21011 Medicaid reimbursement rate by state (2026)
Physician and practitioner services (fee schedule). Medicaid pays a median of $255.06 for 21011 across 50 states, from $43.81 in Rhode Island to $632.42 in Alaska.
- States publishing
- 50
- National median
- $255.06units vary by state
- Lowest
- $43.81Rhode Island
- Highest
- $632.42Alaska
What does Medicaid pay for 21011?
50 state Medicaid programs publish a fee-for-service rate for 21011. The national median is $255.06 (units differ between states). Alaska pays the most, $632.42, and Rhode Island the least, $43.81, a 14.4x spread.
Medicare (non-facility, 2026 physician fee schedule): $347.08–$521.36 depending on the state's Medicare locality.
21011 rate by state: highest, middle and lowest
One like-for-like fee-for-service rate per state, ranked. The workspace lists all 50 states with every variant, modifier and effective date.
Frequently asked questions
What does Medicaid pay for 21011?
It depends on the state. Of the 50 states with a published fee-for-service rate, the median is $255.06. Alaska pays the most ($632.42) and Rhode Island the least ($43.81).
Which state pays the highest Medicaid rate for 21011?
Alaska, at $632.42, effective 2026-07-01.
Do managed-care plans pay the same rate for 21011?
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.