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Billing code 58410 · Physician & professional

58410 Medicaid reimbursement rate by state (2026)

Physician and practitioner services (fee schedule). Medicaid pays a median of $607.38 for 58410 across 46 states, from $9.30 in New Jersey to $1,284.42 in Alaska.

Data as of Oct 5, 202646 statesEvery rate links to its official source

States publishing
46
National median
$607.38units vary by state
Lowest
$9.30New Jersey
Highest
$1,284.42Alaska
Answer

What does Medicaid pay for 58410?

46 state Medicaid programs publish a fee-for-service rate for 58410. The national median is $607.38 (units differ between states). Alaska pays the most, $1,284.42, and New Jersey the least, $9.30 per base unit, a 138.1x spread.

State ranking

58410 rate by state: highest, middle and lowest

One like-for-like fee-for-service rate per state, ranked. The workspace lists all 46 states with every variant, modifier and effective date.

#StateMedicaid rateUnitPer hourManaged-care plans% of Medicare
1Alaska Source · since 2026-07-01$1,284.42——Not classified—
2Alabama Source · since 2026-09-24$1,237.45——Not classified—
3New Mexico Source · since 2025-01-01$1,189.67——Plans must pay at least this—
23North Carolina Source · since 2025-10-01$608.89——Plans must pay at least this—
24Mississippi Source · since 2026-07-01$605.87——Plans must pay at least this—
25Vermont Source · since 2026-01-01$577.29——Not classified—
45Rhode Island Source · since 1996-01-01$68.58——Plans negotiate; applies out of network—
46New Jersey Source · since 2014-07-01$9.30base unit—Not classified—
See all 46 states for 58410 — start free

38 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 58410 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 58410?

It depends on the state. Of the 46 states with a published fee-for-service rate, the median is $607.38. Alaska pays the most ($1,284.42) and New Jersey the least ($9.30 per base unit).

Which state pays the highest Medicaid rate for 58410?

Alaska, at $1,284.42, effective 2026-07-01.

Do managed-care plans pay the same rate for 58410?

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.