Skip to content
Billing code 93793 · Physician & professional

93793 Medicaid reimbursement rate by state (2026)

Physician and practitioner services (fee schedule). Medicaid pays a median of $9.38 for 93793 across 29 states, from $5.03 in New Jersey to $16.43 in Montana.

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

States publishing
29
National median
$9.38units vary by state
Lowest
$5.03New Jersey
Highest
$16.43Montana
Answer

What does Medicaid pay for 93793?

29 state Medicaid programs publish a fee-for-service rate for 93793. The national median is $9.38 (units differ between states). Montana pays the most, $16.43, and New Jersey the least, $5.03, a 3.3x spread.

Medicare (non-facility, 2026 physician fee schedule): $10.94–$14.56 depending on the state's Medicare locality.

State ranking

93793 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
1Montana Source · since 2026-07-01$16.43——Not classified—
2New Mexico Source · since 2025-01-01$16.11——Plans must pay at least this—
3North Dakota Source · since 2026-07-01$12.77——Not classified—
14Oregon Source · since 2026-02-01$9.40——Plans negotiate; applies out of network—
15Ohio Source · since 2018-01-01$9.38——Plans negotiate; applies out of network—
16Colorado Source · since 2026-07-01$9.37——Plans negotiate; applies out of network—
28Illinois Source · since 2024-04-01$7.38——Plans negotiate; applies out of network—
29New Jersey Source · since 2026-07-01$5.03——Not classified—
See all 29 states for 93793 — 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.

  • 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 93793 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 93793?

It depends on the state. Of the 29 states with a published fee-for-service rate, the median is $9.38. Montana pays the most ($16.43) and New Jersey the least ($5.03).

Which state pays the highest Medicaid rate for 93793?

Montana, at $16.43, effective 2026-07-01.

Do managed-care plans pay the same rate for 93793?

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.