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Billing code 36473 · Physician & professional

36473 Medicaid reimbursement rate by state (2026)

Physician and practitioner services (fee schedule). Medicaid pays a median of $783.19 for 36473 across 41 states, from $79.37 in New Jersey to $1,792.27 in Alaska.

Data as of Oct 5, 202641 statesEvery rate links to its official source

States publishing
41
National median
$783.19units vary by state
Lowest
$79.37New Jersey
Highest
$1,792.27Alaska
Answer

What does Medicaid pay for 36473?

41 state Medicaid programs publish a fee-for-service rate for 36473. The national median is $783.19 (units differ between states). Alaska pays the most, $1,792.27, and New Jersey the least, $79.37, a 22.6x spread.

Medicare (non-facility, 2026 physician fee schedule): $1,023.63–$1,632.46 depending on the state's Medicare locality.

State ranking

36473 rate by state: highest, middle and lowest

One like-for-like fee-for-service rate per state, ranked. The workspace lists all 41 states with every variant, modifier and effective date.

#StateMedicaid rateUnitPer hourManaged-care plans% of Medicare
1Alaska Source · since 2026-07-01$1,792.27——Not classified—
2Montana Source · since 2026-07-01$1,650.25——Not classified—
3New Mexico Source · since 2025-01-01$1,614.87——Plans must pay at least this—
20Minnesota Source · since 2026-02-01$913.92——Plans negotiate; applies out of network—
21Maine Source · since 2026-01-01$783.19——Not classified—
22Michigan Source · since 2026-01-01$748.70——Plans negotiate; applies out of network—
40Washington Source · since 2026-07-01$90.20——Plans negotiate; applies out of network—
41New Jersey Source · since 2026-07-01$79.37——Not classified—
See all 41 states for 36473 — start free

33 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 36473 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 36473?

It depends on the state. Of the 41 states with a published fee-for-service rate, the median is $783.19. Alaska pays the most ($1,792.27) and New Jersey the least ($79.37).

Which state pays the highest Medicaid rate for 36473?

Alaska, at $1,792.27, effective 2026-07-01.

Do managed-care plans pay the same rate for 36473?

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.