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Billing code 25651 · Physician & professional

25651 Medicaid reimbursement rate by state (2026)

Physician and practitioner services (fee schedule). Medicaid pays a median of $379.75 for 25651 across 48 states, from $9.30 in New Jersey to $790.13 in Alaska.

Data as of Oct 5, 202648 statesEvery rate links to its official source

States publishing
48
National median
$379.75units vary by state
Lowest
$9.30New Jersey
Highest
$790.13Alaska
Answer

What does Medicaid pay for 25651?

48 state Medicaid programs publish a fee-for-service rate for 25651. The national median is $379.75 (units differ between states). Alaska pays the most, $790.13, and New Jersey the least, $9.30 per base unit, a 85.0x spread.

State ranking

25651 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.

#StateMedicaid rateUnitPer hourManaged-care plans% of Medicare
1Alaska Source · since 2026-07-01$790.13——Not classified—
2Alabama Source · since 2026-09-24$734.34——Not classified—
3New Mexico Source · since 2025-01-01$714.95——Plans must pay at least this—
24Kansas Source · since 2024-08-01$381.60——Plans must pay at least this—
25Massachusetts Source · since 2026-10-01$377.89——Plans negotiate; applies out of network—
26Oregon Source · since 2026-02-01$375.54——Plans negotiate; applies out of network—
47Rhode Island Source · since 2002-01-01$54.08——Plans negotiate; applies out of network—
48New Jersey Source · since 2014-07-01$9.30base unit—Not classified—
See all 48 states for 25651 — start free

40 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 25651 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 25651?

It depends on the state. Of the 48 states with a published fee-for-service rate, the median is $379.75. Alaska pays the most ($790.13) and New Jersey the least ($9.30 per base unit).

Which state pays the highest Medicaid rate for 25651?

Alaska, at $790.13, effective 2026-07-01.

Do managed-care plans pay the same rate for 25651?

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.