Skip to content
Billing code 43276 · Physician & professional

43276 Medicaid reimbursement rate by state (2026)

Physician and practitioner services (fee schedule). Medicaid pays a median of $370.21 for 43276 across 50 states, from $72.05 in Missouri to $778.04 in Nebraska.

Data as of Oct 5, 202650 statesEvery rate links to its official source

States publishing
50
National median
$370.21units vary by state
Lowest
$72.05Missouri
Highest
$778.04Nebraska
Answer

What does Medicaid pay for 43276?

50 state Medicaid programs publish a fee-for-service rate for 43276. The national median is $370.21 (units differ between states). Nebraska pays the most, $778.04, and Missouri the least, $72.05, a 10.8x spread.

State ranking

43276 rate by state: highest, middle and lowest

One like-for-like fee-for-service rate per state, ranked. The workspace lists all 50 states with every variant, modifier and effective date.

#StateMedicaid rateUnitPer hourManaged-care plans% of Medicare
1Nebraska Source · since 2026-07-01$778.04——Plans negotiate; applies out of network—
2Alaska Source · since 2026-07-01$772.66——Not classified—
3New Mexico Source · since 2025-01-01$685.64——Plans must pay at least this—
25Colorado Source · since 2026-07-01$375.63——Plans negotiate; applies out of network—
26District of Columbia Source · since 2026-01-01$364.78——Not classified—
27Virginia Source · since 2026-07-01$363.14——Plans negotiate; applies out of network—
49Rhode Island Source · since 2014-01-01$74.67——Plans negotiate; applies out of network—
50Missouri Source · since 2022-07-01$72.05——Plans must pay at least this—
See all 50 states for 43276 — start free

42 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.

  • Source for every rate
  • Full rate history
  • CSV and API export

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 43276 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 43276?

It depends on the state. Of the 50 states with a published fee-for-service rate, the median is $370.21. Nebraska pays the most ($778.04) and Missouri the least ($72.05).

Which state pays the highest Medicaid rate for 43276?

Nebraska, at $778.04, effective 2026-07-01.

Do managed-care plans pay the same rate for 43276?

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.