42415 Medicaid reimbursement rate by state (2026)
Physician and practitioner services (fee schedule). Medicaid pays a median of $813.01 for 42415 across 49 states, from $9.30 in New Jersey to $1,646.76 in Alabama.
- States publishing
- 49
- National median
- $813.01units vary by state
- Lowest
- $9.30New Jersey
- Highest
- $1,646.76Alabama
What does Medicaid pay for 42415?
49 state Medicaid programs publish a fee-for-service rate for 42415. The national median is $813.01 (units differ between states). Alabama pays the most, $1,646.76, and New Jersey the least, $9.30 per base unit, a 177.1x spread.
42415 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.
Frequently asked questions
What does Medicaid pay for 42415?
It depends on the state. Of the 49 states with a published fee-for-service rate, the median is $813.01. Alabama pays the most ($1,646.76) and New Jersey the least ($9.30 per base unit).
Which state pays the highest Medicaid rate for 42415?
Alabama, at $1,646.76, effective 2026-09-24.
Do managed-care plans pay the same rate for 42415?
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.