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Billing code 107 · Hospital outpatient

107 Medicaid reimbursement rate by state (2026)

APG relative weight. Medicaid pays a median of $5.98 for 107 across 5 states, from $4.78 in Illinois to $14.71 in New York.

Data as of Oct 5, 20265 statesEvery rate links to its official source

States publishing
5
National median
$5.98units vary by state
Lowest
$4.78Illinois
Highest
$14.71New York
Answer

What does Medicaid pay for 107?

5 state Medicaid programs publish a fee-for-service rate for 107. The national median is $5.98 (units differ between states). New York pays the most, $14.71 per relative weight, and Illinois the least, $4.78, a 3.1x spread.

State ranking

107 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.

#StateMedicaid rateUnitPer hourManaged-care plans% of Medicare
1New York Source · since 2026-01-01$14.71relative weight—Plans negotiate; applies out of network—
2Wisconsin Source · since 2026-01-01$13.24——Plans negotiate; applies out of network—
3District of Columbia Source · since 2024-10-01$5.98——Plans must pay at least this—
See all 5 states for 107 — 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 107 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 107?

It depends on the state. Of the 5 states with a published fee-for-service rate, the median is $5.98. New York pays the most ($14.71 per relative weight) and Illinois the least ($4.78).

Which state pays the highest Medicaid rate for 107?

New York, at $14.71 per relative weight, effective 2026-01-01.

Do managed-care plans pay the same rate for 107?

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.