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Billing code 15780 · Physician & professional

15780 Medicaid reimbursement rate by state (2026)

Physician and practitioner services (fee schedule). Medicaid pays a median of $529.61 for 15780 across 33 states, from $9.30 in New Jersey to $1,380.11 in Alaska.

Data as of Oct 5, 202633 statesEvery rate links to its official source

States publishing
33
National median
$529.61units vary by state
Lowest
$9.30New Jersey
Highest
$1,380.11Alaska
Answer

What does Medicaid pay for 15780?

33 state Medicaid programs publish a fee-for-service rate for 15780. The national median is $529.61 (units differ between states). Alaska pays the most, $1,380.11, and New Jersey the least, $9.30 per base unit, a 148.4x spread.

Medicare (non-facility, 2026 physician fee schedule): $751.37–$1,074.20 depending on the state's Medicare locality.

State ranking

15780 rate by state: highest, middle and lowest

One like-for-like fee-for-service rate per state, ranked. The workspace lists all 33 states with every variant, modifier and effective date.

#StateMedicaid rateUnitPer hourManaged-care plans% of Medicare
1Alaska Source · since 2026-07-01$1,380.11——Not classified—
2Alabama Source · since 2026-09-24$1,279.58——Not classified—
3Wisconsin Source · since 2008-07-01$813.59——Plans negotiate; applies out of network—
16Texas Source · since 2025-03-01$559.38——Plans negotiate; applies out of network—
17Connecticut Source · since 2026-01-01$529.61——Not classified—
18Michigan Source · since 2026-01-01$528.03——Plans negotiate; applies out of network—
32Rhode Island Source · since 1993-04-01$48.90——Plans negotiate; applies out of network—
33New Jersey Source · since 2014-07-01$9.30base unit—Not classified—
See all 33 states for 15780 — start free

25 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 15780 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 15780?

It depends on the state. Of the 33 states with a published fee-for-service rate, the median is $529.61. Alaska pays the most ($1,380.11) and New Jersey the least ($9.30 per base unit).

Which state pays the highest Medicaid rate for 15780?

Alaska, at $1,380.11, effective 2026-07-01.

Do managed-care plans pay the same rate for 15780?

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.