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53453 Medicaid reimbursement rate by state (2026)

Physician and practitioner services (fee schedule). Medicaid pays a median of $39.71 for 53453 across 6 states, from $8.10 in New Jersey to $113.21 in Minnesota.

Data as of 2026-10-05. Every rate links to the official document it came from.

States publishing
6
National median
$39.71units vary by state
Lowest
$8.10New Jersey
Highest
$113.21Minnesota

What does Medicaid pay for 53453?

6 state Medicaid programs publish a fee-for-service rate for 53453. The national median is $39.71 (units differ between states). Minnesota pays the most, $113.21, and New Jersey the least, $8.10 per base unit, a 14.0x spread.

53453 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
1Minnesota Source · since 2026-02-01$113.21——Plans negotiate; applies out of network—
2Colorado Source · since 2026-07-01$111.52——Not classified—
3South Dakota Source · since 2026-07-01$44.42——Not classified—
6New Jersey Source · since 2022-12-01$8.10base unit—Not classified—
See all 6 states for 53453 — 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 53453 in your states. Get an alert when any state changes it, with every variant and the managed-care rule.
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Frequently asked questions

What does Medicaid pay for 53453?

It depends on the state. Of the 6 states with a published fee-for-service rate, the median is $39.71. Minnesota pays the most ($113.21) and New Jersey the least ($8.10 per base unit).

Which state pays the highest Medicaid rate for 53453?

Minnesota, at $113.21, effective 2026-02-01.

Do managed-care plans pay the same rate for 53453?

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.

Related codes

Codes next to 53453

53449Physician and practitioner services (fee schedule) · 45 states53450Physician and practitioner services (fee schedule) · 49 states53451Physician and practitioner services (fee schedule) · 6 states53452Physician and practitioner services (fee schedule) · 6 states53454Physician and practitioner services (fee schedule) · 7 states53460Physician and practitioner services (fee schedule) · 49 states53500Physician and practitioner services (fee schedule) · 49 states53502Physician and practitioner services (fee schedule) · 48 states

Most-published Physician & professional codes

10005Physician and practitioner services (fee schedule) · 50 states10006Physician and practitioner services (fee schedule) · 50 states10007Physician and practitioner services (fee schedule) · 50 states10008Physician and practitioner services (fee schedule) · 50 states10009Physician and practitioner services (fee schedule) · 50 states10010Physician and practitioner services (fee schedule) · 50 states10021Physician and practitioner services (fee schedule) · 50 states10030Physician and practitioner services (fee schedule) · 50 states

Highest-paying states

Minnesota Medicaid fee scheduleColorado Medicaid fee scheduleSouth Dakota Medicaid fee schedule