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Billing code 11602 · Physician & professional

11602 Medicaid reimbursement rate by state (2026)

Physician and practitioner services (fee schedule). Medicaid pays a median of $162.41 for 11602 across 50 states, from $16.88 in Rhode Island to $395.88 in Alaska.

Data as of Oct 5, 202650 statesEvery rate links to its official source

States publishing
50
National median
$162.41units vary by state
Lowest
$16.88Rhode Island
Highest
$395.88Alaska
Answer

What does Medicaid pay for 11602?

50 state Medicaid programs publish a fee-for-service rate for 11602. The national median is $162.41 (units differ between states). Alaska pays the most, $395.88, and Rhode Island the least, $16.88, a 23.5x spread.

Medicare (non-facility, 2026 physician fee schedule): $214.34–$315.31 depending on the state's Medicare locality.

State ranking

11602 rate by state: highest, middle and lowest

One like-for-like fee-for-service rate per state, ranked. The workspace lists all 50 states with every variant, modifier and effective date.

#StateMedicaid rateUnitPer hourManaged-care plans% of Medicare
1Alaska Source · since 2026-07-01$395.88——Not classified—
2Alabama Source · since 2026-09-24$369.20——Not classified—
3New Mexico Source · since 2025-01-01$342.18——Plans must pay at least this—
25Maine Source · since 2026-01-01$162.80——Not classified—
26West Virginia Source · since 2026-04-01$162.02——Plans negotiate; applies out of network—
27Kansas Source · since 2024-08-01$159.77——Plans must pay at least this—
49Missouri Source · since 2022-07-01$36.95——Plans must pay at least this—
50Rhode Island Source · since 1993-04-01$16.88——Plans negotiate; applies out of network—
See all 50 states for 11602 — start free

42 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 11602 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 11602?

It depends on the state. Of the 50 states with a published fee-for-service rate, the median is $162.41. Alaska pays the most ($395.88) and Rhode Island the least ($16.88).

Which state pays the highest Medicaid rate for 11602?

Alaska, at $395.88, effective 2026-07-01.

Do managed-care plans pay the same rate for 11602?

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.