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Billing code 51600 · Physician & professional

51600 Medicaid reimbursement rate by state (2026)

Physician and practitioner services (fee schedule). Medicaid pays a median of $133.90 for 51600 across 50 states, from $5.42 in Nebraska to $322.87 in Alaska.

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

States publishing
50
National median
$133.90units vary by state
Lowest
$5.42Nebraska
Highest
$322.87Alaska
Answer

What does Medicaid pay for 51600?

50 state Medicaid programs publish a fee-for-service rate for 51600. The national median is $133.90 (units differ between states). Alaska pays the most, $322.87, and Nebraska the least, $5.42, a 59.6x spread.

Medicare (non-facility, 2026 physician fee schedule): $181.19–$286.84 depending on the state's Medicare locality.

State ranking

51600 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$322.87——Not classified—
2Montana Source · since 2026-07-01$291.56——Not classified—
3New Mexico Source · since 2025-01-01$285.66——Plans must pay at least this—
25West Virginia Source · since 2026-04-01$135.18——Plans negotiate; applies out of network—
26Missouri Source · since 2022-07-01$132.61——Plans must pay at least this—
27Michigan Source · since 2026-01-01$132.27——Plans negotiate; applies out of network—
49Rhode Island Source · since 1996-01-01$5.60——Plans negotiate; applies out of network—
50Nebraska Source · since 2026-07-01$5.42——Plans negotiate; applies out of network—
See all 50 states for 51600 — 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 51600 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 51600?

It depends on the state. Of the 50 states with a published fee-for-service rate, the median is $133.90. Alaska pays the most ($322.87) and Nebraska the least ($5.42).

Which state pays the highest Medicaid rate for 51600?

Alaska, at $322.87, effective 2026-07-01.

Do managed-care plans pay the same rate for 51600?

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.