25111 Medicaid reimbursement rate by state (2026)
Physician and practitioner services (fee schedule). Medicaid pays a median of $261.73 for 25111 across 48 states, from $9.30 in New Jersey to $529.87 in Alaska.
- States publishing
- 48
- National median
- $261.73units vary by state
- Lowest
- $9.30New Jersey
- Highest
- $529.87Alaska
What does Medicaid pay for 25111?
48 state Medicaid programs publish a fee-for-service rate for 25111. The national median is $261.73 (units differ between states). Alaska pays the most, $529.87, and New Jersey the least, $9.30 per base unit, a 57.0x spread.
25111 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.
Frequently asked questions
What does Medicaid pay for 25111?
It depends on the state. Of the 48 states with a published fee-for-service rate, the median is $261.73. Alaska pays the most ($529.87) and New Jersey the least ($9.30 per base unit).
Which state pays the highest Medicaid rate for 25111?
Alaska, at $529.87, effective 2026-07-01.
Do managed-care plans pay the same rate for 25111?
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.