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Billing code 29130 · Physician & professional

29130 Medicaid reimbursement rate by state (2026)

Physician and practitioner services (fee schedule). Medicaid pays a median of $28.90 for 29130 across 48 states, from $1.25 in District of Columbia to $76.36 in Alaska.

Data as of Oct 5, 202648 statesEvery rate links to its official source

States publishing
48
National median
$28.90units vary by state
Lowest
$1.25District of Columbia
Highest
$76.36Alaska
Answer

What does Medicaid pay for 29130?

48 state Medicaid programs publish a fee-for-service rate for 29130. The national median is $28.90 (units differ between states). Alaska pays the most, $76.36, and District of Columbia the least, $1.25, a 61.1x spread.

Medicare (non-facility, 2026 physician fee schedule): $40.98–$58.61 depending on the state's Medicare locality.

State ranking

29130 rate by state: highest, middle and lowest

One like-for-like fee-for-service rate per state, ranked. The workspace lists all 48 states with every variant, modifier and effective date.

#StateMedicaid rateUnitPer hourManaged-care plans% of Medicare
1Alaska Source · since 2026-07-01$76.36——Not classified—
2Montana Source · since 2026-07-01$64.79——Not classified—
3Alabama Source · since 2026-09-24$62.04——Not classified—
24Michigan Source · since 2026-01-01$29.39——Plans negotiate; applies out of network—
25Hawaii Source · since 2026-06-01$28.40——Plans must pay at least this—
26California Source · since 2026-10-01$28.17——Plans negotiate; applies out of network—
47Rhode Island Source · since 1993-04-01$4.20——Plans negotiate; applies out of network—
48District of Columbia Source · since 2018-04-01$1.25——Not classified—
See all 48 states for 29130 — start free

40 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 29130 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 29130?

It depends on the state. Of the 48 states with a published fee-for-service rate, the median is $28.90. Alaska pays the most ($76.36) and District of Columbia the least ($1.25).

Which state pays the highest Medicaid rate for 29130?

Alaska, at $76.36, effective 2026-07-01.

Do managed-care plans pay the same rate for 29130?

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.