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Billing code 21490 · Physician & professional

21490 Medicaid reimbursement rate by state (2026)

Physician and practitioner services (fee schedule). Medicaid pays a median of $600.34 for 21490 across 47 states, from $9.30 in New Jersey to $1,420.15 in Alabama.

Data as of Oct 5, 202647 statesEvery rate links to its official source

States publishing
47
National median
$600.34units vary by state
Lowest
$9.30New Jersey
Highest
$1,420.15Alabama
Answer

What does Medicaid pay for 21490?

47 state Medicaid programs publish a fee-for-service rate for 21490. The national median is $600.34 (units differ between states). Alabama pays the most, $1,420.15, and New Jersey the least, $9.30 per base unit, a 152.7x spread.

State ranking

21490 rate by state: highest, middle and lowest

One like-for-like fee-for-service rate per state, ranked. The workspace lists all 47 states with every variant, modifier and effective date.

#StateMedicaid rateUnitPer hourManaged-care plans% of Medicare
1Alabama Source · since 2026-09-24$1,420.15——Not classified—
2Connecticut Source · since 2022-07-01$1,419.80——Not classified—
3Alaska Source · since 2026-07-01$1,279.21——Not classified—
23Virginia Source · since 2026-07-01$618.06——Plans negotiate; applies out of network—
24Mississippi Source · since 2026-07-01$600.34——Plans must pay at least this—
25Massachusetts Source · since 2026-10-01$587.95——Plans negotiate; applies out of network—
46District of Columbia Source · since 2018-04-01$60.00——Not classified—
47New Jersey Source · since 2014-07-01$9.30base unit—Not classified—
See all 47 states for 21490 — start free

39 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 21490 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 21490?

It depends on the state. Of the 47 states with a published fee-for-service rate, the median is $600.34. Alabama pays the most ($1,420.15) and New Jersey the least ($9.30 per base unit).

Which state pays the highest Medicaid rate for 21490?

Alabama, at $1,420.15, effective 2026-09-24.

Do managed-care plans pay the same rate for 21490?

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.