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Billing code 11950 · Physician & professional

11950 Medicaid reimbursement rate by state (2026)

Physician and practitioner services (fee schedule). Medicaid pays a median of $60.60 for 11950 across 27 states, from $4.00 in California to $115.58 in New Mexico.

Data as of Oct 5, 202627 statesEvery rate links to its official source

States publishing
27
National median
$60.60units vary by state
Lowest
$4.00California
Highest
$115.58New Mexico
Answer

What does Medicaid pay for 11950?

27 state Medicaid programs publish a fee-for-service rate for 11950. The national median is $60.60 (units differ between states). New Mexico pays the most, $115.58, and California the least, $4.00, a 28.9x spread.

Medicare (non-facility, 2026 physician fee schedule): $80.34–$113.52 depending on the state's Medicare locality.

State ranking

11950 rate by state: highest, middle and lowest

One like-for-like fee-for-service rate per state, ranked. The workspace lists all 27 states with every variant, modifier and effective date.

#StateMedicaid rateUnitPer hourManaged-care plans% of Medicare
1New Mexico Source · since 2025-01-01$115.58——Plans must pay at least this—
2Wisconsin Source · since 2008-07-01$98.45——Plans negotiate; applies out of network—
3North Dakota Source · since 2026-07-01$95.75——Not classified—
13Maryland Source · since 2026-01-01$61.91——Not classified—
14Colorado Source · since 2026-07-01$60.60——Plans negotiate; applies out of network—
15Maine Source · since 2026-01-01$59.24——Not classified—
26Kansas Source · since 2009-12-18$15.88——Not classified—
27California Source · since 2026-10-01$4.00——Plans negotiate; applies out of network—
See all 27 states for 11950 — start free

19 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 11950 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 11950?

It depends on the state. Of the 27 states with a published fee-for-service rate, the median is $60.60. New Mexico pays the most ($115.58) and California the least ($4.00).

Which state pays the highest Medicaid rate for 11950?

New Mexico, at $115.58, effective 2025-01-01.

Do managed-care plans pay the same rate for 11950?

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.