92612 Medicaid reimbursement rate by state (2026)
Physician and practitioner services (fee schedule). Medicaid pays a median of $131.03 for 92612 across 47 states, from $27.05 in New Jersey to $320.12 in Alaska.
- States publishing
- 47
- National median
- $131.03units vary by state
- Lowest
- $27.05New Jersey
- Highest
- $320.12Alaska
What does Medicaid pay for 92612?
47 state Medicaid programs publish a fee-for-service rate for 92612. The national median is $131.03 (units differ between states). Alaska pays the most, $320.12, and New Jersey the least, $27.05, a 11.8x spread. Where the billing unit matches Medicare's, Medicaid pays 64% of the 2026 Medicare physician fee schedule amount for the state.
Medicare (non-facility, 2026 physician fee schedule): $176.84–$272.76 depending on the state's Medicare locality.
92612 rate by state: highest, middle and lowest
One like-for-like fee-for-service rate per state, ranked. The workspace lists all 47 states with every variant, modifier and effective date.
Frequently asked questions
What does Medicaid pay for 92612?
It depends on the state. Of the 47 states with a published fee-for-service rate, the median is $131.03. Alaska pays the most ($320.12) and New Jersey the least ($27.05).
Which state pays the highest Medicaid rate for 92612?
Alaska, at $320.12, effective 2026-07-01.
How do Medicaid rates for 92612 compare with Medicare?
Where the billing units match, Medicaid pays 64% of the 2026 Medicare physician fee schedule amount for the state (non-facility).
Do managed-care plans pay the same rate for 92612?
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.