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Billing code 58560 · Physician & professional

58560 Medicaid reimbursement rate by state (2026)

Physician and practitioner services (fee schedule). Medicaid pays a median of $251.31 for 58560 across 48 states, from $9.30 in New Jersey to $597.30 in Alabama.

Data as of Oct 5, 202648 statesEvery rate links to its official source

States publishing
48
National median
$251.31units vary by state
Lowest
$9.30New Jersey
Highest
$597.30Alabama
Answer

What does Medicaid pay for 58560?

48 state Medicaid programs publish a fee-for-service rate for 58560. The national median is $251.31 (units differ between states). Alabama pays the most, $597.30, and New Jersey the least, $9.30 per base unit, a 64.2x spread.

State ranking

58560 rate by state: highest, middle and lowest

One like-for-like fee-for-service rate per state, ranked. The workspace lists all 48 states with every variant, modifier and effective date.

#StateMedicaid rateUnitPer hourManaged-care plans% of Medicare
1Alabama Source · since 2026-09-24$597.30——Not classified—
2Alaska Source · since 2026-07-01$497.28——Not classified—
3New Mexico Source · since 2025-01-01$455.68——Plans must pay at least this—
24Colorado Source · since 2026-07-01$252.41——Plans negotiate; applies out of network—
25Connecticut Source · since 2026-01-01$250.20——Not classified—
26Oklahoma Source · since 2026-07-01$244.99——Plans must pay at least this—
47Oregon Source · since 2026-02-01$34.30——Plans negotiate; applies out of network—
48New Jersey Source · since 2014-07-01$9.30base unit—Not classified—
See all 48 states for 58560 — start free

40 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 58560 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 58560?

It depends on the state. Of the 48 states with a published fee-for-service rate, the median is $251.31. Alabama pays the most ($597.30) and New Jersey the least ($9.30 per base unit).

Which state pays the highest Medicaid rate for 58560?

Alabama, at $597.30, effective 2026-09-24.

Do managed-care plans pay the same rate for 58560?

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.