0216T Medicaid reimbursement rate by state (2026)
Physician and practitioner services (fee schedule). Medicaid pays a median of $106.19 for 0216T across 5 states, from $101.48 in Arizona to $173.82 in Washington.
- States publishing
- 5
- National median
- $106.19units vary by state
- Lowest
- $101.48Arizona
- Highest
- $173.82Washington
What does Medicaid pay for 0216T?
5 state Medicaid programs publish a fee-for-service rate for 0216T. The national median is $106.19 (units differ between states). Washington pays the most, $173.82, and Arizona the least, $101.48, a 1.7x spread.
0216T 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.
Frequently asked questions
What does Medicaid pay for 0216T?
It depends on the state. Of the 5 states with a published fee-for-service rate, the median is $106.19. Washington pays the most ($173.82) and Arizona the least ($101.48).
Which state pays the highest Medicaid rate for 0216T?
Washington, at $173.82, effective 2022-07-01.
Do managed-care plans pay the same rate for 0216T?
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.