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Billing code 93321 · Physician & professional

93321 Medicaid reimbursement rate by state (2026)

Physician and practitioner services (fee schedule). Medicaid pays a median of $17.46 for 93321 across 49 states, from $5.89 in Texas to $65.80 in Nebraska.

Data as of Oct 5, 202649 statesEvery rate links to its official source

States publishing
49
National median
$17.46units vary by state
Lowest
$5.89Texas
Highest
$65.80Nebraska
Answer

What does Medicaid pay for 93321?

49 state Medicaid programs publish a fee-for-service rate for 93321. The national median is $17.46 (units differ between states). Nebraska pays the most, $65.80, and Texas the least, $5.89, a 11.2x spread.

Medicare (non-facility, 2026 physician fee schedule): $22.40–$34.64 depending on the state's Medicare locality.

State ranking

93321 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.

#StateMedicaid rateUnitPer hourManaged-care plans% of Medicare
1Nebraska Source · since 2026-07-01$65.80——Plans negotiate; applies out of network—
2Arkansas Source · since 2025-06-13$48.84——Not classified—
3California Source · since 2026-10-01$38.94——Plans negotiate; applies out of network—
24Maryland Source · since 2026-01-01$18.48——Not classified—
25Delaware Source · since 2026-01-01$17.46——Plans negotiate; applies out of network—
26Indiana Source · since 2026-01-01$15.81unit—Plans must pay at least this—
48New York Source · since 2023-01-01$6.26unit—Plans negotiate; applies out of network—
49Texas Source · since 2013-07-01$5.89——Plans negotiate; applies out of network—
See all 49 states for 93321 — start free

41 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 93321 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 93321?

It depends on the state. Of the 49 states with a published fee-for-service rate, the median is $17.46. Nebraska pays the most ($65.80) and Texas the least ($5.89).

Which state pays the highest Medicaid rate for 93321?

Nebraska, at $65.80, effective 2026-07-01.

Do managed-care plans pay the same rate for 93321?

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.