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Billing code 01990 · Physician & professional

01990 Medicaid reimbursement rate by state (2026)

Physician and practitioner services (fee schedule). Medicaid pays a median of $7.00 for 01990 across 27 states, from $0.96 in Idaho to $147.84 in Oregon.

Data as of Oct 5, 202627 statesEvery rate links to its official source

States publishing
27
National median
$7.00units vary by state
Lowest
$0.96Idaho
Highest
$147.84Oregon
Answer

What does Medicaid pay for 01990?

27 state Medicaid programs publish a fee-for-service rate for 01990. The national median is $7.00 (units differ between states). Oregon pays the most, $147.84, and Idaho the least, $0.96 per minute, a 154.0x spread.

State ranking

01990 rate by state: highest, middle and lowest

One like-for-like fee-for-service rate per state, ranked. The workspace lists all 27 states with every variant, modifier and effective date.

#StateMedicaid rateUnitPer hourManaged-care plans% of Medicare
1Oregon Source · since 2024-10-01$147.84——Plans negotiate; applies out of network—
2Nebraska Source · since 2026-07-01$104.52——Plans negotiate; applies out of network—
3California Source · since 2026-10-01$88.54——Plans negotiate; applies out of network—
13Connecticut Source · since 2008-01-01$7.00base unit—Not classified—
14Georgia Source · since 2017-01-01$7.00base unit—Plans negotiate; applies out of network—
15Washington Source · since 2021-01-01$7.00Base—Plans negotiate; applies out of network—
26Maryland Source · since 2026-01-01$1.15minute—Not classified—
27Idaho Source · since 2025-09-01$0.96minute—Not classified—
See all 27 states for 01990 — start free

19 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 01990 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 01990?

It depends on the state. Of the 27 states with a published fee-for-service rate, the median is $7.00. Oregon pays the most ($147.84) and Idaho the least ($0.96 per minute).

Which state pays the highest Medicaid rate for 01990?

Oregon, at $147.84, effective 2024-10-01.

Do managed-care plans pay the same rate for 01990?

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.