38204 Medicaid reimbursement rate by state (2026)
Physician and practitioner services (fee schedule). Medicaid pays a median of $73.59 for 38204 across 11 states, from $45.00 in California to $105.70 in Nevada.
- States publishing
- 11
- National median
- $73.59units vary by state
- Lowest
- $45.00California
- Highest
- $105.70Nevada
What does Medicaid pay for 38204?
11 state Medicaid programs publish a fee-for-service rate for 38204. The national median is $73.59 (units differ between states). Nevada pays the most, $105.70, and California the least, $45.00, a 2.3x spread.
38204 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.
Frequently asked questions
What does Medicaid pay for 38204?
It depends on the state. Of the 11 states with a published fee-for-service rate, the median is $73.59. Nevada pays the most ($105.70) and California the least ($45.00).
Which state pays the highest Medicaid rate for 38204?
Nevada, at $105.70, effective 2024-01-01.
Do managed-care plans pay the same rate for 38204?
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.