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Billing code 50549 · Physician & professional

50549 Medicaid reimbursement rate by state (2026)

Physician and practitioner services (fee schedule). Medicaid pays a median of $456.78 for 50549 across 7 states, from $8.10 in New Jersey to $1,256.27 in Maine.

Data as of Oct 5, 20267 statesEvery rate links to its official source

States publishing
7
National median
$456.78units vary by state
Lowest
$8.10New Jersey
Highest
$1,256.27Maine
Answer

What does Medicaid pay for 50549?

7 state Medicaid programs publish a fee-for-service rate for 50549. The national median is $456.78 (units differ between states). Maine pays the most, $1,256.27, and New Jersey the least, $8.10 per base unit, a 155.1x spread.

State ranking

50549 rate by state: highest, middle and lowest

One like-for-like fee-for-service rate per state, ranked. The workspace lists all 7 states with every variant, modifier and effective date.

#StateMedicaid rateUnitPer hourManaged-care plans% of Medicare
1Maine Source · since 2026-01-01$1,256.27——Not classified—
2Florida Source · since 2026-01-01$923.15——Plans negotiate; applies out of network—
3Montana Source · since 2025-07-01$700.12——Not classified—
7New Jersey Source · since 2014-07-01$8.10base unit—Not classified—
See all 7 states for 50549 — start free

3 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 50549 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 50549?

It depends on the state. Of the 7 states with a published fee-for-service rate, the median is $456.78. Maine pays the most ($1,256.27) and New Jersey the least ($8.10 per base unit).

Which state pays the highest Medicaid rate for 50549?

Maine, at $1,256.27, effective 2026-01-01.

Do managed-care plans pay the same rate for 50549?

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.