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Billing code 94726 · Physician & professional

94726 Medicaid reimbursement rate by state (2026)

Physician and practitioner services (fee schedule). Medicaid pays a median of $36.20 for 94726 across 49 states, from $9.10 in New York to $76.30 in Alaska.

Data as of Oct 5, 202649 statesEvery rate links to its official source

States publishing
49
National median
$36.20units vary by state
Lowest
$9.10New York
Highest
$76.30Alaska
Answer

What does Medicaid pay for 94726?

49 state Medicaid programs publish a fee-for-service rate for 94726. The national median is $36.20 (units differ between states). Alaska pays the most, $76.30, and New York the least, $9.10 per unit, a 8.4x spread.

Medicare (non-facility, 2026 physician fee schedule): $55.63–$88.31 depending on the state's Medicare locality.

State ranking

94726 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.

#StateMedicaid rateUnitPer hourManaged-care plans% of Medicare
1Alaska Source · since 2026-07-01$76.30——Not classified—
2Montana Source · since 2026-07-01$72.77——Not classified—
3Arizona Source · since 2026-10-01$65.86——Plans negotiate; applies out of network—
24Maryland Source · since 2026-01-01$38.22——Not classified—
25Kentucky Source · since 2020-01-01$36.20——Plans negotiate; applies out of network—
26Colorado Source · since 2026-07-01$35.80——Plans negotiate; applies out of network—
48Louisiana Source · since 2013-02-01$13.80——Plans must pay at least this—
49New York Source · since 2023-01-01$9.10unit—Plans negotiate; applies out of network—
See all 49 states for 94726 — start free

41 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.

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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 94726 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 94726?

It depends on the state. Of the 49 states with a published fee-for-service rate, the median is $36.20. Alaska pays the most ($76.30) and New York the least ($9.10 per unit).

Which state pays the highest Medicaid rate for 94726?

Alaska, at $76.30, effective 2026-07-01.

Do managed-care plans pay the same rate for 94726?

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.