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

H0018 Medicaid Fee Schedule Rates by State

Compare H0018 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 99213, 99214, 99203, 99204, 99285 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 H0018

H0018 8 jurisdictions shown, more may be in the platform

Medicaid rate by state

H00188 jurisdictions shown, more may be in the platform
Comparable rates shown
6
Shown lowest
$205.92
Shown median
$266.21
Shown highest
$591.24
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: rate choices by provider, program, or modifier; exact rates are listed belowArizona: 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: not shown here - Hawaii's full fee schedule is in the platformIowa: not shown here - Iowa's full fee schedule is in the platformIdaho: not shown here - Idaho's full fee schedule is in the platformIllinois: not shown here - Illinois's full fee schedule is in the platformIndiana: not shown here - Indiana's full fee schedule is in the platformKansas: $205.92, effective October 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 platformMaryland: not shown here - Maryland's full fee schedule is in the platformMaine: not shown here - Maine's full fee schedule is in the platformMichigan: not shown here - Michigan's full fee schedule is in the platformMinnesota: $591.24, effective September 2026Missouri: $273.42, effective October 2026Mississippi: 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: $294.49, effective July 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: $259.00, 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: rate choices by provider, program, or modifier; exact rates are listed belowSouth 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 platformTexas: 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: $249.83 (median of $180.00 to $425.00 by rate type), effective October 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 platformWyoming: not shown here - Wyoming's full fee schedule is in the platformAKALARAZCACOFLGAIAIDILINKS$205.92KYLAMEMIMN$591.24MO$273.42MSMTNCNDNENMNV$259NYOHOKORPASCSDTN!TXUTVAWAWIWVWY
Small states:CTDCDEHIMAMDNH$294.49NJRIRatesVT$249.83
No published rateRate choicesNot shown hereNot loaded yetNo schedule published

Ranked by rate

shown median $266.21
  1. MN$591.24
  2. NH$294.49
  3. MO$273.42
  4. NV$259.00
  5. VT$249.83
  6. KS$205.92

Hatched states are not shown here. Flat grey means no single comparable rate is available for H0018.

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 6 jurisdictions shown in full

JurisdictionPrior authNon-facility rate
MinnesotaJan 1, 2026Conditional$591.24
New HampshireJan 1, 2024Not required$294.49
MissouriJul 1, 2026Not required$273.42
NevadaJul 31, 2024Not published$259.00
VermontJul 1, 2023
$180.00 to $425.00 across 3 rate types
Provider type 039 · Specialty S25 · PAC 3
$425.00
Provider type T25 · Specialty S18 · PAC 3 · Modifier Required
$249.83
Provider type 000 · Specialty 000 · PAC 3
$180.00
Not required$249.83median across rate types
KansasJul 1, 2025Not published$205.92

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
ArkansasGeneralU1 + U4$572.00—
ArkansasGeneralU4$400.40—
New HampshireGeneralU4$208.27—
Rhode IslandProgram MSA010 · Level 4 · PAC S · Up to 1 unitHA$171.70—
Rhode IslandProgram MSA010 · Level 4 · PAC S · Up to 1 unitTG$313.04—
Rhode IslandProgram MSA010 · Level 4 · PAC S · Up to 1 unitUD$220.51—

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

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

More states may price H0018 than are shown here

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

Book a demo to see all 50 jurisdictions

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.