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Billing code 21360 · Physician & professional

21360 Medicaid reimbursement rate by state (2026)

Physician and practitioner services (fee schedule). Medicaid pays a median of $405.96 for 21360 across 49 states, from $9.30 in New Jersey to $826.59 in Alabama.

Data as of Oct 5, 202649 statesEvery rate links to its official source

States publishing
49
National median
$405.96units vary by state
Lowest
$9.30New Jersey
Highest
$826.59Alabama
Answer

What does Medicaid pay for 21360?

49 state Medicaid programs publish a fee-for-service rate for 21360. The national median is $405.96 (units differ between states). Alabama pays the most, $826.59, and New Jersey the least, $9.30 per base unit, a 88.9x spread.

State ranking

21360 rate by state: highest, middle and lowest

One like-for-like fee-for-service rate per state, ranked. The workspace lists all 49 states with every variant, modifier and effective date.

#StateMedicaid rateUnitPer hourManaged-care plans% of Medicare
1Alabama Source · since 2026-09-24$826.59——Not classified—
2Alaska Source · since 2026-07-01$811.97——Not classified—
3New Mexico Source · since 2025-01-01$756.67——Plans must pay at least this—
24Oklahoma Source · since 2026-07-01$411.50——Plans must pay at least this—
25Virginia Source · since 2026-07-01$405.96——Plans negotiate; applies out of network—
26Massachusetts Source · since 2026-10-01$399.19——Plans negotiate; applies out of network—
48Rhode Island Source · since 1996-01-01$52.50——Plans negotiate; applies out of network—
49New Jersey Source · since 2014-07-01$9.30base unit—Not classified—
See all 49 states for 21360 — start free

41 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 21360 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 21360?

It depends on the state. Of the 49 states with a published fee-for-service rate, the median is $405.96. Alabama pays the most ($826.59) and New Jersey the least ($9.30 per base unit).

Which state pays the highest Medicaid rate for 21360?

Alabama, at $826.59, effective 2026-09-24.

Do managed-care plans pay the same rate for 21360?

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.