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Billing code 36481 · Physician & professional

36481 Medicaid reimbursement rate by state (2026)

Physician and practitioner services (fee schedule). Medicaid pays a median of $986.51 for 36481 across 49 states, from $6.30 in Rhode Island to $3,052.45 in Alabama.

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

States publishing
49
National median
$986.51units vary by state
Lowest
$6.30Rhode Island
Highest
$3,052.45Alabama
Answer

What does Medicaid pay for 36481?

49 state Medicaid programs publish a fee-for-service rate for 36481. The national median is $986.51 (units differ between states). Alabama pays the most, $3,052.45, and Rhode Island the least, $6.30, a 484.5x spread.

Medicare (non-facility, 2026 physician fee schedule): $1,430.16–$2,267.97 depending on the state's Medicare locality.

State ranking

36481 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
1Alabama Source · since 2026-09-24$3,052.45——Not classified—
2Alaska Source · since 2026-07-01$2,545.55——Not classified—
3Montana Source · since 2026-07-01$2,303.79——Not classified—
24Connecticut Source · since 2026-01-01$1,041.34——Not classified—
25Kansas Source · since 2024-08-01$986.51——Plans must pay at least this—
26South Carolina Source · since 2024-07-01$871.60——Plans negotiate; applies out of network—
48New Jersey Source · since 2014-07-01$9.30base unit—Not classified—
49Rhode Island Source · since 1993-04-01$6.30——Plans negotiate; applies out of network—
See all 49 states for 36481 — 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 36481 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 36481?

It depends on the state. Of the 49 states with a published fee-for-service rate, the median is $986.51. Alabama pays the most ($3,052.45) and Rhode Island the least ($6.30).

Which state pays the highest Medicaid rate for 36481?

Alabama, at $3,052.45, effective 2026-09-24.

Do managed-care plans pay the same rate for 36481?

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.