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Billing code 59821 · Physician & professional

59821 Medicaid reimbursement rate by state (2026)

Physician and practitioner services (fee schedule). Medicaid pays a median of $332.71 for 59821 across 49 states, from $31.50 in Rhode Island to $696.41 in Alaska.

Data as of Oct 5, 202649 statesEvery rate links to its official source

States publishing
49
National median
$332.71units vary by state
Lowest
$31.50Rhode Island
Highest
$696.41Alaska
Answer

What does Medicaid pay for 59821?

49 state Medicaid programs publish a fee-for-service rate for 59821. The national median is $332.71 (units differ between states). Alaska pays the most, $696.41, and Rhode Island the least, $31.50, a 22.1x spread.

Medicare (non-facility, 2026 physician fee schedule): $372.34–$523.10 depending on the state's Medicare locality.

State ranking

59821 rate by state: highest, middle and lowest

One like-for-like fee-for-service rate per state, ranked. The workspace lists all 49 states with every variant, modifier and effective date.

#StateMedicaid rateUnitPer hourManaged-care plans% of Medicare
1Alaska Source · since 2026-07-01$696.41——Not classified—
2New Jersey Source · since 2026-07-01$666.45——Not classified—
3New Mexico Source · since 2025-01-01$630.58——Plans must pay at least this—
24Oregon Source · since 2026-02-01$334.68——Plans negotiate; applies out of network—
25Indiana Source · since 2026-01-01$332.71unit—Plans must pay at least this—
26Idaho Source · since 2026-07-01$330.78——Not classified—
48Missouri Source · since 2022-07-01$65.84——Plans must pay at least this—
49Rhode Island Source · since 1993-04-01$31.50——Plans negotiate; applies out of network—
See all 49 states for 59821 — start free

41 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 59821 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 59821?

It depends on the state. Of the 49 states with a published fee-for-service rate, the median is $332.71. Alaska pays the most ($696.41) and Rhode Island the least ($31.50).

Which state pays the highest Medicaid rate for 59821?

Alaska, at $696.41, effective 2026-07-01.

Do managed-care plans pay the same rate for 59821?

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.