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Billing code 38500 · Physician & professional

38500 Medicaid reimbursement rate by state (2026)

Physician and practitioner services (fee schedule). Medicaid pays a median of $246.73 for 38500 across 49 states, from $14.70 in Rhode Island to $601.22 in Alaska.

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

States publishing
49
National median
$246.73units vary by state
Lowest
$14.70Rhode Island
Highest
$601.22Alaska
Answer

What does Medicaid pay for 38500?

49 state Medicaid programs publish a fee-for-service rate for 38500. The national median is $246.73 (units differ between states). Alaska pays the most, $601.22, and Rhode Island the least, $14.70, a 40.9x spread.

Medicare (non-facility, 2026 physician fee schedule): $324.41–$464.43 depending on the state's Medicare locality.

State ranking

38500 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$601.22——Not classified—
2Montana Source · since 2026-07-01$519.17——Not classified—
3Alabama Source · since 2026-09-24$499.61——Not classified—
24Hawaii Source · since 2026-06-01$252.29——Plans must pay at least this—
25Maine Source · since 2026-01-01$246.73——Not classified—
26Michigan Source · since 2026-01-01$235.58——Plans negotiate; applies out of network—
48New Jersey Source · since 2024-12-01$28.95——Not classified—
49Rhode Island Source · since 1993-04-01$14.70——Plans negotiate; applies out of network—
See all 49 states for 38500 — 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 38500 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 38500?

It depends on the state. Of the 49 states with a published fee-for-service rate, the median is $246.73. Alaska pays the most ($601.22) and Rhode Island the least ($14.70).

Which state pays the highest Medicaid rate for 38500?

Alaska, at $601.22, effective 2026-07-01.

Do managed-care plans pay the same rate for 38500?

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.