15820 Medicaid reimbursement rate by state (2026)
Physician and practitioner services (fee schedule). Medicaid pays a median of $469.23 for 15820 across 41 states, from $9.30 in New Jersey to $826.74 in Montana.
- States publishing
- 41
- National median
- $469.23units vary by state
- Lowest
- $9.30New Jersey
- Highest
- $826.74Montana
What does Medicaid pay for 15820?
41 state Medicaid programs publish a fee-for-service rate for 15820. The national median is $469.23 (units differ between states). Montana pays the most, $826.74, and New Jersey the least, $9.30 per base unit, a 88.9x spread.
Medicare (non-facility, 2026 physician fee schedule): $532.84–$765.89 depending on the state's Medicare locality.
15820 rate by state: highest, middle and lowest
One like-for-like fee-for-service rate per state, ranked. The workspace lists all 41 states with every variant, modifier and effective date.
Frequently asked questions
What does Medicaid pay for 15820?
It depends on the state. Of the 41 states with a published fee-for-service rate, the median is $469.23. Montana pays the most ($826.74) and New Jersey the least ($9.30 per base unit).
Which state pays the highest Medicaid rate for 15820?
Montana, at $826.74, effective 2026-07-01.
Do managed-care plans pay the same rate for 15820?
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.