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15018 Medicaid reimbursement rate by state (2026)

Physician and practitioner services (fee schedule). Medicaid pays a median of $114.96 for 15018 across 15 states, from $20.00 in Indiana to $170.43 in Hawaii.

Data as of 2026-10-05. Every rate links to the official document it came from.

States publishing
15
National median
$114.96units vary by state
Lowest
$20.00Indiana
Highest
$170.43Hawaii

What does Medicaid pay for 15018?

15 state Medicaid programs publish a fee-for-service rate for 15018. The national median is $114.96 (units differ between states). Hawaii pays the most, $170.43, and Indiana the least, $20.00 per percent of billed charges, a 8.5x spread.

15018 rate by state: highest, middle and lowest

One like-for-like fee-for-service rate per state, ranked. The workspace lists all 15 states with every variant, modifier and effective date.

#StateMedicaid rateUnitPer hourManaged-care plans% of Medicare
1Hawaii Source · since 2026-06-01$170.43——Plans must pay at least this—
2South Dakota Source · since 2026-07-01$155.80——Not classified—
3Mississippi Source · since 2026-07-01$139.30——Plans must pay at least this—
7Ohio Source · since 2026-04-01$121.73——Plans negotiate; applies out of network—
8Georgia Source · since 2026-04-01$114.96——Plans negotiate; applies out of network—
9Wisconsin Source · since 2025-01-01$107.96——Plans negotiate; applies out of network—
14New Jersey Source · since 2026-06-01$72.54——Not classified—
15Indiana Source · since 2025-01-01$20.00percent of billed charges—Plans must pay at least this—
See all 15 states for 15018 — start free

7 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.

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 15018 in your states. Get an alert when any state changes it, with every variant and the managed-care rule.

Frequently asked questions

What does Medicaid pay for 15018?

It depends on the state. Of the 15 states with a published fee-for-service rate, the median is $114.96. Hawaii pays the most ($170.43) and Indiana the least ($20.00 per percent of billed charges).

Which state pays the highest Medicaid rate for 15018?

Hawaii, at $170.43, effective 2026-06-01.

Do managed-care plans pay the same rate for 15018?

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.