0872T Medicaid reimbursement rate by state (2026)
Surgery center facility fee (per procedure). Medicaid pays a median of $1,069.74 for 0872T across 6 states, from $40.01 in Iowa to $2,208.80 in Delaware.
Data as of 2026-10-05. Every rate links to the official document it came from.
- States publishing
- 6
- National median
- $1,069.74units vary by state
- Lowest
- $40.01Iowa
- Highest
- $2,208.80Delaware
What does Medicaid pay for 0872T?
6 state Medicaid programs publish a fee-for-service rate for 0872T. The national median is $1,069.74 (units differ between states). Delaware pays the most, $2,208.80, and Iowa the least, $40.01, a 55.2x spread.
0872T rate by state: highest, middle and lowest
One like-for-like fee-for-service rate per state, ranked. The workspace lists all 6 states with every variant, modifier and effective date.
Frequently asked questions
What does Medicaid pay for 0872T?
It depends on the state. Of the 6 states with a published fee-for-service rate, the median is $1,069.74. Delaware pays the most ($2,208.80) and Iowa the least ($40.01).
Which state pays the highest Medicaid rate for 0872T?
Delaware, at $2,208.80, effective 2026-01-01.
Do managed-care plans pay the same rate for 0872T?
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.