Skip to content
Billing code 93569 · Physician & professional

93569 Medicaid reimbursement rate by state (2026)

Physician and practitioner services (fee schedule). Medicaid pays a median of $30.45 for 93569 across 45 states, from $8.62 in Florida to $57.02 in Alabama.

Data as of Oct 5, 202645 statesEvery rate links to its official source

States publishing
45
National median
$30.45units vary by state
Lowest
$8.62Florida
Highest
$57.02Alabama
Answer

What does Medicaid pay for 93569?

45 state Medicaid programs publish a fee-for-service rate for 93569. The national median is $30.45 (units differ between states). Alabama pays the most, $57.02, and Florida the least, $8.62, a 6.6x spread.

Medicare (non-facility, 2026 physician fee schedule): $34.74–$42.25 depending on the state's Medicare locality.

State ranking

93569 rate by state: highest, middle and lowest

One like-for-like fee-for-service rate per state, ranked. The workspace lists all 45 states with every variant, modifier and effective date.

#StateMedicaid rateUnitPer hourManaged-care plans% of Medicare
1Alabama Source · since 2026-09-24$57.02——Not classified—
2New Mexico Source · since 2025-01-01$53.81——Plans must pay at least this—
3Montana Source · since 2026-07-01$52.11——Not classified—
22Vermont Source · since 2026-01-01$30.55——Not classified—
23Idaho Source · since 2026-07-01$30.45——Not classified—
24Colorado Source · since 2026-07-01$29.96——Not classified—
44Rhode Island Source · since 2023-01-01$11.46——Plans negotiate; applies out of network—
45Florida Source · since 2026-01-01$8.62——Plans negotiate; applies out of network—
See all 45 states for 93569 — start free

37 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.

  • Source for every rate
  • Full rate history
  • CSV and API export

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 93569 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 93569?

It depends on the state. Of the 45 states with a published fee-for-service rate, the median is $30.45. Alabama pays the most ($57.02) and Florida the least ($8.62).

Which state pays the highest Medicaid rate for 93569?

Alabama, at $57.02, effective 2026-09-24.

Do managed-care plans pay the same rate for 93569?

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.