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Billing code 45300 · Physician & professional

45300 Medicaid reimbursement rate by state (2026)

Physician and practitioner services (fee schedule). Medicaid pays a median of $70.64 for 45300 across 50 states, from $6.30 in Rhode Island to $233.11 in Alaska.

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

States publishing
50
National median
$70.64units vary by state
Lowest
$6.30Rhode Island
Highest
$233.11Alaska
Answer

What does Medicaid pay for 45300?

50 state Medicaid programs publish a fee-for-service rate for 45300. The national median is $70.64 (units differ between states). Alaska pays the most, $233.11, and Rhode Island the least, $6.30, a 37.0x spread.

Medicare (non-facility, 2026 physician fee schedule): $129.86–$201.75 depending on the state's Medicare locality.

State ranking

45300 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
1Alaska Source · since 2026-07-01$233.11——Not classified—
2Montana Source · since 2026-07-01$208.93——Not classified—
3Alabama Source · since 2026-09-24$185.00——Not classified—
25Kansas Source · since 2024-08-01$74.83——Plans must pay at least this—
26South Carolina Source · since 2024-07-01$66.44——Plans negotiate; applies out of network—
27Nevada Source · since 2024-01-01$57.09——Plans must pay at least this—
49New Jersey Source · since 2014-07-01$9.30base unit—Not classified—
50Rhode Island Source · since 1996-01-01$6.30——Plans negotiate; applies out of network—
See all 50 states for 45300 — 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.

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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 45300 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 45300?

It depends on the state. Of the 50 states with a published fee-for-service rate, the median is $70.64. Alaska pays the most ($233.11) and Rhode Island the least ($6.30).

Which state pays the highest Medicaid rate for 45300?

Alaska, at $233.11, effective 2026-07-01.

Do managed-care plans pay the same rate for 45300?

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.