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Billing code 47146 · Physician & professional

47146 Medicaid reimbursement rate by state (2026)

Physician and practitioner services (fee schedule). Medicaid pays a median of $235.95 for 47146 across 33 states, from $36.14 in Oregon to $518.47 in Alaska.

Data as of Oct 5, 202633 statesEvery rate links to its official source

States publishing
33
National median
$235.95units vary by state
Lowest
$36.14Oregon
Highest
$518.47Alaska
Answer

What does Medicaid pay for 47146?

33 state Medicaid programs publish a fee-for-service rate for 47146. The national median is $235.95 (units differ between states). Alaska pays the most, $518.47, and Oregon the least, $36.14, a 14.3x spread.

State ranking

47146 rate by state: highest, middle and lowest

One like-for-like fee-for-service rate per state, ranked. The workspace lists all 33 states with every variant, modifier and effective date.

#StateMedicaid rateUnitPer hourManaged-care plans% of Medicare
1Alaska Source · since 2026-07-01$518.47——Not classified—
2New Mexico Source · since 2025-01-01$479.86——Plans must pay at least this—
3Montana Source · since 2026-07-01$414.43——Not classified—
16Kentucky Source · since 2020-01-01$251.83——Plans negotiate; applies out of network—
17Massachusetts Source · since 2026-10-01$235.95——Plans negotiate; applies out of network—
18Vermont Source · since 2026-01-01$227.94——Not classified—
32Texas Source · since 2026-09-01$36.48——Plans negotiate; applies out of network—
33Oregon Source · since 2026-02-01$36.14——Plans negotiate; applies out of network—
See all 33 states for 47146 — start free

25 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 47146 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 47146?

It depends on the state. Of the 33 states with a published fee-for-service rate, the median is $235.95. Alaska pays the most ($518.47) and Oregon the least ($36.14).

Which state pays the highest Medicaid rate for 47146?

Alaska, at $518.47, effective 2026-07-01.

Do managed-care plans pay the same rate for 47146?

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.