Skip to content
Billing code 23500 · Physician & professional

23500 Medicaid reimbursement rate by state (2026)

Physician and practitioner services (fee schedule). Medicaid pays a median of $190.12 for 23500 across 50 states, from $9.30 in New Jersey to $415.66 in Alaska.

Data as of Oct 5, 202650 statesEvery rate links to its official source

States publishing
50
National median
$190.12units vary by state
Lowest
$9.30New Jersey
Highest
$415.66Alaska
Answer

What does Medicaid pay for 23500?

50 state Medicaid programs publish a fee-for-service rate for 23500. The national median is $190.12 (units differ between states). Alaska pays the most, $415.66, and New Jersey the least, $9.30 per base unit, a 44.7x spread.

Medicare (non-facility, 2026 physician fee schedule): $226.74–$334.85 depending on the state's Medicare locality.

State ranking

23500 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.

#StateMedicaid rateUnitPer hourManaged-care plans% of Medicare
1Alaska Source · since 2026-07-01$415.66——Not classified—
2Montana Source · since 2026-07-01$362.88——Not classified—
3New Mexico Source · since 2025-01-01$328.77——Plans must pay at least this—
25Texas Source · since 2026-03-01$190.59——Plans negotiate; applies out of network—
26Colorado Source · since 2026-07-01$189.64——Plans negotiate; applies out of network—
27Louisiana Source · since 2025-07-01$183.69——Plans must pay at least this—
49Rhode Island Source · since 1996-01-01$19.92——Plans negotiate; applies out of network—
50New Jersey Source · since 2014-07-01$9.30base unit—Not classified—
See all 50 states for 23500 — start free

42 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.

  • Source for every rate
  • Full rate history
  • CSV and API export

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 23500 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 23500?

It depends on the state. Of the 50 states with a published fee-for-service rate, the median is $190.12. Alaska pays the most ($415.66) and New Jersey the least ($9.30 per base unit).

Which state pays the highest Medicaid rate for 23500?

Alaska, at $415.66, effective 2026-07-01.

Do managed-care plans pay the same rate for 23500?

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.