97139 Medicaid reimbursement rate by state (2026)
Physician and practitioner services (fee schedule). Medicaid pays a median of $14.20 for 97139 across 26 states, from $3.28 in Virginia to $3,510.00 in New Jersey.
- States publishing
- 26
- National median
- $14.20units vary by state
- Lowest
- $3.28Virginia
- Highest
- $3,510.00New Jersey
What does Medicaid pay for 97139?
26 state Medicaid programs publish a fee-for-service rate for 97139. The national median is $14.20 (units differ between states). New Jersey pays the most, $3,510.00, and Virginia the least, $3.28, a 1070.1x spread.
97139 rate by state: highest, middle and lowest
One like-for-like fee-for-service rate per state, ranked. The workspace lists all 26 states with every variant, modifier and effective date.
Frequently asked questions
What does Medicaid pay for 97139?
It depends on the state. Of the 26 states with a published fee-for-service rate, the median is $14.20. New Jersey pays the most ($3,510.00) and Virginia the least ($3.28).
Which state pays the highest Medicaid rate for 97139?
New Jersey, at $3,510.00, effective 2025-12-01.
Do managed-care plans pay the same rate for 97139?
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.