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Billing code 0973T · Physician & professional

0973T Medicaid reimbursement rate by state (2026)

Physician and practitioner services (fee schedule). Medicaid pays a median of $164.01 for 0973T across 6 states, from $4.54 in Iowa to $412.71 in Rhode Island.

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

States publishing
6
National median
$164.01units vary by state
Lowest
$4.54Iowa
Highest
$412.71Rhode Island
Answer

What does Medicaid pay for 0973T?

6 state Medicaid programs publish a fee-for-service rate for 0973T. The national median is $164.01 (units differ between states). Rhode Island pays the most, $412.71, and Iowa the least, $4.54, a 90.8x spread.

State ranking

0973T 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$412.71——Plans negotiate; applies out of network—
2Delaware Source · since 2026-01-01$222.89——Plans negotiate; applies out of network—
3Arkansas Source · since 2026-01-01$211.86——Not classified—
6Iowa Source · since 2026-01-01$4.54——Plans must pay at least this—
See all 6 states for 0973T — 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 0973T 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 0973T?

It depends on the state. Of the 6 states with a published fee-for-service rate, the median is $164.01. Rhode Island pays the most ($412.71) and Iowa the least ($4.54).

Which state pays the highest Medicaid rate for 0973T?

Rhode Island, at $412.71, effective 2026-07-01.

Do managed-care plans pay the same rate for 0973T?

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.