106 Medicaid reimbursement rate by state (2026)
EAPG relative weight (outpatient hospital or surgery center). Medicaid pays a median of $14.07 for 106 across 5 states, from $13.27 in Illinois to $29.90 in Wisconsin.
- States publishing
- 5
- National median
- $14.07units vary by state
- Lowest
- $13.27Illinois
- Highest
- $29.90Wisconsin
What does Medicaid pay for 106?
5 state Medicaid programs publish a fee-for-service rate for 106. The national median is $14.07 (units differ between states). Wisconsin pays the most, $29.90, and Illinois the least, $13.27, a 2.3x spread.
106 rate by state: highest, middle and lowest
One like-for-like fee-for-service rate per state, ranked. The workspace lists all 5 states with every variant, modifier and effective date.
Frequently asked questions
What does Medicaid pay for 106?
It depends on the state. Of the 5 states with a published fee-for-service rate, the median is $14.07. Wisconsin pays the most ($29.90) and Illinois the least ($13.27).
Which state pays the highest Medicaid rate for 106?
Wisconsin, at $29.90, effective 2026-01-01.
Do managed-care plans pay the same rate for 106?
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.