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Billing code 90371 · Physician & professional

90371 Medicaid reimbursement rate by state (2026)

Physician and practitioner services (fee schedule). Medicaid pays a median of $136.95 for 90371 across 36 states, from $10.00 in Pennsylvania to $585.20 in Iowa.

Data as of Oct 5, 202636 statesEvery rate links to its official source

States publishing
36
National median
$136.95units vary by state
Lowest
$10.00Pennsylvania
Highest
$585.20Iowa
Answer

What does Medicaid pay for 90371?

36 state Medicaid programs publish a fee-for-service rate for 90371. The national median is $136.95 (units differ between states). Iowa pays the most, $585.20, and Pennsylvania the least, $10.00, a 58.5x spread.

State ranking

90371 rate by state: highest, middle and lowest

One like-for-like fee-for-service rate per state, ranked. The workspace lists all 36 states with every variant, modifier and effective date.

#StateMedicaid rateUnitPer hourManaged-care plans% of Medicare
1Iowa Source · since 2020-05-01$585.20——Plans must pay at least this—
2Colorado Source · since 2026-07-01$185.28——Not classified—
3New Hampshire Source · since 2021-10-01$166.79——Plans negotiate; applies out of network—
18Arizona Source · since 2026-08-01$136.95——Plans negotiate; applies out of network—
19Michigan Source · since 2026-07-01$136.95——Plans negotiate; applies out of network—
20Minnesota Source · since 2026-07-01$136.95——Plans negotiate; applies out of network—
35Arkansas Source · since 2025-07-21$13.14——Not classified—
36Pennsylvania Source · since 1999-06-01$10.00——Plans negotiate; applies out of network—
See all 36 states for 90371 — start free

28 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 90371 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 90371?

It depends on the state. Of the 36 states with a published fee-for-service rate, the median is $136.95. Iowa pays the most ($585.20) and Pennsylvania the least ($10.00).

Which state pays the highest Medicaid rate for 90371?

Iowa, at $585.20, effective 2020-05-01.

Do managed-care plans pay the same rate for 90371?

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.