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Billing code 37227 · Physician & professional

37227 Medicaid reimbursement rate by state (2026)

Physician and practitioner services (fee schedule). Medicaid pays a median of $6,644.75 for 37227 across 11 states, from $367.48 in Ohio to $14,723.29 in New Mexico.

Data as of Oct 5, 202611 statesEvery rate links to its official source

States publishing
11
National median
$6,644.75units vary by state
Lowest
$367.48Ohio
Highest
$14,723.29New Mexico
Answer

What does Medicaid pay for 37227?

11 state Medicaid programs publish a fee-for-service rate for 37227. The national median is $6,644.75 (units differ between states). New Mexico pays the most, $14,723.29, and Ohio the least, $367.48, a 40.1x spread.

State ranking

37227 rate by state: highest, middle and lowest

One like-for-like fee-for-service rate per state, ranked. The workspace lists all 11 states with every variant, modifier and effective date.

#StateMedicaid rateUnitPer hourManaged-care plans% of Medicare
1New Mexico Source · since 2025-01-01$14,723.29——Plans must pay at least this—
2Iowa Source · since 2014-08-01$13,015.34——Plans must pay at least this—
3Kentucky Source · since 2020-01-01$12,699.65——Plans negotiate; applies out of network—
5Minnesota Source · since 2025-02-01$7,941.18——Plans negotiate; applies out of network—
6Michigan Source · since 2025-01-01$6,644.75——Plans negotiate; applies out of network—
10Massachusetts Source · since 2026-10-01$505.16——Plans negotiate; applies out of network—
11Ohio Source · since 2013-12-31$367.48——Plans negotiate; applies out of network—
See all 11 states for 37227 — start free

4 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 37227 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 37227?

It depends on the state. Of the 11 states with a published fee-for-service rate, the median is $6,644.75. New Mexico pays the most ($14,723.29) and Ohio the least ($367.48).

Which state pays the highest Medicaid rate for 37227?

New Mexico, at $14,723.29, effective 2025-01-01.

Do managed-care plans pay the same rate for 37227?

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.