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Billing code 96912 · Physician & professional

96912 Medicaid reimbursement rate by state (2026)

Physician and practitioner services (fee schedule). Medicaid pays a median of $75.59 for 96912 across 47 states, from $6.57 in New Hampshire to $143.67 in Alaska.

Data as of Oct 5, 202647 statesEvery rate links to its official source

States publishing
47
National median
$75.59units vary by state
Lowest
$6.57New Hampshire
Highest
$143.67Alaska
Answer

What does Medicaid pay for 96912?

47 state Medicaid programs publish a fee-for-service rate for 96912. The national median is $75.59 (units differ between states). Alaska pays the most, $143.67, and New Hampshire the least, $6.57, a 21.9x spread.

Medicare (non-facility, 2026 physician fee schedule): $83.26–$139.55 depending on the state's Medicare locality.

State ranking

96912 rate by state: highest, middle and lowest

One like-for-like fee-for-service rate per state, ranked. The workspace lists all 47 states with every variant, modifier and effective date.

#StateMedicaid rateUnitPer hourManaged-care plans% of Medicare
1Alaska Source · since 2026-07-01$143.67——Not classified—
2Montana Source · since 2026-07-01$136.62——Not classified—
3New Mexico Source · since 2025-01-01$135.39——Plans must pay at least this—
23Florida Source · since 2026-01-01$75.59——Plans negotiate; applies out of network—
24Louisiana Source · since 2025-07-01$75.59——Plans must pay at least this—
25Mississippi Source · since 2026-07-01$75.24——Plans must pay at least this—
46Rhode Island Source · since 1996-01-01$9.60——Plans negotiate; applies out of network—
47New Hampshire Source · since 2023-07-01$6.57——Plans negotiate; applies out of network—
See all 47 states for 96912 — start free

39 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 96912 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 96912?

It depends on the state. Of the 47 states with a published fee-for-service rate, the median is $75.59. Alaska pays the most ($143.67) and New Hampshire the least ($6.57).

Which state pays the highest Medicaid rate for 96912?

Alaska, at $143.67, effective 2026-07-01.

Do managed-care plans pay the same rate for 96912?

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.