51999 Medicaid reimbursement rate by state (2026)
Physician and practitioner services (fee schedule). Medicaid pays a median of $705.12 for 51999 across 6 states, from $35.00 in Indiana to $1,556.24 in Maine.
- States publishing
- 6
- National median
- $705.12units vary by state
- Lowest
- $35.00Indiana
- Highest
- $1,556.24Maine
What does Medicaid pay for 51999?
6 state Medicaid programs publish a fee-for-service rate for 51999. The national median is $705.12 (units differ between states). Maine pays the most, $1,556.24, and Indiana the least, $35.00 per percent of billed charges, a 44.5x spread.
51999 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.
Frequently asked questions
What does Medicaid pay for 51999?
It depends on the state. Of the 6 states with a published fee-for-service rate, the median is $705.12. Maine pays the most ($1,556.24) and Indiana the least ($35.00 per percent of billed charges).
Which state pays the highest Medicaid rate for 51999?
Maine, at $1,556.24, effective 2026-01-01.
Do managed-care plans pay the same rate for 51999?
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.