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Billing code 47399 · Physician & professional

47399 Medicaid reimbursement rate by state (2026)

Physician and practitioner services (fee schedule). Medicaid pays a median of $299.49 for 47399 across 6 states, from $20.00 in Indiana to $2,508.36 in Montana.

Data as of Oct 5, 20266 statesEvery rate links to its official source

States publishing
6
National median
$299.49units vary by state
Lowest
$20.00Indiana
Highest
$2,508.36Montana
Answer

What does Medicaid pay for 47399?

6 state Medicaid programs publish a fee-for-service rate for 47399. The national median is $299.49 (units differ between states). Montana pays the most, $2,508.36, and Indiana the least, $20.00 per percent of billed charges, a 125.4x spread.

State ranking

47399 rate by state: highest, middle and lowest

One like-for-like fee-for-service rate per state, ranked. The workspace lists all 6 states with every variant, modifier and effective date.

#StateMedicaid rateUnitPer hourManaged-care plans% of Medicare
1Montana Source · since 2025-07-01$2,508.36——Not classified—
2Florida Source · since 2026-01-01$1,181.30——Plans negotiate; applies out of network—
3Maine Source · since 2026-01-01$348.98——Not classified—
6Indiana Source · since 2020-10-15$20.00percent of billed charges—Plans must pay at least this—
See all 6 states for 47399 — start free

2 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 47399 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 47399?

It depends on the state. Of the 6 states with a published fee-for-service rate, the median is $299.49. Montana pays the most ($2,508.36) and Indiana the least ($20.00 per percent of billed charges).

Which state pays the highest Medicaid rate for 47399?

Montana, at $2,508.36, effective 2025-07-01.

Do managed-care plans pay the same rate for 47399?

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.