Skip to content
Billing code 93631 · Physician & professional

93631 Medicaid reimbursement rate by state (2026)

Physician and practitioner services (fee schedule). Medicaid pays a median of $352.83 for 93631 across 47 states, from $92.60 in Kansas to $2,043.02 in Montana.

Data as of Oct 5, 202647 statesEvery rate links to its official source

States publishing
47
National median
$352.83units vary by state
Lowest
$92.60Kansas
Highest
$2,043.02Montana
Answer

What does Medicaid pay for 93631?

47 state Medicaid programs publish a fee-for-service rate for 93631. The national median is $352.83 (units differ between states). Montana pays the most, $2,043.02, and Kansas the least, $92.60, a 22.1x spread.

State ranking

93631 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.

#StateMedicaid rateUnitPer hourManaged-care plans% of Medicare
1Montana Source · since 2025-07-01$2,043.02——Not classified—
2Missouri Source · since 2022-07-01$1,488.71——Plans must pay at least this—
3Illinois Source · since 2024-04-01$1,260.49——Plans negotiate; applies out of network—
23Louisiana Source · since 2026-01-01$360.34——Plans must pay at least this—
24Oklahoma Source · since 2026-07-01$352.83——Plans must pay at least this—
25District of Columbia Source · since 2026-01-01$348.92——Not classified—
46Virginia Source · since 2009-07-01$129.10——Plans negotiate; applies out of network—
47Kansas Source · since 2009-12-18$92.60——Not classified—
See all 47 states for 93631 — start free

39 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 93631 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 93631?

It depends on the state. Of the 47 states with a published fee-for-service rate, the median is $352.83. Montana pays the most ($2,043.02) and Kansas the least ($92.60).

Which state pays the highest Medicaid rate for 93631?

Montana, at $2,043.02, effective 2025-07-01.

Do managed-care plans pay the same rate for 93631?

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.