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Billing code 59830 · Physician & professional

59830 Medicaid reimbursement rate by state (2026)

Physician and practitioner services (fee schedule). Medicaid pays a median of $352.94 for 59830 across 49 states, from $31.50 in Rhode Island to $702.53 in Alaska.

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

States publishing
49
National median
$352.94units vary by state
Lowest
$31.50Rhode Island
Highest
$702.53Alaska
Answer

What does Medicaid pay for 59830?

49 state Medicaid programs publish a fee-for-service rate for 59830. The national median is $352.94 (units differ between states). Alaska pays the most, $702.53, and Rhode Island the least, $31.50, a 22.3x spread.

State ranking

59830 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$702.53——Not classified—
2New Mexico Source · since 2025-01-01$685.24——Plans must pay at least this—
3Alabama Source · since 2026-09-24$665.50——Not classified—
24Utah Source · since 2026-07-01$355.22——Plans negotiate; applies out of network—
25Nevada Source · since 2015-07-01$352.94——Plans must pay at least this—
26Massachusetts Source · since 2026-10-01$347.24——Plans negotiate; applies out of network—
48Arkansas Source · since 2025-06-13$94.22——Not classified—
49Rhode Island Source · since 1993-04-01$31.50——Plans negotiate; applies out of network—
See all 49 states for 59830 — 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 59830 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 59830?

It depends on the state. Of the 49 states with a published fee-for-service rate, the median is $352.94. Alaska pays the most ($702.53) and Rhode Island the least ($31.50).

Which state pays the highest Medicaid rate for 59830?

Alaska, at $702.53, effective 2026-07-01.

Do managed-care plans pay the same rate for 59830?

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.