Skip to content
Billing code 36223 · Physician & professional

36223 Medicaid reimbursement rate by state (2026)

Physician and practitioner services (fee schedule). Medicaid pays a median of $994.28 for 36223 across 49 states, from $77.51 in Arkansas to $2,913.54 in Alaska.

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

States publishing
49
National median
$994.28units vary by state
Lowest
$77.51Arkansas
Highest
$2,913.54Alaska
Answer

What does Medicaid pay for 36223?

49 state Medicaid programs publish a fee-for-service rate for 36223. The national median is $994.28 (units differ between states). Alaska pays the most, $2,913.54, and Arkansas the least, $77.51, a 37.6x spread.

Medicare (non-facility, 2026 physician fee schedule): $1,652.22–$2,648.25 depending on the state's Medicare locality.

State ranking

36223 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$2,913.54——Not classified—
2Montana Source · since 2026-07-01$2,692.44——Not classified—
3New Mexico Source · since 2025-01-01$2,260.63——Plans must pay at least this—
24Connecticut Source · since 2026-01-01$1,044.34——Not classified—
25Missouri Source · since 2022-07-01$994.28——Plans must pay at least this—
26Rhode Island Source · since 2013-01-01$958.32——Plans negotiate; applies out of network—
48Nebraska Source · since 2026-07-01$96.50——Plans negotiate; applies out of network—
49Arkansas Source · since 2025-06-13$77.51——Not classified—
See all 49 states for 36223 — 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.

  • Source for every rate
  • Full rate history
  • CSV and API export

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 36223 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 36223?

It depends on the state. Of the 49 states with a published fee-for-service rate, the median is $994.28. Alaska pays the most ($2,913.54) and Arkansas the least ($77.51).

Which state pays the highest Medicaid rate for 36223?

Alaska, at $2,913.54, effective 2026-07-01.

Do managed-care plans pay the same rate for 36223?

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.