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Billing code 41872 · Physician & professional

41872 Medicaid reimbursement rate by state (2026)

Physician and practitioner services (fee schedule). Medicaid pays a median of $307.54 for 41872 across 45 states, from $9.30 in New Jersey to $807.75 in Alaska.

Data as of Oct 5, 202645 statesEvery rate links to its official source

States publishing
45
National median
$307.54units vary by state
Lowest
$9.30New Jersey
Highest
$807.75Alaska
Answer

What does Medicaid pay for 41872?

45 state Medicaid programs publish a fee-for-service rate for 41872. The national median is $307.54 (units differ between states). Alaska pays the most, $807.75, and New Jersey the least, $9.30 per base unit, a 86.9x spread.

Medicare (non-facility, 2026 physician fee schedule): $448.58–$691.45 depending on the state's Medicare locality.

State ranking

41872 rate by state: highest, middle and lowest

One like-for-like fee-for-service rate per state, ranked. The workspace lists all 45 states with every variant, modifier and effective date.

#StateMedicaid rateUnitPer hourManaged-care plans% of Medicare
1Alaska Source · since 2026-07-01$807.75——Not classified—
2Montana Source · since 2026-07-01$721.57——Not classified—
3New Mexico Source · since 2025-01-01$654.46——Plans must pay at least this—
22Arizona Source · since 2026-10-01$308.05——Plans negotiate; applies out of network—
23Maryland Source · since 2026-01-01$307.54——Not classified—
24Connecticut Source · since 2026-01-01$298.09——Not classified—
44Rhode Island Source · since 1996-01-01$19.25——Plans negotiate; applies out of network—
45New Jersey Source · since 2014-07-01$9.30base unit—Not classified—
See all 45 states for 41872 — start free

37 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 41872 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 41872?

It depends on the state. Of the 45 states with a published fee-for-service rate, the median is $307.54. Alaska pays the most ($807.75) and New Jersey the least ($9.30 per base unit).

Which state pays the highest Medicaid rate for 41872?

Alaska, at $807.75, effective 2026-07-01.

Do managed-care plans pay the same rate for 41872?

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.