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Billing code 32554 · Physician & professional

32554 Medicaid reimbursement rate by state (2026)

Physician and practitioner services (fee schedule). Medicaid pays a median of $175.44 for 32554 across 49 states, from $16.00 in Nebraska to $684.72 in Kentucky.

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

States publishing
49
National median
$175.44units vary by state
Lowest
$16.00Nebraska
Highest
$684.72Kentucky
Answer

What does Medicaid pay for 32554?

49 state Medicaid programs publish a fee-for-service rate for 32554. The national median is $175.44 (units differ between states). Kentucky pays the most, $684.72, and Nebraska the least, $16.00, a 42.8x spread.

Medicare (non-facility, 2026 physician fee schedule): $229.72–$349.70 depending on the state's Medicare locality.

State ranking

32554 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
1Kentucky Source · since 2020-01-01$684.72——Plans negotiate; applies out of network—
2Iowa Source · since 2013-07-01$486.43——Plans must pay at least this—
3Alaska Source · since 2026-07-01$417.18——Not classified—
24Connecticut Source · since 2026-01-01$186.55——Not classified—
25Maine Source · since 2026-01-01$175.44——Not classified—
26West Virginia Source · since 2026-04-01$173.00——Plans negotiate; applies out of network—
48New Jersey Source · since 2026-07-01$39.62——Not classified—
49Nebraska Source · since 2026-07-01$16.00——Plans negotiate; applies out of network—
See all 49 states for 32554 — 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 32554 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 32554?

It depends on the state. Of the 49 states with a published fee-for-service rate, the median is $175.44. Kentucky pays the most ($684.72) and Nebraska the least ($16.00).

Which state pays the highest Medicaid rate for 32554?

Kentucky, at $684.72, effective 2020-01-01.

Do managed-care plans pay the same rate for 32554?

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.