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Billing code 91322 · Physician & professional

91322 Medicaid reimbursement rate by state (2026)

Physician and practitioner services (fee schedule). Medicaid pays a median of $151.82 for 91322 across 44 states, from $2.67 in Washington to $172.97 in Utah.

Data as of Oct 5, 202644 statesEvery rate links to its official source

States publishing
44
National median
$151.82units vary by state
Lowest
$2.67Washington
Highest
$172.97Utah
Answer

What does Medicaid pay for 91322?

44 state Medicaid programs publish a fee-for-service rate for 91322. The national median is $151.82 (units differ between states). Utah pays the most, $172.97, and Washington the least, $2.67, a 64.8x spread.

State ranking

91322 rate by state: highest, middle and lowest

One like-for-like fee-for-service rate per state, ranked. The workspace lists all 44 states with every variant, modifier and effective date.

#StateMedicaid rateUnitPer hourManaged-care plans% of Medicare
1Utah Source · since 2026-10-01$172.97——Plans negotiate; applies out of network—
2Georgia Source · since 2026-10-01$172.97——Plans negotiate; applies out of network—
3Michigan Source · since 2026-08-27$172.97——Plans negotiate; applies out of network—
22Texas Source · since 2025-09-01$152.29——Plans negotiate; applies out of network—
23Oklahoma Source · since 2024-10-01$151.35——Plans must pay at least this—
24South Carolina Source · since 2026-10-01$149.30——Plans negotiate; applies out of network—
43Missouri Source · since 2023-09-11$8.07——Plans must pay at least this—
44Washington Source · since 2025-01-01$2.67——Plans must pay at least this—
See all 44 states for 91322 — start free

36 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 91322 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 91322?

It depends on the state. Of the 44 states with a published fee-for-service rate, the median is $151.82. Utah pays the most ($172.97) and Washington the least ($2.67).

Which state pays the highest Medicaid rate for 91322?

Utah, at $172.97, effective 2026-10-01.

Do managed-care plans pay the same rate for 91322?

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.