55200 Medicaid reimbursement rate by state (2026)
Physician and practitioner services (fee schedule). Medicaid pays a median of $267.69 for 55200 across 43 states, from $9.30 in New Jersey to $662.46 in Alaska.
- States publishing
- 43
- National median
- $267.69units vary by state
- Lowest
- $9.30New Jersey
- Highest
- $662.46Alaska
What does Medicaid pay for 55200?
43 state Medicaid programs publish a fee-for-service rate for 55200. The national median is $267.69 (units differ between states). Alaska pays the most, $662.46, and New Jersey the least, $9.30 per base unit, a 71.2x spread.
Medicare (non-facility, 2026 physician fee schedule): $353.89–$503.60 depending on the state's Medicare locality.
55200 rate by state: highest, middle and lowest
One like-for-like fee-for-service rate per state, ranked. The workspace lists all 43 states with every variant, modifier and effective date.
Frequently asked questions
What does Medicaid pay for 55200?
It depends on the state. Of the 43 states with a published fee-for-service rate, the median is $267.69. Alaska pays the most ($662.46) and New Jersey the least ($9.30 per base unit).
Which state pays the highest Medicaid rate for 55200?
Alaska, at $662.46, effective 2026-07-01.
Do managed-care plans pay the same rate for 55200?
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.