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Billing code 36514 · Physician & professional

36514 Medicaid reimbursement rate by state (2026)

Physician and practitioner services (fee schedule). Medicaid pays a median of $443.37 for 36514 across 48 states, from $12.90 in Rhode Island to $1,091.37 in Alaska.

Data as of Oct 5, 202648 statesEvery rate links to its official source

States publishing
48
National median
$443.37units vary by state
Lowest
$12.90Rhode Island
Highest
$1,091.37Alaska
Answer

What does Medicaid pay for 36514?

48 state Medicaid programs publish a fee-for-service rate for 36514. The national median is $443.37 (units differ between states). Alaska pays the most, $1,091.37, and Rhode Island the least, $12.90, a 84.6x spread.

Medicare (non-facility, 2026 physician fee schedule): $620.16–$1,005.87 depending on the state's Medicare locality.

State ranking

36514 rate by state: highest, middle and lowest

One like-for-like fee-for-service rate per state, ranked. The workspace lists all 48 states with every variant, modifier and effective date.

#StateMedicaid rateUnitPer hourManaged-care plans% of Medicare
1Alaska Source · since 2026-07-01$1,091.37——Not classified—
2Montana Source · since 2026-07-01$1,004.26——Not classified—
3California Source · since 2026-10-01$977.29——Plans negotiate; applies out of network—
24Maryland Source · since 2026-01-01$454.52——Not classified—
25Connecticut Source · since 2026-01-01$432.22——Not classified—
26Wisconsin Source · since 2009-10-01$413.60——Plans negotiate; applies out of network—
47Arkansas Source · since 2025-06-13$20.63——Not classified—
48Rhode Island Source · since 2003-01-01$12.90——Plans negotiate; applies out of network—
See all 48 states for 36514 — start free

40 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 36514 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 36514?

It depends on the state. Of the 48 states with a published fee-for-service rate, the median is $443.37. Alaska pays the most ($1,091.37) and Rhode Island the least ($12.90).

Which state pays the highest Medicaid rate for 36514?

Alaska, at $1,091.37, effective 2026-07-01.

Do managed-care plans pay the same rate for 36514?

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.