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Billing code 0101T · Physician & professional

0101T Medicaid reimbursement rate by state (2026)

Physician and practitioner services (fee schedule). Medicaid pays a median of $128.76 for 0101T across 9 states, from $2.76 in Iowa to $2,900.89 in Rhode Island.

Data as of Oct 5, 20269 statesEvery rate links to its official source

States publishing
9
National median
$128.76units vary by state
Lowest
$2.76Iowa
Highest
$2,900.89Rhode Island
Answer

What does Medicaid pay for 0101T?

9 state Medicaid programs publish a fee-for-service rate for 0101T. The national median is $128.76 (units differ between states). Rhode Island pays the most, $2,900.89, and Iowa the least, $2.76, a 1052.3x spread.

State ranking

0101T rate by state: highest, middle and lowest

One like-for-like fee-for-service rate per state, ranked. The workspace lists all 9 states with every variant, modifier and effective date.

#StateMedicaid rateUnitPer hourManaged-care plans% of Medicare
1Rhode Island Source · since 2026-07-01$2,900.89——Plans negotiate; applies out of network—
2New Mexico Source · since 2010-11-01$2,141.60——Plans must pay at least this—
3Delaware Source · since 2026-01-01$135.47——Plans negotiate; applies out of network—
5Arkansas Source · since 2026-01-01$128.76——Not classified—
8Connecticut Source · since 2026-01-01$2.76——Not classified—
9Iowa Source · since 2026-01-01$2.76——Plans must pay at least this—
See all 9 states for 0101T — start free

3 more states, with every modifier and provider-type variant, rate history and the plan rule in each state. 14-day free trial, no credit card.

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Rates are per the unit shown for each state; units can differ between states. Medicare amounts are computed from the CMS relative value file and locality cost indices; states with several Medicare localities show a range. Confirm rates with the payer before billing.

Track 0101T in your states. Get an alert when any state changes it, with every variant and the managed-care rule.
FAQ

Frequently asked questions

What does Medicaid pay for 0101T?

It depends on the state. Of the 9 states with a published fee-for-service rate, the median is $128.76. Rhode Island pays the most ($2,900.89) and Iowa the least ($2.76).

Which state pays the highest Medicaid rate for 0101T?

Rhode Island, at $2,900.89, effective 2026-07-01.

Do managed-care plans pay the same rate for 0101T?

Not necessarily. Each state's plan contracts decide whether plans must pay at least the fee-for-service rate, pay a state-set rate, or negotiate their own. The workspace shows the rule for each state, cited to the contract or statute.