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Billing code 40899 · Physician & professional

40899 Medicaid reimbursement rate by state (2026)

Physician and practitioner services (fee schedule). Medicaid pays a median of $78.87 for 40899 across 7 states, from $20.00 in Indiana to $1,206.55 in Montana.

Data as of Oct 5, 20267 statesEvery rate links to its official source

States publishing
7
National median
$78.87units vary by state
Lowest
$20.00Indiana
Highest
$1,206.55Montana
Answer

What does Medicaid pay for 40899?

7 state Medicaid programs publish a fee-for-service rate for 40899. The national median is $78.87 (units differ between states). Montana pays the most, $1,206.55, and Indiana the least, $20.00 per percent of billed charges, a 60.3x spread.

State ranking

40899 rate by state: highest, middle and lowest

One like-for-like fee-for-service rate per state, ranked. The workspace lists all 7 states with every variant, modifier and effective date.

#StateMedicaid rateUnitPer hourManaged-care plans% of Medicare
1Montana Source · since 2025-07-01$1,206.55——Not classified—
2Florida Source · since 2026-01-01$202.35——Plans negotiate; applies out of network—
3Kentucky Source · since 2020-01-01$97.50——Plans negotiate; applies out of network—
7Indiana Source · since 2020-10-15$20.00percent of billed charges—Plans must pay at least this—
See all 7 states for 40899 — start free

3 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 40899 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 40899?

It depends on the state. Of the 7 states with a published fee-for-service rate, the median is $78.87. Montana pays the most ($1,206.55) and Indiana the least ($20.00 per percent of billed charges).

Which state pays the highest Medicaid rate for 40899?

Montana, at $1,206.55, effective 2025-07-01.

Do managed-care plans pay the same rate for 40899?

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.