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Billing code 65222 · Physician & professional

65222 Medicaid reimbursement rate by state (2026)

Physician and practitioner services (fee schedule). Medicaid pays a median of $49.02 for 65222 across 50 states, from $6.30 in Rhode Island to $135.25 in Iowa.

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

States publishing
50
National median
$49.02units vary by state
Lowest
$6.30Rhode Island
Highest
$135.25Iowa
Answer

What does Medicaid pay for 65222?

50 state Medicaid programs publish a fee-for-service rate for 65222. The national median is $49.02 (units differ between states). Iowa pays the most, $135.25, and Rhode Island the least, $6.30, a 21.5x spread.

Medicare (non-facility, 2026 physician fee schedule): $60.78–$86.02 depending on the state's Medicare locality.

State ranking

65222 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
1Iowa Source · since 2013-07-01$135.25——Plans must pay at least this—
2Alaska Source · since 2026-07-01$114.71——Not classified—
3Arkansas Source · since 2025-06-13$108.32——Not classified—
25Hawaii Source · since 2026-06-01$50.20——Plans must pay at least this—
26Texas Source · since 2023-03-01$47.84——Plans negotiate; applies out of network—
27Wisconsin Source · since 2008-07-01$47.18——Plans negotiate; applies out of network—
49New Jersey Source · since 2014-07-01$9.30base unit—Not classified—
50Rhode Island Source · since 1993-04-01$6.30——Plans negotiate; applies out of network—
See all 50 states for 65222 — 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 65222 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 65222?

It depends on the state. Of the 50 states with a published fee-for-service rate, the median is $49.02. Iowa pays the most ($135.25) and Rhode Island the least ($6.30).

Which state pays the highest Medicaid rate for 65222?

Iowa, at $135.25, effective 2013-07-01.

Do managed-care plans pay the same rate for 65222?

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.