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Billing code 67810 · Physician & professional

67810 Medicaid reimbursement rate by state (2026)

Physician and practitioner services (fee schedule). Medicaid pays a median of $122.02 for 67810 across 49 states, from $6.30 in Rhode Island to $289.13 in Alaska.

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

States publishing
49
National median
$122.02units vary by state
Lowest
$6.30Rhode Island
Highest
$289.13Alaska
Answer

What does Medicaid pay for 67810?

49 state Medicaid programs publish a fee-for-service rate for 67810. The national median is $122.02 (units differ between states). Alaska pays the most, $289.13, and Rhode Island the least, $6.30, a 45.9x spread.

Medicare (non-facility, 2026 physician fee schedule): $159.66–$244.97 depending on the state's Medicare locality.

State ranking

67810 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$289.13——Not classified—
2Alabama Source · since 2026-09-24$254.60——Not classified—
3Montana Source · since 2026-07-01$254.47——Not classified—
24Colorado Source · since 2026-07-01$127.27——Plans negotiate; applies out of network—
25Maine Source · since 2026-01-01$122.02——Not classified—
26West Virginia Source · since 2026-04-01$119.80——Plans negotiate; applies out of network—
48New Jersey Source · since 2026-07-01$15.80——Not classified—
49Rhode Island Source · since 1993-04-01$6.30——Plans negotiate; applies out of network—
See all 49 states for 67810 — 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 67810 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 67810?

It depends on the state. Of the 49 states with a published fee-for-service rate, the median is $122.02. Alaska pays the most ($289.13) and Rhode Island the least ($6.30).

Which state pays the highest Medicaid rate for 67810?

Alaska, at $289.13, effective 2026-07-01.

Do managed-care plans pay the same rate for 67810?

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.