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Billing code 31623 · Physician & professional

31623 Medicaid reimbursement rate by state (2026)

Physician and practitioner services (fee schedule). Medicaid pays a median of $203.77 for 31623 across 50 states, from $9.30 in New Jersey to $500.08 in Alabama.

Data as of Oct 5, 202650 statesEvery rate links to its official source

States publishing
50
National median
$203.77units vary by state
Lowest
$9.30New Jersey
Highest
$500.08Alabama
Answer

What does Medicaid pay for 31623?

50 state Medicaid programs publish a fee-for-service rate for 31623. The national median is $203.77 (units differ between states). Alabama pays the most, $500.08, and New Jersey the least, $9.30 per base unit, a 53.8x spread.

Medicare (non-facility, 2026 physician fee schedule): $269.53–$401.20 depending on the state's Medicare locality.

State ranking

31623 rate by state: highest, middle and lowest

One like-for-like fee-for-service rate per state, ranked. The workspace lists all 50 states with every variant, modifier and effective date.

#StateMedicaid rateUnitPer hourManaged-care plans% of Medicare
1Alabama Source · since 2026-09-24$500.08——Not classified—
2Alaska Source · since 2026-07-01$495.35——Not classified—
3Montana Source · since 2026-07-01$425.84——Not classified—
25Maine Source · since 2026-01-01$205.01——Not classified—
26West Virginia Source · since 2026-04-01$202.52——Plans negotiate; applies out of network—
27Michigan Source · since 2026-01-01$193.19——Plans negotiate; applies out of network—
49Rhode Island Source · since 1999-01-01$32.66——Plans negotiate; applies out of network—
50New Jersey Source · since 2014-07-01$9.30base unit—Not classified—
See all 50 states for 31623 — start free

42 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 31623 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 31623?

It depends on the state. Of the 50 states with a published fee-for-service rate, the median is $203.77. Alabama pays the most ($500.08) and New Jersey the least ($9.30 per base unit).

Which state pays the highest Medicaid rate for 31623?

Alabama, at $500.08, effective 2026-09-24.

Do managed-care plans pay the same rate for 31623?

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.