69220 Medicaid reimbursement rate by state (2026)
Physician and practitioner services (fee schedule). Medicaid pays a median of $53.44 for 69220 across 49 states, from $6.30 in Rhode Island to $204.92 in Alabama.
- States publishing
- 49
- National median
- $53.44units vary by state
- Lowest
- $6.30Rhode Island
- Highest
- $204.92Alabama
What does Medicaid pay for 69220?
49 state Medicaid programs publish a fee-for-service rate for 69220. The national median is $53.44 (units differ between states). Alabama pays the most, $204.92, and Rhode Island the least, $6.30, a 32.5x spread.
Medicare (non-facility, 2026 physician fee schedule): $69.86–$100.57 depending on the state's Medicare locality.
69220 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.
Frequently asked questions
What does Medicaid pay for 69220?
It depends on the state. Of the 49 states with a published fee-for-service rate, the median is $53.44. Alabama pays the most ($204.92) and Rhode Island the least ($6.30).
Which state pays the highest Medicaid rate for 69220?
Alabama, at $204.92, effective 2026-09-24.
Do managed-care plans pay the same rate for 69220?
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.