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Billing code 20983 · Physician & professional

20983 Medicaid reimbursement rate by state (2026)

Physician and practitioner services (fee schedule). Medicaid pays a median of $3,012.03 for 20983 across 42 states, from $151.50 in New Jersey to $6,895.92 in Montana.

Data as of Oct 5, 202642 statesEvery rate links to its official source

States publishing
42
National median
$3,012.03units vary by state
Lowest
$151.50New Jersey
Highest
$6,895.92Montana
Answer

What does Medicaid pay for 20983?

42 state Medicaid programs publish a fee-for-service rate for 20983. The national median is $3,012.03 (units differ between states). Montana pays the most, $6,895.92, and New Jersey the least, $151.50, a 45.5x spread.

Medicare (non-facility, 2026 physician fee schedule): $4,236.25–$6,974.82 depending on the state's Medicare locality.

State ranking

20983 rate by state: highest, middle and lowest

One like-for-like fee-for-service rate per state, ranked. The workspace lists all 42 states with every variant, modifier and effective date.

#StateMedicaid rateUnitPer hourManaged-care plans% of Medicare
1Montana Source · since 2026-07-01$6,895.92——Not classified—
2New Mexico Source · since 2025-01-01$6,720.14——Plans must pay at least this—
3Iowa Source · since 2015-01-01$6,058.60——Plans must pay at least this—
21Michigan Source · since 2026-01-01$3,128.54——Plans negotiate; applies out of network—
22Kansas Source · since 2024-08-01$2,895.52——Plans must pay at least this—
23South Carolina Source · since 2024-07-01$2,553.19——Plans negotiate; applies out of network—
41Washington Source · since 2026-07-01$175.62——Plans negotiate; applies out of network—
42New Jersey Source · since 2026-07-01$151.50——Not classified—
See all 42 states for 20983 — start free

34 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 20983 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 20983?

It depends on the state. Of the 42 states with a published fee-for-service rate, the median is $3,012.03. Montana pays the most ($6,895.92) and New Jersey the least ($151.50).

Which state pays the highest Medicaid rate for 20983?

Montana, at $6,895.92, effective 2026-07-01.

Do managed-care plans pay the same rate for 20983?

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.