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0971T Medicaid reimbursement rate by state (2026)

Physician and practitioner services (fee schedule). Medicaid pays a median of $1,312.87 for 0971T across 6 states, from $43.76 in Iowa to $3,955.65 in Rhode Island.

Data as of 2026-10-05. Every rate links to the official document it came from.

States publishing
6
National median
$1,312.87units vary by state
Lowest
$43.76Iowa
Highest
$3,955.65Rhode Island

What does Medicaid pay for 0971T?

6 state Medicaid programs publish a fee-for-service rate for 0971T. The national median is $1,312.87 (units differ between states). Rhode Island pays the most, $3,955.65, and Iowa the least, $43.76, a 90.4x spread.

0971T 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$3,955.65——Plans negotiate; applies out of network—
2Arkansas Source · since 2026-01-01$1,929.69——Not classified—
3Delaware Source · since 2026-01-01$1,567.66——Plans negotiate; applies out of network—
6Iowa Source · since 2026-01-01$43.76——Plans must pay at least this—
See all 6 states for 0971T — 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.

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Frequently asked questions

What does Medicaid pay for 0971T?

It depends on the state. Of the 6 states with a published fee-for-service rate, the median is $1,312.87. Rhode Island pays the most ($3,955.65) and Iowa the least ($43.76).

Which state pays the highest Medicaid rate for 0971T?

Rhode Island, at $3,955.65, effective 2026-07-01.

Do managed-care plans pay the same rate for 0971T?

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.

Related codes

Codes next to 0971T

0964TPhysician and practitioner services (fee schedule) · 6 states0965TPhysician and practitioner services (fee schedule) · 6 states0966TPhysician and practitioner services (fee schedule) · 6 states0970TPhysician and practitioner services (fee schedule) · 6 states0973TPhysician and practitioner services (fee schedule) · 6 states0975TPhysician and practitioner services (fee schedule) · 6 states0977TPhysician and practitioner services (fee schedule) · 6 states0989TPhysician and practitioner services (fee schedule) · 6 states

Most-published Physician & professional codes

10005Physician and practitioner services (fee schedule) · 50 states10006Physician and practitioner services (fee schedule) · 50 states10007Physician and practitioner services (fee schedule) · 50 states10008Physician and practitioner services (fee schedule) · 50 states10009Physician and practitioner services (fee schedule) · 50 states10010Physician and practitioner services (fee schedule) · 50 states10021Physician and practitioner services (fee schedule) · 50 states10030Physician and practitioner services (fee schedule) · 50 states

Highest-paying states

Rhode Island Medicaid fee scheduleArkansas Medicaid fee scheduleDelaware Medicaid fee schedule