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Billing code 65930 · Physician & professional

65930 Medicaid reimbursement rate by state (2026)

Physician and practitioner services (fee schedule). Medicaid pays a median of $467.04 for 65930 across 49 states, from $9.30 in New Jersey to $973.78 in Alabama.

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

States publishing
49
National median
$467.04units vary by state
Lowest
$9.30New Jersey
Highest
$973.78Alabama
Answer

What does Medicaid pay for 65930?

49 state Medicaid programs publish a fee-for-service rate for 65930. The national median is $467.04 (units differ between states). Alabama pays the most, $973.78, and New Jersey the least, $9.30 per base unit, a 104.7x spread.

State ranking

65930 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
1Alabama Source · since 2026-09-24$973.78——Not classified—
2Alaska Source · since 2026-07-01$962.60——Not classified—
3New Mexico Source · since 2025-01-01$897.84——Plans must pay at least this—
24Virginia Source · since 2026-07-01$474.54——Plans negotiate; applies out of network—
25Illinois Source · since 2013-01-01$467.04——Plans negotiate; applies out of network—
26Utah Source · since 2026-07-01$466.32——Plans negotiate; applies out of network—
48Rhode Island Source · since 1993-04-01$75.60——Plans negotiate; applies out of network—
49New Jersey Source · since 2014-07-01$9.30base unit—Not classified—
See all 49 states for 65930 — 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 65930 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 65930?

It depends on the state. Of the 49 states with a published fee-for-service rate, the median is $467.04. Alabama pays the most ($973.78) and New Jersey the least ($9.30 per base unit).

Which state pays the highest Medicaid rate for 65930?

Alabama, at $973.78, effective 2026-09-24.

Do managed-care plans pay the same rate for 65930?

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.