0238T Medicaid reimbursement rate by state (2026)
Physician and practitioner services (fee schedule). Medicaid pays a median of $1,134.85 for 0238T across 5 states, from $750.74 in Hawaii to $11,563.64 in South Dakota.
- States publishing
- 5
- National median
- $1,134.85units vary by state
- Lowest
- $750.74Hawaii
- Highest
- $11,563.64South Dakota
What does Medicaid pay for 0238T?
5 state Medicaid programs publish a fee-for-service rate for 0238T. The national median is $1,134.85 (units differ between states). South Dakota pays the most, $11,563.64, and Hawaii the least, $750.74, a 15.4x spread.
0238T 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 0238T?
It depends on the state. Of the 5 states with a published fee-for-service rate, the median is $1,134.85. South Dakota pays the most ($11,563.64) and Hawaii the least ($750.74).
Which state pays the highest Medicaid rate for 0238T?
South Dakota, at $11,563.64, effective 2026-07-01.
Do managed-care plans pay the same rate for 0238T?
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.