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Billing code 48999 · Physician & professional

48999 Medicaid reimbursement rate by state (2026)

Physician and practitioner services (fee schedule). Medicaid pays a median of $235.34 for 48999 across 6 states, from $20.00 in Indiana to $2,292.05 in Montana.

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

States publishing
6
National median
$235.34units vary by state
Lowest
$20.00Indiana
Highest
$2,292.05Montana
Answer

What does Medicaid pay for 48999?

6 state Medicaid programs publish a fee-for-service rate for 48999. The national median is $235.34 (units differ between states). Montana pays the most, $2,292.05, and Indiana the least, $20.00 per percent of billed charges, a 114.6x spread.

State ranking

48999 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$2,292.05——Not classified—
2Florida Source · since 2026-01-01$1,165.37——Plans negotiate; applies out of network—
3Hawaii Source · since 2024-03-04$400.67——Plans must pay at least this—
6Indiana Source · since 2021-09-09$20.00percent of billed charges—Plans must pay at least this—
See all 6 states for 48999 — 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 48999 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 48999?

It depends on the state. Of the 6 states with a published fee-for-service rate, the median is $235.34. Montana pays the most ($2,292.05) and Indiana the least ($20.00 per percent of billed charges).

Which state pays the highest Medicaid rate for 48999?

Montana, at $2,292.05, effective 2025-07-01.

Do managed-care plans pay the same rate for 48999?

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.