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Billing code 01842 · Physician & professional

01842 Medicaid reimbursement rate by state (2026)

Physician and practitioner services (fee schedule). Medicaid pays a median of $6.00 for 01842 across 39 states, from $0.96 in Idaho to $126.72 in Oregon.

Data as of Oct 5, 202639 statesEvery rate links to its official source

States publishing
39
National median
$6.00units vary by state
Lowest
$0.96Idaho
Highest
$126.72Oregon
Answer

What does Medicaid pay for 01842?

39 state Medicaid programs publish a fee-for-service rate for 01842. The national median is $6.00 (units differ between states). Oregon pays the most, $126.72, and Idaho the least, $0.96 per minute, a 132.0x spread.

State ranking

01842 rate by state: highest, middle and lowest

One like-for-like fee-for-service rate per state, ranked. The workspace lists all 39 states with every variant, modifier and effective date.

#StateMedicaid rateUnitPer hourManaged-care plans% of Medicare
1Oregon Source · since 2024-10-01$126.72——Plans negotiate; applies out of network—
2Vermont Source · since 2002-10-01$108.90——Not classified—
3Florida Source · since 2026-01-01$98.78——Plans negotiate; applies out of network—
19Kansas Source · since 2002-01-01$6.00——Plans must pay at least this—
20Connecticut Source · since 2008-01-01$6.00base unit—Not classified—
21Georgia Source · since 2017-01-01$6.00base unit—Plans negotiate; applies out of network—
38Maryland Source · since 2026-01-01$1.15minute—Not classified—
39Idaho Source · since 2025-09-01$0.96minute—Not classified—
See all 39 states for 01842 — start free

31 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 01842 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 01842?

It depends on the state. Of the 39 states with a published fee-for-service rate, the median is $6.00. Oregon pays the most ($126.72) and Idaho the least ($0.96 per minute).

Which state pays the highest Medicaid rate for 01842?

Oregon, at $126.72, effective 2024-10-01.

Do managed-care plans pay the same rate for 01842?

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.