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Billing code 65235 · Physician & professional

65235 Medicaid reimbursement rate by state (2026)

Physician and practitioner services (fee schedule). Medicaid pays a median of $516.36 for 65235 across 49 states, from $9.30 in New Jersey to $1,103.35 in Alaska.

Data as of Oct 5, 202649 statesEvery rate links to its official source

States publishing
49
National median
$516.36units vary by state
Lowest
$9.30New Jersey
Highest
$1,103.35Alaska
Answer

What does Medicaid pay for 65235?

49 state Medicaid programs publish a fee-for-service rate for 65235. The national median is $516.36 (units differ between states). Alaska pays the most, $1,103.35, and New Jersey the least, $9.30 per base unit, a 118.6x spread.

State ranking

65235 rate by state: highest, middle and lowest

One like-for-like fee-for-service rate per state, ranked. The workspace lists all 49 states with every variant, modifier and effective date.

#StateMedicaid rateUnitPer hourManaged-care plans% of Medicare
1Alaska Source · since 2026-07-01$1,103.35——Not classified—
2Alabama Source · since 2026-09-24$1,084.64——Not classified—
3New Mexico Source · since 2025-01-01$1,022.72——Plans must pay at least this—
24Mississippi Source · since 2026-07-01$526.63——Plans must pay at least this—
25Idaho Source · since 2026-07-01$516.36——Not classified—
26Oregon Source · since 2026-02-01$510.13——Plans negotiate; applies out of network—
48District of Columbia Source · since 2018-04-01$18.00——Not classified—
49New Jersey Source · since 2014-07-01$9.30base unit—Not classified—
See all 49 states for 65235 — start free

41 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 65235 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 65235?

It depends on the state. Of the 49 states with a published fee-for-service rate, the median is $516.36. Alaska pays the most ($1,103.35) and New Jersey the least ($9.30 per base unit).

Which state pays the highest Medicaid rate for 65235?

Alaska, at $1,103.35, effective 2026-07-01.

Do managed-care plans pay the same rate for 65235?

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.