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Billing code 0583T · Physician & professional

0583T Medicaid reimbursement rate by state (2026)

Physician and practitioner services (fee schedule). Medicaid pays a median of $613.91 for 0583T across 10 states, from $90.00 in Indiana to $1,688.21 in North Dakota.

Data as of Oct 5, 202610 statesEvery rate links to its official source

States publishing
10
National median
$613.91units vary by state
Lowest
$90.00Indiana
Highest
$1,688.21North Dakota
Answer

What does Medicaid pay for 0583T?

10 state Medicaid programs publish a fee-for-service rate for 0583T. The national median is $613.91 (units differ between states). North Dakota pays the most, $1,688.21, and Indiana the least, $90.00 per percent of billed charges, a 18.8x spread.

Medicare (non-facility, 2026 physician fee schedule): $1,353.59–$1,736.84 depending on the state's Medicare locality.

State ranking

0583T rate by state: highest, middle and lowest

One like-for-like fee-for-service rate per state, ranked. The workspace lists all 10 states with every variant, modifier and effective date.

#StateMedicaid rateUnitPer hourManaged-care plans% of Medicare
1North Dakota Source · since 2026-07-01$1,688.21——Not classified—
2South Dakota Source · since 2026-02-20$1,501.50——Not classified—
3New Jersey Source · since 2025-01-01$1,362.12——Not classified—
5Maine Source · since 2026-01-01$1,006.42——Not classified—
6Hawaii Source · since 2026-06-01$221.40——Plans negotiate; applies out of network—
9Georgia Source · since 2026-04-01$107.87——Plans negotiate; applies out of network—
10Indiana Source · since 2020-01-01$90.00percent of billed charges—Plans must pay at least this—
See all 10 states for 0583T — 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 0583T 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 0583T?

It depends on the state. Of the 10 states with a published fee-for-service rate, the median is $613.91. North Dakota pays the most ($1,688.21) and Indiana the least ($90.00 per percent of billed charges).

Which state pays the highest Medicaid rate for 0583T?

North Dakota, at $1,688.21, effective 2026-07-01.

Do managed-care plans pay the same rate for 0583T?

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.