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Billing code 0501U · Physician & professional

0501U Medicaid reimbursement rate by state (2026)

Physician and practitioner services (fee schedule). Medicaid pays a median of $192.00 for 0501U across 7 states, from $103.68 in Florida to $192.00 in Montana.

Data as of Oct 5, 20267 statesEvery rate links to its official source

States publishing
7
National median
$192.00units vary by state
Lowest
$103.68Florida
Highest
$192.00Montana
Answer

What does Medicaid pay for 0501U?

7 state Medicaid programs publish a fee-for-service rate for 0501U. The national median is $192.00 (units differ between states). Montana pays the most, $192.00, and Florida the least, $103.68, a 1.9x spread.

State ranking

0501U rate by state: highest, middle and lowest

One like-for-like fee-for-service rate per state, ranked. The workspace lists all 7 states with every variant, modifier and effective date.

#StateMedicaid rateUnitPer hourManaged-care plans% of Medicare
1Montana Source · since 2026-01-01$192.00——Not classified—
2Arizona Source · since 2026-10-01$192.00——Plans negotiate; applies out of network—
3Kentucky Source · since 2026-01-01$192.00——Plans negotiate; applies out of network—
7Florida Source · since 2026-01-01$103.68——Plans negotiate; applies out of network—
See all 7 states for 0501U — start free

3 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 0501U 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 0501U?

It depends on the state. Of the 7 states with a published fee-for-service rate, the median is $192.00. Montana pays the most ($192.00) and Florida the least ($103.68).

Which state pays the highest Medicaid rate for 0501U?

Montana, at $192.00, effective 2026-01-01.

Do managed-care plans pay the same rate for 0501U?

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.