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Billing code 36222 · Physician & professional

36222 Medicaid reimbursement rate by state (2026)

Physician and practitioner services (fee schedule). Medicaid pays a median of $751.34 for 36222 across 49 states, from $71.63 in Arkansas to $1,940.90 in Alaska.

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

States publishing
49
National median
$751.34units vary by state
Lowest
$71.63Arkansas
Highest
$1,940.90Alaska
Answer

What does Medicaid pay for 36222?

49 state Medicaid programs publish a fee-for-service rate for 36222. The national median is $751.34 (units differ between states). Alaska pays the most, $1,940.90, and Arkansas the least, $71.63, a 27.1x spread.

Medicare (non-facility, 2026 physician fee schedule): $1,091.15–$1,719.52 depending on the state's Medicare locality.

State ranking

36222 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$1,940.90——Not classified—
2Alabama Source · since 2026-09-24$1,872.75——Not classified—
3Montana Source · since 2026-07-01$1,770.34——Not classified—
24Missouri Source · since 2022-07-01$751.40——Plans must pay at least this—
25Connecticut Source · since 2026-01-01$751.34——Not classified—
26Kansas Source · since 2024-08-01$704.46——Plans must pay at least this—
48Nebraska Source · since 2026-07-01$90.14——Plans negotiate; applies out of network—
49Arkansas Source · since 2025-06-13$71.63——Not classified—
See all 49 states for 36222 — 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 36222 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 36222?

It depends on the state. Of the 49 states with a published fee-for-service rate, the median is $751.34. Alaska pays the most ($1,940.90) and Arkansas the least ($71.63).

Which state pays the highest Medicaid rate for 36222?

Alaska, at $1,940.90, effective 2026-07-01.

Do managed-care plans pay the same rate for 36222?

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.