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Billing code 92145 · Physician & professional

92145 Medicaid reimbursement rate by state (2026)

Professional / technical component share of a procedure fee. Medicaid pays a median of $8.43 for 92145 across 29 states, from $4.16 in New Jersey to $44.00 in New Hampshire.

Data as of Oct 5, 202629 statesEvery rate links to its official source

States publishing
29
National median
$8.43units vary by state
Lowest
$4.16New Jersey
Highest
$44.00New Hampshire
Answer

What does Medicaid pay for 92145?

29 state Medicaid programs publish a fee-for-service rate for 92145. The national median is $8.43 (units differ between states). New Hampshire pays the most, $44.00 per percent, and New Jersey the least, $4.16, a 10.6x spread.

Medicare (non-facility, 2026 physician fee schedule): $12.00–$15.67 depending on the state's Medicare locality.

State ranking

92145 rate by state: highest, middle and lowest

One like-for-like fee-for-service rate per state, ranked. The workspace lists all 29 states with every variant, modifier and effective date.

#StateMedicaid rateUnitPer hourManaged-care plans% of Medicare
1New Hampshire Source · since 2025-08-12$44.00percent—Plans negotiate; applies out of network—
2Arizona Source · since 2026-10-01$14.16——Plans negotiate; applies out of network—
3Ohio Source · since 2024-01-01$13.81——Plans negotiate; applies out of network—
14North Dakota Source · since 2026-07-01$8.64——Not classified—
15South Carolina Source · since 2024-07-01$8.43——Not classified—
16Nevada Source · since 2024-05-20$8.33——Plans must pay at least this—
28Connecticut Source · since 2026-01-01$4.89——Not classified—
29New Jersey Source · since 2026-07-01$4.16——Not classified—
See all 29 states for 92145 — start free

21 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 92145 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 92145?

It depends on the state. Of the 29 states with a published fee-for-service rate, the median is $8.43. New Hampshire pays the most ($44.00 per percent) and New Jersey the least ($4.16).

Which state pays the highest Medicaid rate for 92145?

New Hampshire, at $44.00 per percent, effective 2025-08-12.

Do managed-care plans pay the same rate for 92145?

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.