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Billing code 65775 · Physician & professional

65775 Medicaid reimbursement rate by state (2026)

Physician and practitioner services (fee schedule). Medicaid pays a median of $425.63 for 65775 across 46 states, from $9.30 in New Jersey to $1,630.20 in Nebraska.

Data as of Oct 5, 202646 statesEvery rate links to its official source

States publishing
46
National median
$425.63units vary by state
Lowest
$9.30New Jersey
Highest
$1,630.20Nebraska
Answer

What does Medicaid pay for 65775?

46 state Medicaid programs publish a fee-for-service rate for 65775. The national median is $425.63 (units differ between states). Nebraska pays the most, $1,630.20, and New Jersey the least, $9.30 per base unit, a 175.3x spread.

State ranking

65775 rate by state: highest, middle and lowest

One like-for-like fee-for-service rate per state, ranked. The workspace lists all 46 states with every variant, modifier and effective date.

#StateMedicaid rateUnitPer hourManaged-care plans% of Medicare
1Nebraska Source · since 2026-07-01$1,630.20——Plans negotiate; applies out of network—
2Wisconsin Source · since 2008-07-01$1,082.91——Plans negotiate; applies out of network—
3Alaska Source · since 2026-07-01$863.77——Not classified—
23Georgia Source · since 2017-01-01$427.63——Plans negotiate; applies out of network—
24Utah Source · since 2026-07-01$423.62——Plans negotiate; applies out of network—
25Vermont Source · since 2026-01-01$415.57——Not classified—
45Rhode Island Source · since 1993-04-01$52.50——Plans negotiate; applies out of network—
46New Jersey Source · since 2014-07-01$9.30base unit—Not classified—
See all 46 states for 65775 — start free

38 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 65775 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 65775?

It depends on the state. Of the 46 states with a published fee-for-service rate, the median is $425.63. Nebraska pays the most ($1,630.20) and New Jersey the least ($9.30 per base unit).

Which state pays the highest Medicaid rate for 65775?

Nebraska, at $1,630.20, effective 2026-07-01.

Do managed-care plans pay the same rate for 65775?

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.