94012 Medicaid reimbursement rate by state (2026)
Physician and practitioner services (fee schedule). Medicaid pays a median of $103.21 for 94012 across 48 states, from $49.75 in New Jersey to $257.99 in Alabama.
- States publishing
- 48
- National median
- $103.21units vary by state
- Lowest
- $49.75New Jersey
- Highest
- $257.99Alabama
What does Medicaid pay for 94012?
48 state Medicaid programs publish a fee-for-service rate for 94012. The national median is $103.21 (units differ between states). Alabama pays the most, $257.99, and New Jersey the least, $49.75, a 5.2x spread.
94012 rate by state: highest, middle and lowest
One like-for-like fee-for-service rate per state, ranked. The workspace lists all 48 states with every variant, modifier and effective date.
Frequently asked questions
What does Medicaid pay for 94012?
It depends on the state. Of the 48 states with a published fee-for-service rate, the median is $103.21. Alabama pays the most ($257.99) and New Jersey the least ($49.75).
Which state pays the highest Medicaid rate for 94012?
Alabama, at $257.99, effective 2026-09-24.
Do managed-care plans pay the same rate for 94012?
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.