Skip to content
Billing code 61796 · Physician & professional

61796 Medicaid reimbursement rate by state (2026)

Physician and practitioner services (fee schedule). Medicaid pays a median of $756.64 for 61796 across 48 states, from $83.72 in Rhode Island to $1,640.91 in Alaska.

Data as of Oct 5, 202648 statesEvery rate links to its official source

States publishing
48
National median
$756.64units vary by state
Lowest
$83.72Rhode Island
Highest
$1,640.91Alaska
Answer

What does Medicaid pay for 61796?

48 state Medicaid programs publish a fee-for-service rate for 61796. The national median is $756.64 (units differ between states). Alaska pays the most, $1,640.91, and Rhode Island the least, $83.72, a 19.6x spread.

State ranking

61796 rate by state: highest, middle and lowest

One like-for-like fee-for-service rate per state, ranked. The workspace lists all 48 states with every variant, modifier and effective date.

#StateMedicaid rateUnitPer hourManaged-care plans% of Medicare
1Alaska Source · since 2026-07-01$1,640.91——Not classified—
2New Mexico Source · since 2025-01-01$1,526.59——Plans must pay at least this—
3Montana Source · since 2026-07-01$1,423.01——Not classified—
24West Virginia Source · since 2026-04-01$757.62——Plans negotiate; applies out of network—
25Massachusetts Source · since 2026-10-01$755.66——Plans negotiate; applies out of network—
26Minnesota Source · since 2026-02-01$685.44——Plans negotiate; applies out of network—
47Wisconsin Source · since 2022-02-12$104.90——Plans negotiate; applies out of network—
48Rhode Island Source · since 2009-01-01$83.72——Plans negotiate; applies out of network—
See all 48 states for 61796 — start free

40 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.

  • Source for every rate
  • Full rate history
  • CSV and API export

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 61796 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 61796?

It depends on the state. Of the 48 states with a published fee-for-service rate, the median is $756.64. Alaska pays the most ($1,640.91) and Rhode Island the least ($83.72).

Which state pays the highest Medicaid rate for 61796?

Alaska, at $1,640.91, effective 2026-07-01.

Do managed-care plans pay the same rate for 61796?

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.