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Billing code 27602 · Physician & professional

27602 Medicaid reimbursement rate by state (2026)

Physician and practitioner services (fee schedule). Medicaid pays a median of $368.92 for 27602 across 49 states, from $9.30 in New Jersey to $978.12 in Nebraska.

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

States publishing
49
National median
$368.92units vary by state
Lowest
$9.30New Jersey
Highest
$978.12Nebraska
Answer

What does Medicaid pay for 27602?

49 state Medicaid programs publish a fee-for-service rate for 27602. The national median is $368.92 (units differ between states). Nebraska pays the most, $978.12, and New Jersey the least, $9.30 per base unit, a 105.2x spread.

State ranking

27602 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
1Nebraska Source · since 2026-07-01$978.12——Plans negotiate; applies out of network—
2Alaska Source · since 2026-07-01$767.57——Not classified—
3Alabama Source · since 2026-09-24$756.66——Not classified—
24Colorado Source · since 2026-07-01$375.44——Plans negotiate; applies out of network—
25Mississippi Source · since 2026-07-01$368.92——Plans must pay at least this—
26Massachusetts Source · since 2026-10-01$350.86——Plans negotiate; applies out of network—
48Rhode Island Source · since 1993-04-01$42.00——Plans negotiate; applies out of network—
49New Jersey Source · since 2014-07-01$9.30base unit—Not classified—
See all 49 states for 27602 — 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 27602 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 27602?

It depends on the state. Of the 49 states with a published fee-for-service rate, the median is $368.92. Nebraska pays the most ($978.12) and New Jersey the least ($9.30 per base unit).

Which state pays the highest Medicaid rate for 27602?

Nebraska, at $978.12, effective 2026-07-01.

Do managed-care plans pay the same rate for 27602?

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.