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Billing code 36558 · Physician & professional

36558 Medicaid reimbursement rate by state (2026)

Physician and practitioner services (fee schedule). Medicaid pays a median of $520.94 for 36558 across 49 states, from $41.42 in Nebraska to $1,243.41 in Alaska.

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

States publishing
49
National median
$520.94units vary by state
Lowest
$41.42Nebraska
Highest
$1,243.41Alaska
Answer

What does Medicaid pay for 36558?

49 state Medicaid programs publish a fee-for-service rate for 36558. The national median is $520.94 (units differ between states). Alaska pays the most, $1,243.41, and Nebraska the least, $41.42, a 30.0x spread.

Medicare (non-facility, 2026 physician fee schedule): $690.29–$1,066.66 depending on the state's Medicare locality.

State ranking

36558 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$1,243.41——Not classified—
2Alabama Source · since 2026-09-24$1,168.86——Not classified—
3New Mexico Source · since 2025-01-01$1,112.76——Plans must pay at least this—
24Maine Source · since 2026-01-01$528.66——Not classified—
25West Virginia Source · since 2026-04-01$520.94——Plans negotiate; applies out of network—
26Michigan Source · since 2025-01-01$502.25——Plans negotiate; applies out of network—
48Rhode Island Source · since 2004-01-01$97.52——Plans negotiate; applies out of network—
49Nebraska Source · since 2026-07-01$41.42——Plans negotiate; applies out of network—
See all 49 states for 36558 — 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 36558 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 36558?

It depends on the state. Of the 49 states with a published fee-for-service rate, the median is $520.94. Alaska pays the most ($1,243.41) and Nebraska the least ($41.42).

Which state pays the highest Medicaid rate for 36558?

Alaska, at $1,243.41, effective 2026-07-01.

Do managed-care plans pay the same rate for 36558?

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.