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Billing code 61050 · Physician & professional

61050 Medicaid reimbursement rate by state (2026)

Physician and practitioner services (fee schedule). Medicaid pays a median of $65.83 for 61050 across 50 states, from $8.40 in Rhode Island to $169.85 in Wisconsin.

Data as of Oct 5, 202650 statesEvery rate links to its official source

States publishing
50
National median
$65.83units vary by state
Lowest
$8.40Rhode Island
Highest
$169.85Wisconsin
Answer

What does Medicaid pay for 61050?

50 state Medicaid programs publish a fee-for-service rate for 61050. The national median is $65.83 (units differ between states). Wisconsin pays the most, $169.85, and Rhode Island the least, $8.40, a 20.2x spread.

State ranking

61050 rate by state: highest, middle and lowest

One like-for-like fee-for-service rate per state, ranked. The workspace lists all 50 states with every variant, modifier and effective date.

#StateMedicaid rateUnitPer hourManaged-care plans% of Medicare
1Wisconsin Source · since 2008-07-01$169.85——Plans negotiate; applies out of network—
2Alabama Source · since 2026-09-24$134.20——Not classified—
3Alaska Source · since 2026-07-01$128.94——Not classified—
25South Dakota Source · since 2026-07-01$66.03——Not classified—
26Colorado Source · since 2026-07-01$65.63——Plans negotiate; applies out of network—
27Connecticut Source · since 2026-01-01$64.15——Not classified—
49New Jersey Source · since 2014-07-01$9.30base unit—Not classified—
50Rhode Island Source · since 1993-04-01$8.40——Plans negotiate; applies out of network—
See all 50 states for 61050 — start free

42 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 61050 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 61050?

It depends on the state. Of the 50 states with a published fee-for-service rate, the median is $65.83. Wisconsin pays the most ($169.85) and Rhode Island the least ($8.40).

Which state pays the highest Medicaid rate for 61050?

Wisconsin, at $169.85, effective 2008-07-01.

Do managed-care plans pay the same rate for 61050?

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.