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Billing code 51845 · Physician & professional

51845 Medicaid reimbursement rate by state (2026)

Physician and practitioner services (fee schedule). Medicaid pays a median of $456.86 for 51845 across 50 states, from $9.30 in New Jersey to $956.34 in Alaska.

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

States publishing
50
National median
$456.86units vary by state
Lowest
$9.30New Jersey
Highest
$956.34Alaska
Answer

What does Medicaid pay for 51845?

50 state Medicaid programs publish a fee-for-service rate for 51845. The national median is $456.86 (units differ between states). Alaska pays the most, $956.34, and New Jersey the least, $9.30 per base unit, a 102.8x spread.

State ranking

51845 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$956.34——Not classified—
2Alabama Source · since 2026-09-24$913.49——Not classified—
3New Mexico Source · since 2025-01-01$840.04——Plans must pay at least this—
25Virginia Source · since 2026-07-01$459.49——Plans negotiate; applies out of network—
26Utah Source · since 2026-07-01$454.22——Plans negotiate; applies out of network—
27Mississippi Source · since 2026-07-01$447.69——Plans must pay at least this—
49Texas Source · since 2026-09-01$65.61——Plans negotiate; applies out of network—
50New Jersey Source · since 2014-07-01$9.30base unit—Not classified—
See all 50 states for 51845 — 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 51845 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 51845?

It depends on the state. Of the 50 states with a published fee-for-service rate, the median is $456.86. Alaska pays the most ($956.34) and New Jersey the least ($9.30 per base unit).

Which state pays the highest Medicaid rate for 51845?

Alaska, at $956.34, effective 2026-07-01.

Do managed-care plans pay the same rate for 51845?

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.