Skip to content
Billing code 26115 · Physician & professional

26115 Medicaid reimbursement rate by state (2026)

Physician and practitioner services (fee schedule). Medicaid pays a median of $348.36 for 26115 across 49 states, from $12.60 in Rhode Island to $932.50 in Alaska.

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

States publishing
49
National median
$348.36units vary by state
Lowest
$12.60Rhode Island
Highest
$932.50Alaska
Answer

What does Medicaid pay for 26115?

49 state Medicaid programs publish a fee-for-service rate for 26115. The national median is $348.36 (units differ between states). Alaska pays the most, $932.50, and Rhode Island the least, $12.60, a 74.0x spread.

Medicare (non-facility, 2026 physician fee schedule): $514.82–$782.67 depending on the state's Medicare locality.

State ranking

26115 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$932.50——Not classified—
2Montana Source · since 2026-07-01$826.74——Not classified—
3New Mexico Source · since 2025-01-01$770.17——Plans must pay at least this—
24Hawaii Source · since 2026-06-01$350.77——Plans must pay at least this—
25Nevada Source · since 2024-01-01$348.36——Plans must pay at least this—
26Arizona Source · since 2026-10-01$331.42——Plans negotiate; applies out of network—
48District of Columbia Source · since 2018-04-01$30.00——Not classified—
49Rhode Island Source · since 1993-04-01$12.60——Plans negotiate; applies out of network—
See all 49 states for 26115 — 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.

  • 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 26115 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 26115?

It depends on the state. Of the 49 states with a published fee-for-service rate, the median is $348.36. Alaska pays the most ($932.50) and Rhode Island the least ($12.60).

Which state pays the highest Medicaid rate for 26115?

Alaska, at $932.50, effective 2026-07-01.

Do managed-care plans pay the same rate for 26115?

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.