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Billing code 31238 · Physician & professional

31238 Medicaid reimbursement rate by state (2026)

Physician and practitioner services (fee schedule). Medicaid pays a median of $196.83 for 31238 across 49 states, from $9.30 in New Jersey to $430.59 in Alaska.

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

States publishing
49
National median
$196.83units vary by state
Lowest
$9.30New Jersey
Highest
$430.59Alaska
Answer

What does Medicaid pay for 31238?

49 state Medicaid programs publish a fee-for-service rate for 31238. The national median is $196.83 (units differ between states). Alaska pays the most, $430.59, and New Jersey the least, $9.30 per base unit, a 46.3x spread.

Medicare (non-facility, 2026 physician fee schedule): $231.60–$333.79 depending on the state's Medicare locality.

State ranking

31238 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$430.59——Not classified—
2Alabama Source · since 2026-09-24$390.42——Not classified—
3Nebraska Source · since 2026-07-01$369.72——Plans negotiate; applies out of network—
24Idaho Source · since 2026-07-01$207.96——Not classified—
25Minnesota Source · since 2026-02-01$196.83——Plans negotiate; applies out of network—
26Arkansas Source · since 2025-05-15$185.42——Not classified—
48Rhode Island Source · since 1996-01-01$28.00——Plans negotiate; applies out of network—
49New Jersey Source · since 2014-07-01$9.30base unit—Not classified—
See all 49 states for 31238 — 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 31238 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 31238?

It depends on the state. Of the 49 states with a published fee-for-service rate, the median is $196.83. Alaska pays the most ($430.59) and New Jersey the least ($9.30 per base unit).

Which state pays the highest Medicaid rate for 31238?

Alaska, at $430.59, effective 2026-07-01.

Do managed-care plans pay the same rate for 31238?

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.