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Billing code 65410 · Physician & professional

65410 Medicaid reimbursement rate by state (2026)

Physician and practitioner services (fee schedule). Medicaid pays a median of $97.86 for 65410 across 49 states, from $9.30 in New Jersey to $239.81 in Alaska.

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

States publishing
49
National median
$97.86units vary by state
Lowest
$9.30New Jersey
Highest
$239.81Alaska
Answer

What does Medicaid pay for 65410?

49 state Medicaid programs publish a fee-for-service rate for 65410. The national median is $97.86 (units differ between states). Alaska pays the most, $239.81, and New Jersey the least, $9.30 per base unit, a 25.8x spread.

Medicare (non-facility, 2026 physician fee schedule): $129.13–$188.40 depending on the state's Medicare locality.

State ranking

65410 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$239.81——Not classified—
2Alabama Source · since 2026-09-24$215.99——Not classified—
3Montana Source · since 2026-07-01$202.35——Not classified—
24Hawaii Source · since 2026-06-01$104.17——Plans must pay at least this—
25Maine Source · since 2026-01-01$97.86——Not classified—
26West Virginia Source · since 2026-04-01$96.87——Plans negotiate; applies out of network—
48Rhode Island Source · since 1996-01-01$15.00——Plans negotiate; applies out of network—
49New Jersey Source · since 2014-07-01$9.30base unit—Not classified—
See all 49 states for 65410 — 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 65410 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 65410?

It depends on the state. Of the 49 states with a published fee-for-service rate, the median is $97.86. Alaska pays the most ($239.81) and New Jersey the least ($9.30 per base unit).

Which state pays the highest Medicaid rate for 65410?

Alaska, at $239.81, effective 2026-07-01.

Do managed-care plans pay the same rate for 65410?

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.