94200 Medicaid reimbursement rate by state (2026)
Physician and practitioner services (fee schedule). Medicaid pays a median of $11.30 for 94200 across 49 states, from $2.34 in District of Columbia to $24.00 in Arkansas.
- States publishing
- 49
- National median
- $11.30units vary by state
- Lowest
- $2.34District of Columbia
- Highest
- $24.00Arkansas
What does Medicaid pay for 94200?
49 state Medicaid programs publish a fee-for-service rate for 94200. The national median is $11.30 (units differ between states). Arkansas pays the most, $24.00, and District of Columbia the least, $2.34, a 10.3x spread.
Medicare (non-facility, 2026 physician fee schedule): $14.06–$22.44 depending on the state's Medicare locality.
94200 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.
Frequently asked questions
What does Medicaid pay for 94200?
It depends on the state. Of the 49 states with a published fee-for-service rate, the median is $11.30. Arkansas pays the most ($24.00) and District of Columbia the least ($2.34).
Which state pays the highest Medicaid rate for 94200?
Arkansas, at $24.00, effective 2025-06-13.
Do managed-care plans pay the same rate for 94200?
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.