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Billing code 0958T · Physician & professional

0958T Medicaid reimbursement rate by state (2026)

Physician and practitioner services (fee schedule). Medicaid pays a median of $1,209.73 for 0958T across 6 states, from $36.57 in Iowa to $3,351.68 in Rhode Island.

Data as of Oct 5, 20266 statesEvery rate links to its official source

States publishing
6
National median
$1,209.73units vary by state
Lowest
$36.57Iowa
Highest
$3,351.68Rhode Island
Answer

What does Medicaid pay for 0958T?

6 state Medicaid programs publish a fee-for-service rate for 0958T. The national median is $1,209.73 (units differ between states). Rhode Island pays the most, $3,351.68, and Iowa the least, $36.57, a 91.7x spread.

State ranking

0958T 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.

#StateMedicaid rateUnitPer hourManaged-care plans% of Medicare
1Rhode Island Source · since 2026-07-01$3,351.68——Plans negotiate; applies out of network—
2Delaware Source · since 2026-01-01$1,644.01——Plans negotiate; applies out of network—
3Arkansas Source · since 2026-01-01$1,562.63——Not classified—
6Iowa Source · since 2026-01-01$36.57——Plans must pay at least this—
See all 6 states for 0958T — 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 0958T 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 0958T?

It depends on the state. Of the 6 states with a published fee-for-service rate, the median is $1,209.73. Rhode Island pays the most ($3,351.68) and Iowa the least ($36.57).

Which state pays the highest Medicaid rate for 0958T?

Rhode Island, at $3,351.68, effective 2026-07-01.

Do managed-care plans pay the same rate for 0958T?

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.