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Billing code 41512 · Physician & professional

41512 Medicaid reimbursement rate by state (2026)

Physician and practitioner services (fee schedule). Medicaid pays a median of $515.73 for 41512 across 39 states, from $80.81 in Rhode Island to $1,398.50 in Alabama.

Data as of Oct 5, 202639 statesEvery rate links to its official source

States publishing
39
National median
$515.73units vary by state
Lowest
$80.81Rhode Island
Highest
$1,398.50Alabama
Answer

What does Medicaid pay for 41512?

39 state Medicaid programs publish a fee-for-service rate for 41512. The national median is $515.73 (units differ between states). Alabama pays the most, $1,398.50, and Rhode Island the least, $80.81, a 17.3x spread.

State ranking

41512 rate by state: highest, middle and lowest

One like-for-like fee-for-service rate per state, ranked. The workspace lists all 39 states with every variant, modifier and effective date.

#StateMedicaid rateUnitPer hourManaged-care plans% of Medicare
1Alabama Source · since 2026-08-25$1,398.50——Not classified—
2Alaska Source · since 2026-07-01$1,029.60——Not classified—
3New Mexico Source · since 2025-01-01$937.07——Plans must pay at least this—
19Louisiana Source · since 2025-07-01$525.06——Plans must pay at least this—
20Massachusetts Source · since 2026-10-01$515.73——Plans negotiate; applies out of network—
21Vermont Source · since 2026-01-01$510.85——Not classified—
38California Source · since 2026-10-01$86.75——Plans negotiate; applies out of network—
39Rhode Island Source · since 2009-01-01$80.81——Plans negotiate; applies out of network—
See all 39 states for 41512 — start free

31 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 41512 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 41512?

It depends on the state. Of the 39 states with a published fee-for-service rate, the median is $515.73. Alabama pays the most ($1,398.50) and Rhode Island the least ($80.81).

Which state pays the highest Medicaid rate for 41512?

Alabama, at $1,398.50, effective 2026-08-25.

Do managed-care plans pay the same rate for 41512?

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.