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Billing code 21450 · Physician & professional

21450 Medicaid reimbursement rate by state (2026)

Physician and practitioner services (fee schedule). Medicaid pays a median of $403.93 for 21450 across 48 states, from $10.50 in Rhode Island to $950.14 in Alaska.

Data as of Oct 5, 202648 statesEvery rate links to its official source

States publishing
48
National median
$403.93units vary by state
Lowest
$10.50Rhode Island
Highest
$950.14Alaska
Answer

What does Medicaid pay for 21450?

48 state Medicaid programs publish a fee-for-service rate for 21450. The national median is $403.93 (units differ between states). Alaska pays the most, $950.14, and Rhode Island the least, $10.50, a 90.5x spread.

Medicare (non-facility, 2026 physician fee schedule): $525.91–$706.58 depending on the state's Medicare locality.

State ranking

21450 rate by state: highest, middle and lowest

One like-for-like fee-for-service rate per state, ranked. The workspace lists all 48 states with every variant, modifier and effective date.

#StateMedicaid rateUnitPer hourManaged-care plans% of Medicare
1Alaska Source · since 2026-07-01$950.14——Not classified—
2Alabama Source · since 2026-09-24$942.12——Not classified—
3Montana Source · since 2026-07-01$840.36——Not classified—
24Texas Source · since 2026-03-01$405.57——Plans negotiate; applies out of network—
25Maine Source · since 2026-01-01$402.28——Not classified—
26Virginia Source · since 2026-07-01$398.44——Plans negotiate; applies out of network—
47Nebraska Source · since 2026-07-01$17.74——Plans negotiate; applies out of network—
48Rhode Island Source · since 1996-01-01$10.50——Plans negotiate; applies out of network—
See all 48 states for 21450 — start free

40 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 21450 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 21450?

It depends on the state. Of the 48 states with a published fee-for-service rate, the median is $403.93. Alaska pays the most ($950.14) and Rhode Island the least ($10.50).

Which state pays the highest Medicaid rate for 21450?

Alaska, at $950.14, effective 2026-07-01.

Do managed-care plans pay the same rate for 21450?

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.