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Billing code 27096 · Physician & professional

27096 Medicaid reimbursement rate by state (2026)

Physician and practitioner services (fee schedule). Medicaid pays a median of $136.20 for 27096 across 49 states, from $9.30 in New Jersey to $361.36 in Iowa.

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

States publishing
49
National median
$136.20units vary by state
Lowest
$9.30New Jersey
Highest
$361.36Iowa
Answer

What does Medicaid pay for 27096?

49 state Medicaid programs publish a fee-for-service rate for 27096. The national median is $136.20 (units differ between states). Iowa pays the most, $361.36, and New Jersey the least, $9.30 per base unit, a 38.9x spread.

Medicare (non-facility, 2026 physician fee schedule): $156.09–$233.14 depending on the state's Medicare locality.

State ranking

27096 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
1Iowa Source · since 2013-07-01$361.36——Plans must pay at least this—
2Rhode Island Source · since 2000-01-01$345.20——Plans negotiate; applies out of network—
3California Source · since 2026-10-01$293.74——Plans negotiate; applies out of network—
24Idaho Source · since 2026-07-01$141.17——Not classified—
25Wisconsin Source · since 2009-10-01$136.20——Plans negotiate; applies out of network—
26Minnesota Source · since 2026-02-01$135.33——Plans negotiate; applies out of network—
48Washington Source · since 2026-07-01$43.57——Plans negotiate; applies out of network—
49New Jersey Source · since 2014-07-01$9.30base unit—Not classified—
See all 49 states for 27096 — 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 27096 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 27096?

It depends on the state. Of the 49 states with a published fee-for-service rate, the median is $136.20. Iowa pays the most ($361.36) and New Jersey the least ($9.30 per base unit).

Which state pays the highest Medicaid rate for 27096?

Iowa, at $361.36, effective 2013-07-01.

Do managed-care plans pay the same rate for 27096?

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.