27197 Medicaid reimbursement rate by state (2026)
Physician and practitioner services (fee schedule). Medicaid pays a median of $102.75 for 27197 across 49 states, from $17.29 in Rhode Island to $260.83 in Nebraska.
- States publishing
- 49
- National median
- $102.75units vary by state
- Lowest
- $17.29Rhode Island
- Highest
- $260.83Nebraska
What does Medicaid pay for 27197?
49 state Medicaid programs publish a fee-for-service rate for 27197. The national median is $102.75 (units differ between states). Nebraska pays the most, $260.83, and Rhode Island the least, $17.29, a 15.1x spread.
27197 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.
Frequently asked questions
What does Medicaid pay for 27197?
It depends on the state. Of the 49 states with a published fee-for-service rate, the median is $102.75. Nebraska pays the most ($260.83) and Rhode Island the least ($17.29).
Which state pays the highest Medicaid rate for 27197?
Nebraska, at $260.83, effective 2026-07-01.
Do managed-care plans pay the same rate for 27197?
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.