38226 Medicaid reimbursement rate by state (2026)
Physician and practitioner services (fee schedule). Medicaid pays a median of $29.22 for 38226 across 15 states, from $6.04 in Rhode Island to $38.35 in Hawaii.
- States publishing
- 15
- National median
- $29.22units vary by state
- Lowest
- $6.04Rhode Island
- Highest
- $38.35Hawaii
What does Medicaid pay for 38226?
15 state Medicaid programs publish a fee-for-service rate for 38226. The national median is $29.22 (units differ between states). Hawaii pays the most, $38.35, and Rhode Island the least, $6.04, a 6.3x spread.
38226 rate by state: highest, middle and lowest
One like-for-like fee-for-service rate per state, ranked. The workspace lists all 15 states with every variant, modifier and effective date.
Frequently asked questions
What does Medicaid pay for 38226?
It depends on the state. Of the 15 states with a published fee-for-service rate, the median is $29.22. Hawaii pays the most ($38.35) and Rhode Island the least ($6.04).
Which state pays the highest Medicaid rate for 38226?
Hawaii, at $38.35, effective 2026-06-01.
Do managed-care plans pay the same rate for 38226?
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.