238 Medicaid reimbursement rate by state (2026)
APG relative weight. Medicaid pays a median of $5.32 for 238 across 5 states, from $4.35 in Illinois to $15.16 in New York.
- States publishing
- 5
- National median
- $5.32units vary by state
- Lowest
- $4.35Illinois
- Highest
- $15.16New York
What does Medicaid pay for 238?
5 state Medicaid programs publish a fee-for-service rate for 238. The national median is $5.32 (units differ between states). New York pays the most, $15.16 per relative weight, and Illinois the least, $4.35, a 3.5x spread.
238 rate by state: highest, middle and lowest
One like-for-like fee-for-service rate per state, ranked. The workspace lists all 5 states with every variant, modifier and effective date.
Frequently asked questions
What does Medicaid pay for 238?
It depends on the state. Of the 5 states with a published fee-for-service rate, the median is $5.32. New York pays the most ($15.16 per relative weight) and Illinois the least ($4.35).
Which state pays the highest Medicaid rate for 238?
New York, at $15.16 per relative weight, effective 2026-01-01.
Do managed-care plans pay the same rate for 238?
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.