mexico: $20.20, effective March 2026Nevada: $15.59 (median of $11.00 to $17.93 by rate type), effective July 2026New York: no published rate for 93000Ohio: $13.90, effective January 2026Oklahoma: $13.34, effective July 2026Oregon: $12.32, effective September 2026Pennsylvania: $19.22, effective October 2026Rhode Island: $16.31, effective October 2026South Carolina: $9.43 (ordinary statewide rate; $7.54 to $13.20 by rate type), effective October 2026South Dakota: $14.40, effective July 2026Texas: $11.78 (median of $11.49 to $12.07 by rate type), effective September 2026Utah: $12.28 (median of $11.58 to $12.97 by rate type), effective October 2026Virginia: $13.31, effective October 2026Vermont: $12.74, effective October 2026Washington: $9.36, effective October 2026Wisconsin: $19.20 (median of $17.28 to $19.20 by rate type), effective August 2026West Virginia: $10.49, effective April 2026Wyoming: $12.37, effective September 2026AK$25.75ALARAZ$14.55CA$28.70CO$11.87FLGAIAID$12.35ILINKS$24.16KYLAMEMIMN$11.57MO$18.75MSMT$19.53NCND$16.90NE$62.50NM$20.20NV$15.59NYOHOK$13.34OR$12.32PASCSD$14.40TN!TX$11.78UT$12.28VAWA$9.36WIWVWY$12.37
Small states:CT$11.60DC—DE$14.92HI$14.78MA$10.99MD$14.82NH$16.88NJ$11.46RI$16.31VT$12.74
No published rateRate choicesNot loaded yetNo schedule published

Ranked by rate

comparable median $14.55

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

  1. NE$62.50
  2. CA$28.70
  3. AR$28.60
  4. AK$25.75
  5. AL$25.50
  6. GA$25.09
  7. IA$24.36
  8. KS$24.16
  9. KY$21.79
  10. NM$20.20
  11. MT$19.53
  12. PA$19.22
  13. WI$19.20
  14. MO$18.75
  15. ND$16.90
  16. NH$16.88
  17. NC$16.34
  18. RI$16.31
  19. NV$15.59
  20. LA$15.09
  21. DE$14.92
  22. MD$14.82
  23. HI$14.78
  24. AZ$14.55
  25. SD$14.40
  26. OH$13.90
  27. IL$13.64
  28. OK$13.34
  29. VA$13.31
  30. IN$12.97
  31. VT$12.74
  32. MS$12.55
  33. WY$12.37
  34. ID$12.35
  35. OR$12.32
  36. UT$12.28
  37. CO$11.87
  38. TX$11.78
  39. CT$11.60
  40. MN$11.57
  41. NJ$11.46
  42. MA$10.99
  43. WV$10.49
  44. MI$9.80
  45. SC$9.43
  46. WA$9.36

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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45 jurisdictions with comparable rates for 93000

