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Billing code 20939 · Physician & professional

20939 Medicaid reimbursement rate by state (2026)

Physician and practitioner services (fee schedule). Medicaid pays a median of $53.92 for 20939 across 43 states, from $11.17 in California to $103.99 in Alabama.

Data as of Oct 5, 202643 statesEvery rate links to its official source

States publishing
43
National median
$53.92units vary by state
Lowest
$11.17California
Highest
$103.99Alabama
Answer

What does Medicaid pay for 20939?

43 state Medicaid programs publish a fee-for-service rate for 20939. The national median is $53.92 (units differ between states). Alabama pays the most, $103.99, and California the least, $11.17, a 9.3x spread.

State ranking

20939 rate by state: highest, middle and lowest

One like-for-like fee-for-service rate per state, ranked. The workspace lists all 43 states with every variant, modifier and effective date.

#StateMedicaid rateUnitPer hourManaged-care plans% of Medicare
1Alabama Source · since 2026-09-24$103.99——Not classified—
2New Mexico Source · since 2025-01-01$102.41——Plans must pay at least this—
3Nebraska Source · since 2026-07-01$88.92——Plans negotiate; applies out of network—
21Oklahoma Source · since 2026-07-01$53.93——Plans must pay at least this—
22South Dakota Source · since 2026-07-01$53.92——Not classified—
23District of Columbia Source · since 2026-01-01$53.58——Not classified—
42Arkansas Source · since 2025-06-13$16.06——Not classified—
43California Source · since 2026-10-01$11.17——Plans negotiate; applies out of network—
See all 43 states for 20939 — start free

35 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 20939 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 20939?

It depends on the state. Of the 43 states with a published fee-for-service rate, the median is $53.92. Alabama pays the most ($103.99) and California the least ($11.17).

Which state pays the highest Medicaid rate for 20939?

Alabama, at $103.99, effective 2026-09-24.

Do managed-care plans pay the same rate for 20939?

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.