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Billing code 0213T · Physician & professional

0213T Medicaid reimbursement rate by state (2026)

Physician and practitioner services (fee schedule). Medicaid pays a median of $125.46 for 0213T across 5 states, from $113.85 in Michigan to $194.71 in Washington.

Data as of Oct 5, 20265 statesEvery rate links to its official source

States publishing
5
National median
$125.46units vary by state
Lowest
$113.85Michigan
Highest
$194.71Washington
Answer

What does Medicaid pay for 0213T?

5 state Medicaid programs publish a fee-for-service rate for 0213T. The national median is $125.46 (units differ between states). Washington pays the most, $194.71, and Michigan the least, $113.85, a 1.7x spread.

State ranking

0213T rate by state: highest, middle and lowest

One like-for-like fee-for-service rate per state, ranked. The workspace lists all 5 states with every variant, modifier and effective date.

#StateMedicaid rateUnitPer hourManaged-care plans% of Medicare
1Washington Source · since 2022-07-01$194.71——Plans negotiate; applies out of network—
2Minnesota Source · since 2026-02-01$152.57——Plans negotiate; applies out of network—
3Hawaii Source · since 2026-06-01$125.46——Plans negotiate; applies out of network—
See all 5 states for 0213T — start free

2 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 0213T 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 0213T?

It depends on the state. Of the 5 states with a published fee-for-service rate, the median is $125.46. Washington pays the most ($194.71) and Michigan the least ($113.85).

Which state pays the highest Medicaid rate for 0213T?

Washington, at $194.71, effective 2022-07-01.

Do managed-care plans pay the same rate for 0213T?

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.