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Billing code 55706 · Physician & professional

55706 Medicaid reimbursement rate by state (2026)

Physician and practitioner services (fee schedule). Medicaid pays a median of $213.24 for 55706 across 47 states, from $25.65 in Oregon to $540.27 in New Mexico.

Data as of Oct 5, 202647 statesEvery rate links to its official source

States publishing
47
National median
$213.24units vary by state
Lowest
$25.65Oregon
Highest
$540.27New Mexico
Answer

What does Medicaid pay for 55706?

47 state Medicaid programs publish a fee-for-service rate for 55706. The national median is $213.24 (units differ between states). New Mexico pays the most, $540.27, and Oregon the least, $25.65, a 21.1x spread.

State ranking

55706 rate by state: highest, middle and lowest

One like-for-like fee-for-service rate per state, ranked. The workspace lists all 47 states with every variant, modifier and effective date.

#StateMedicaid rateUnitPer hourManaged-care plans% of Medicare
1New Mexico Source · since 2025-01-01$540.27——Plans must pay at least this—
2Nevada Source · since 2024-01-01$381.10——Plans must pay at least this—
3Hawaii Source · since 2026-06-01$377.48——Plans must pay at least this—
23North Dakota Source · since 2026-07-01$217.03——Not classified—
24Maryland Source · since 2026-01-01$213.24——Not classified—
25Arizona Source · since 2026-10-01$211.39——Plans negotiate; applies out of network—
46District of Columbia Source · since 2026-01-01$28.32——Not classified—
47Oregon Source · since 2026-02-01$25.65——Plans negotiate; applies out of network—
See all 47 states for 55706 — start free

39 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 55706 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 55706?

It depends on the state. Of the 47 states with a published fee-for-service rate, the median is $213.24. New Mexico pays the most ($540.27) and Oregon the least ($25.65).

Which state pays the highest Medicaid rate for 55706?

New Mexico, at $540.27, effective 2025-01-01.

Do managed-care plans pay the same rate for 55706?

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.