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Billing code 0795T · Physician & professional

0795T Medicaid reimbursement rate by state (2026)

Physician and practitioner services (fee schedule). Medicaid pays a median of $417.15 for 0795T across 5 states, from $362.53 in Minnesota to $554.71 in Oklahoma.

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

States publishing
5
National median
$417.15units vary by state
Lowest
$362.53Minnesota
Highest
$554.71Oklahoma
Answer

What does Medicaid pay for 0795T?

5 state Medicaid programs publish a fee-for-service rate for 0795T. The national median is $417.15 (units differ between states). Oklahoma pays the most, $554.71, and Minnesota the least, $362.53, a 1.5x spread.

State ranking

0795T 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
1Oklahoma Source · since 2026-09-01$554.71——Plans must pay at least this—
2Hawaii Source · since 2026-06-01$465.19——Plans negotiate; applies out of network—
3South Dakota Source · since 2026-07-01$417.15——Not classified—
See all 5 states for 0795T — 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 0795T 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 0795T?

It depends on the state. Of the 5 states with a published fee-for-service rate, the median is $417.15. Oklahoma pays the most ($554.71) and Minnesota the least ($362.53).

Which state pays the highest Medicaid rate for 0795T?

Oklahoma, at $554.71, effective 2026-09-01.

Do managed-care plans pay the same rate for 0795T?

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.