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Billing code 59030 · Physician & professional

59030 Medicaid reimbursement rate by state (2026)

Physician and practitioner services (fee schedule). Medicaid pays a median of $86.77 for 59030 across 47 states, from $9.00 in Rhode Island to $171.30 in Alaska.

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

States publishing
47
National median
$86.77units vary by state
Lowest
$9.00Rhode Island
Highest
$171.30Alaska
Answer

What does Medicaid pay for 59030?

47 state Medicaid programs publish a fee-for-service rate for 59030. The national median is $86.77 (units differ between states). Alaska pays the most, $171.30, and Rhode Island the least, $9.00, a 19.0x spread.

State ranking

59030 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
1Alaska Source · since 2026-07-01$171.30——Not classified—
2New Mexico Source · since 2025-01-01$166.62——Plans must pay at least this—
3Alabama Source · since 2026-09-24$159.63——Not classified—
23North Carolina Source · since 2025-10-01$86.82——Plans must pay at least this—
24Texas Source · since 2026-03-01$86.77——Plans negotiate; applies out of network—
25District of Columbia Source · since 2026-01-01$85.69——Not classified—
46Colorado Source · since 2026-07-01$14.98——Plans negotiate; applies out of network—
47Rhode Island Source · since 1993-04-01$9.00——Plans negotiate; applies out of network—
See all 47 states for 59030 — 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 59030 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 59030?

It depends on the state. Of the 47 states with a published fee-for-service rate, the median is $86.77. Alaska pays the most ($171.30) and Rhode Island the least ($9.00).

Which state pays the highest Medicaid rate for 59030?

Alaska, at $171.30, effective 2026-07-01.

Do managed-care plans pay the same rate for 59030?

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.