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Billing code 62160 · Physician & professional

62160 Medicaid reimbursement rate by state (2026)

Physician and practitioner services (fee schedule). Medicaid pays a median of $145.81 for 62160 across 48 states, from $24.15 in Rhode Island to $292.16 in Alabama.

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

States publishing
48
National median
$145.81units vary by state
Lowest
$24.15Rhode Island
Highest
$292.16Alabama
Answer

What does Medicaid pay for 62160?

48 state Medicaid programs publish a fee-for-service rate for 62160. The national median is $145.81 (units differ between states). Alabama pays the most, $292.16, and Rhode Island the least, $24.15, a 12.1x spread.

State ranking

62160 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
1Alabama Source · since 2026-09-24$292.16——Not classified—
2Alaska Source · since 2026-07-01$285.96——Not classified—
3New Mexico Source · since 2025-01-01$281.48——Plans must pay at least this—
24Utah Source · since 2026-07-01$146.10——Plans negotiate; applies out of network—
25South Dakota Source · since 2026-07-01$145.51——Not classified—
26Colorado Source · since 2026-07-01$145.43——Plans negotiate; applies out of network—
47California Source · since 2026-10-01$25.82——Plans negotiate; applies out of network—
48Rhode Island Source · since 2003-01-01$24.15——Plans negotiate; applies out of network—
See all 48 states for 62160 — 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.

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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 62160 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 62160?

It depends on the state. Of the 48 states with a published fee-for-service rate, the median is $145.81. Alabama pays the most ($292.16) and Rhode Island the least ($24.15).

Which state pays the highest Medicaid rate for 62160?

Alabama, at $292.16, effective 2026-09-24.

Do managed-care plans pay the same rate for 62160?

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.