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Billing code 10011 · Physician & professional

10011 Medicaid reimbursement rate by state (2026)

Physician and practitioner services (fee schedule). Medicaid pays a median of $116.49 for 10011 across 24 states, from $8.10 in New Jersey to $411.98 in Maryland.

Data as of Oct 5, 202624 statesEvery rate links to its official source

States publishing
24
National median
$116.49units vary by state
Lowest
$8.10New Jersey
Highest
$411.98Maryland
Answer

What does Medicaid pay for 10011?

24 state Medicaid programs publish a fee-for-service rate for 10011. The national median is $116.49 (units differ between states). Maryland pays the most, $411.98, and New Jersey the least, $8.10 per base unit, a 50.9x spread.

State ranking

10011 rate by state: highest, middle and lowest

One like-for-like fee-for-service rate per state, ranked. The workspace lists all 24 states with every variant, modifier and effective date.

#StateMedicaid rateUnitPer hourManaged-care plans% of Medicare
1Maryland Source · since 2026-01-01$411.98——Not classified—
2New York Source · since 2023-01-01$404.00unit—Plans negotiate; applies out of network—
3Oklahoma Source · since 2026-07-01$351.42——Plans must pay at least this—
12Colorado Source · since 2026-07-01$121.77——Not classified—
13Wyoming Source · since 2026-01-01$111.20——Not classified—
14Arizona Source · since 2024-10-01$107.16——Plans negotiate; applies out of network—
23Indiana Source · since 2019-01-01$20.00percent of billed charges—Plans must pay at least this—
24New Jersey Source · since 2019-12-01$8.10base unit—Not classified—
See all 24 states for 10011 — start free

16 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 10011 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 10011?

It depends on the state. Of the 24 states with a published fee-for-service rate, the median is $116.49. Maryland pays the most ($411.98) and New Jersey the least ($8.10 per base unit).

Which state pays the highest Medicaid rate for 10011?

Maryland, at $411.98, effective 2026-01-01.

Do managed-care plans pay the same rate for 10011?

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.