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Billing code 25500 · Physician & professional

25500 Medicaid reimbursement rate by state (2026)

Physician and practitioner services (fee schedule). Medicaid pays a median of $228.84 for 25500 across 49 states, from $9.30 in New Jersey to $523.66 in Alaska.

Data as of Oct 5, 202649 statesEvery rate links to its official source

States publishing
49
National median
$228.84units vary by state
Lowest
$9.30New Jersey
Highest
$523.66Alaska
Answer

What does Medicaid pay for 25500?

49 state Medicaid programs publish a fee-for-service rate for 25500. The national median is $228.84 (units differ between states). Alaska pays the most, $523.66, and New Jersey the least, $9.30 per base unit, a 56.3x spread.

Medicare (non-facility, 2026 physician fee schedule): $286.70–$427.45 depending on the state's Medicare locality.

State ranking

25500 rate by state: highest, middle and lowest

One like-for-like fee-for-service rate per state, ranked. The workspace lists all 49 states with every variant, modifier and effective date.

#StateMedicaid rateUnitPer hourManaged-care plans% of Medicare
1Alaska Source · since 2026-07-01$523.66——Not classified—
2Montana Source · since 2026-07-01$459.12——Not classified—
3New Mexico Source · since 2025-01-01$417.83——Plans must pay at least this—
24Texas Source · since 2026-03-01$230.71——Plans negotiate; applies out of network—
25Colorado Source · since 2026-07-01$228.84——Plans negotiate; applies out of network—
26Iowa Source · since 2013-07-01$226.73——Plans must pay at least this—
48Rhode Island Source · since 1996-01-01$18.90——Plans negotiate; applies out of network—
49New Jersey Source · since 2014-07-01$9.30base unit—Not classified—
See all 49 states for 25500 — start free

41 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 25500 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 25500?

It depends on the state. Of the 49 states with a published fee-for-service rate, the median is $228.84. Alaska pays the most ($523.66) and New Jersey the least ($9.30 per base unit).

Which state pays the highest Medicaid rate for 25500?

Alaska, at $523.66, effective 2026-07-01.

Do managed-care plans pay the same rate for 25500?

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.