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Billing code 59898 · Physician & professional

59898 Medicaid reimbursement rate by state (2026)

Physician and practitioner services (fee schedule). Medicaid pays a median of $100.00 for 59898 across 6 states, from $8.10 in New Jersey to $375.96 in Montana.

Data as of Oct 5, 20266 statesEvery rate links to its official source

States publishing
6
National median
$100.00units vary by state
Lowest
$8.10New Jersey
Highest
$375.96Montana
Answer

What does Medicaid pay for 59898?

6 state Medicaid programs publish a fee-for-service rate for 59898. The national median is $100.00 (units differ between states). Montana pays the most, $375.96, and New Jersey the least, $8.10 per base unit, a 46.4x spread.

State ranking

59898 rate by state: highest, middle and lowest

One like-for-like fee-for-service rate per state, ranked. The workspace lists all 6 states with every variant, modifier and effective date.

#StateMedicaid rateUnitPer hourManaged-care plans% of Medicare
1Montana Source · since 2025-07-01$375.96——Not classified—
2Maine Source · since 2026-01-01$368.50——Not classified—
3California Source · since 2026-10-01$130.00——Plans negotiate; applies out of network—
6New Jersey Source · since 2014-07-01$8.10base unit—Not classified—
See all 6 states for 59898 — start free

2 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 59898 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 59898?

It depends on the state. Of the 6 states with a published fee-for-service rate, the median is $100.00. Montana pays the most ($375.96) and New Jersey the least ($8.10 per base unit).

Which state pays the highest Medicaid rate for 59898?

Montana, at $375.96, effective 2025-07-01.

Do managed-care plans pay the same rate for 59898?

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.