JurisdictionPrior authNon-facility rate
NebraskaJuly 2026Not required$62.50
ArkansasSeptember 2026Not published$28.60
AlaskaJuly 2026Not published$25.75
AlabamaSeptember 2026Not required$25.50
GeorgiaJuly 2026Not published$25.09
IowaJul 1, 2024
$21.80 to $25.65 across 5 rate types
General
$25.65
Provider type 03
$25.65
Provider type 38
$24.36
Provider type 68
$22.27
Provider type 50
$21.80
Not published$24.36median across rate types
KansasNov 15, 1994
$18.12 to $24.16 across 3 rate types
Max Fee
$24.16
Max Fee with Adjustment · Exempt Physician · 75% of max fee
$18.12
Max Fee with Adjustment · Mid Level Practitioner · 75% of max fee
$18.12
Not published$24.16ordinary statewide rate
KentuckyJanuary 2026Not published$21.79
New MexicoJan 1, 2025Not published$20.20
MontanaJul 1, 2025Not required$19.53
PennsylvaniaOct 1, 2023Not published$19.22
WisconsinOct 1, 2009
$17.28 to $19.20 across 3 rate types
Rate type C30 · 5 provider specialties · 29 places of service
$19.20
Rate type FAP · Provider type 71, specialty 000 · 29 places of service
$19.20
Rate type PT1 · Provider type 10, specialty 100 · 29 places of service
$17.28
Not published$19.20median across rate types
MissouriJul 1, 2017Not required$18.75
North DakotaAugust 2026Not required$16.90
New HampshireJan 1, 2021Not required$16.88
North CarolinaOct 1, 2025Not published$16.34
Rhode IslandApr 1, 1993Not published$16.31
NevadaJan 1, 2024
$11.00 to $17.93 across 5 rate types
APRN · Pediatric enhancement · Under 21
$17.93
Pediatric enhancement · Under 21
$17.93
APRN · Rate type DEF
$15.59
Rate type DEF
$15.59
Physician Assistant · Rate type PR1
$11.00
Not published$15.59median across rate types
LouisianaFeb 1, 2013
$13.72 to $16.46 across 2 rate types
Pediatric · Under 16 · Multiple Units
$16.46
Full Service · Multiple Units
$13.72
Not required$15.09median across rate types
DelawareJanuary 2026Not published$14.92
MarylandSeptember 2026Not required$14.82
HawaiiJune 2026Not published$14.78
ArizonaOct 1, 2024
$13.52 to $15.64 across 6 rate types
Provider type 08
$15.64
Provider type 31
$15.64
General
$15.02
Provider type 18
$14.07
Provider type 19
$14.07
Provider type CN
$13.52
Not published$14.55median across rate types
South DakotaJul 1, 2026Not published$14.40
OhioJan 1, 2024Not published$13.90
IllinoisApr 1, 2024Not published$13.64
OklahomaJul 1, 2026Not published$13.34
VirginiaJul 1, 2026Not required$13.31
IndianaJan 1, 2026Not required$12.97
VermontJan 1, 2026Not required$12.74
MississippiJul 1, 2026Not published$12.55
WyomingJul 1, 2026Not required$12.37
IdahoJul 1, 2026Not required$12.35
OregonFeb 1, 2026Not published$12.32
UtahJul 1, 2026
$11.58 to $12.97 across 2 rate types
Global (Rural)
$12.97
Global
$11.58
Not required$12.28median across rate types
ColoradoJul 1, 2026Not published$11.87
TexasSep 1, 2021
$11.49 to $12.07 across 2 rate types
Laboratory · Under 21
$12.07
Laboratory · Ages 21+
$11.49
Not published$11.78median across rate types
ConnecticutJan 1, 2026Not required$11.60
MinnesotaFeb 1, 2026Not published$11.57
New JerseyJul 1, 2026
$6.66 to $17.74 across 4 rate types
Children Specialist or Purchase
$17.74
Children Non Specialist or Rental
$15.08
Fee Specialist or Purchase
$7.84
Fee Non Specialist or Rental
$6.66
Not published$11.46median across rate types
MassachusettsOct 1, 2026Not published$10.99
West VirginiaApr 1, 2026Not published$10.49
MichiganSeptember 2026Not published$9.80
South CarolinaJul 1, 2024
$7.54 to $13.20 across 4 rate types
Pediatric Subspecialty
$13.20
General
$9.43
Nurse Midwife
$7.54
PA/NP
$7.54
Not published$9.43ordinary statewide rate
WashingtonOctober 2026Not published$9.36

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
California
2 rate contexts at this amount
Medicine (Physician)
Targeted Rate Increase (TRI)
None$28.70$28.70
CaliforniaMedicine (Physician) · Hospital Emergency RoomNone—$36.40
IndianaGeneralSE$12.97$12.97
KentuckyStandard rateNone—$21.79
MarylandGeneral26$14.82$14.82
New Jersey
4 rate contexts at this amount
Children Non Specialist or Rental
Children Specialist or Purchase
Fee Non Specialist or Rental
Fee Specialist or Purchase
26$5.00—
New Jersey
4 rate contexts at this amount
Children Non Specialist or Rental
Children Specialist or Purchase
Fee Non Specialist or Rental
Fee Specialist or Purchase
TC$11.00—
Rhode IslandLevel 3 · PAC I · Up to 1 unit59$16.31—
Rhode IslandLevel 3 · PAC I · Up to 1 unitWJ$16.31—

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

93000 Medicaid vs. Medicare

Medicare's 2026 national non-facility payment for 93000 is $15.364. Medicaid's $14.54, the median across 45 state programs, is 95% of Medicare.

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

See 93000 Medicare rates

93000 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

93000 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.