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Billing code 37269 · Physician & professional

37269 Medicaid reimbursement rate by state (2026)

Physician and practitioner services (fee schedule). Medicaid pays a median of $7,511.29 for 37269 across 42 states, from $86.54 in Rhode Island to $16,472.17 in Alabama.

Data as of Oct 5, 202642 statesEvery rate links to its official source

States publishing
42
National median
$7,511.29units vary by state
Lowest
$86.54Rhode Island
Highest
$16,472.17Alabama
Answer

What does Medicaid pay for 37269?

42 state Medicaid programs publish a fee-for-service rate for 37269. The national median is $7,511.29 (units differ between states). Alabama pays the most, $16,472.17, and Rhode Island the least, $86.54, a 190.3x spread.

Medicare (non-facility, 2026 physician fee schedule): $9,953.25–$14,040.44 depending on the state's Medicare locality.

State ranking

37269 rate by state: highest, middle and lowest

One like-for-like fee-for-service rate per state, ranked. The workspace lists all 42 states with every variant, modifier and effective date.

#StateMedicaid rateUnitPer hourManaged-care plans% of Medicare
1Alabama Source · since 2026-09-24$16,472.17——Not classified—
2Montana Source · since 2026-07-01$16,239.68——Not classified—
3North Dakota Source · since 2026-07-01$12,909.41——Not classified—
21South Carolina Source · since 2026-01-01$7,599.86——Not classified—
22West Virginia Source · since 2026-04-01$7,422.72——Plans negotiate; applies out of network—
23Michigan Source · since 2026-01-01$7,367.67——Plans negotiate; applies out of network—
41New Hampshire Source · since 2026-01-01$132.47——Plans negotiate; applies out of network—
42Rhode Island Source · since 2026-01-01$86.54——Plans negotiate; applies out of network—
See all 42 states for 37269 — start free

34 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 37269 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 37269?

It depends on the state. Of the 42 states with a published fee-for-service rate, the median is $7,511.29. Alabama pays the most ($16,472.17) and Rhode Island the least ($86.54).

Which state pays the highest Medicaid rate for 37269?

Alabama, at $16,472.17, effective 2026-09-24.

Do managed-care plans pay the same rate for 37269?

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.