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Billing code 98926 · Physician & professional

98926 Medicaid reimbursement rate by state (2026)

Physician and practitioner services (fee schedule). Medicaid pays a median of $33.54 for 98926 across 45 states, from $8.88 in Kansas to $81.36 in Alaska.

Data as of Oct 5, 202645 statesEvery rate links to its official source

States publishing
45
National median
$33.54units vary by state
Lowest
$8.88Kansas
Highest
$81.36Alaska
Answer

What does Medicaid pay for 98926?

45 state Medicaid programs publish a fee-for-service rate for 98926. The national median is $33.54 (units differ between states). Alaska pays the most, $81.36, and Kansas the least, $8.88, a 9.2x spread.

Medicare (non-facility, 2026 physician fee schedule): $42.38–$58.43 depending on the state's Medicare locality.

State ranking

98926 rate by state: highest, middle and lowest

One like-for-like fee-for-service rate per state, ranked. The workspace lists all 45 states with every variant, modifier and effective date.

#StateMedicaid rateUnitPer hourManaged-care plans% of Medicare
1Alaska Source · since 2026-07-01$81.36——Not classified—
2Montana Source · since 2026-07-01$64.79——Not classified—
3New Mexico Source · since 2025-01-01$63.93——Plans must pay at least this—
22Hawaii Source · since 2026-06-01$34.10——Plans must pay at least this—
23Missouri Source · since 2022-07-01$33.54——Plans must pay at least this—
24Indiana Source · since 2026-01-01$31.94unit—Plans must pay at least this—
44Washington Source · since 2026-07-01$17.39——Plans negotiate; applies out of network—
45Kansas Source · since 2009-12-18$8.88——Not classified—
See all 45 states for 98926 — start free

37 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 98926 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 98926?

It depends on the state. Of the 45 states with a published fee-for-service rate, the median is $33.54. Alaska pays the most ($81.36) and Kansas the least ($8.88).

Which state pays the highest Medicaid rate for 98926?

Alaska, at $81.36, effective 2026-07-01.

Do managed-care plans pay the same rate for 98926?

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.