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Billing code 94727 · Physician & professional

94727 Medicaid reimbursement rate by state (2026)

Physician and practitioner services (fee schedule). Medicaid pays a median of $27.97 for 94727 across 49 states, from $4.86 in Kansas to $55.74 in Alaska.

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

States publishing
49
National median
$27.97units vary by state
Lowest
$4.86Kansas
Highest
$55.74Alaska
Answer

What does Medicaid pay for 94727?

49 state Medicaid programs publish a fee-for-service rate for 94727. The national median is $27.97 (units differ between states). Alaska pays the most, $55.74, and Kansas the least, $4.86, a 11.5x spread.

Medicare (non-facility, 2026 physician fee schedule): $43.70–$68.39 depending on the state's Medicare locality.

State ranking

94727 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$55.74——Not classified—
2Montana Source · since 2026-07-01$53.05——Not classified—
3Arizona Source · since 2026-10-01$51.34——Plans negotiate; applies out of network—
24Maryland Source · since 2026-01-01$28.15——Not classified—
25Illinois Source · since 2024-04-01$27.97——Plans negotiate; applies out of network—
26Nebraska Source · since 2026-07-01$27.42——Plans negotiate; applies out of network—
48New York Source · since 2023-01-01$9.10unit—Plans negotiate; applies out of network—
49Kansas Source · since 2012-01-01$4.86——Not classified—
See all 49 states for 94727 — 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 94727 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 94727?

It depends on the state. Of the 49 states with a published fee-for-service rate, the median is $27.97. Alaska pays the most ($55.74) and Kansas the least ($4.86).

Which state pays the highest Medicaid rate for 94727?

Alaska, at $55.74, effective 2026-07-01.

Do managed-care plans pay the same rate for 94727?

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.