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Billing code 28760 · Physician & professional

28760 Medicaid reimbursement rate by state (2026)

Physician and practitioner services (fee schedule). Medicaid pays a median of $495.04 for 28760 across 49 states, from $9.30 in New Jersey to $1,317.79 in Alaska.

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

States publishing
49
National median
$495.04units vary by state
Lowest
$9.30New Jersey
Highest
$1,317.79Alaska
Answer

What does Medicaid pay for 28760?

49 state Medicaid programs publish a fee-for-service rate for 28760. The national median is $495.04 (units differ between states). Alaska pays the most, $1,317.79, and New Jersey the least, $9.30 per base unit, a 141.7x spread.

Medicare (non-facility, 2026 physician fee schedule): $703.28–$999.83 depending on the state's Medicare locality.

State ranking

28760 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$1,317.79——Not classified—
2Alabama Source · since 2026-09-24$1,220.35——Not classified—
3Montana Source · since 2026-07-01$1,101.82——Not classified—
24Michigan Source · since 2026-01-01$499.91——Plans negotiate; applies out of network—
25Iowa Source · since 2013-07-01$495.04——Plans must pay at least this—
26Virginia Source · since 2026-07-01$464.99——Plans negotiate; applies out of network—
48Rhode Island Source · since 1993-04-01$52.50——Plans negotiate; applies out of network—
49New Jersey Source · since 2014-07-01$9.30base unit—Not classified—
See all 49 states for 28760 — 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 28760 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 28760?

It depends on the state. Of the 49 states with a published fee-for-service rate, the median is $495.04. Alaska pays the most ($1,317.79) and New Jersey the least ($9.30 per base unit).

Which state pays the highest Medicaid rate for 28760?

Alaska, at $1,317.79, effective 2026-07-01.

Do managed-care plans pay the same rate for 28760?

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.