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Billing code 99326 · Physician & professional

99326 Medicaid reimbursement rate by state (2026)

Physician and practitioner services (fee schedule). Medicaid pays a median of $103.84 for 99326 across 9 states, from $30.30 in New York to $133.74 in Alabama.

Data as of Oct 5, 20269 statesEvery rate links to its official source

States publishing
9
National median
$103.84units vary by state
Lowest
$30.30New York
Highest
$133.74Alabama
Answer

What does Medicaid pay for 99326?

9 state Medicaid programs publish a fee-for-service rate for 99326. The national median is $103.84 (units differ between states). Alabama pays the most, $133.74, and New York the least, $30.30 per unit, a 4.4x spread.

State ranking

99326 rate by state: highest, middle and lowest

One like-for-like fee-for-service rate per state, ranked. The workspace lists all 9 states with every variant, modifier and effective date.

#StateMedicaid rateUnitPer hourManaged-care plans% of Medicare
1Alabama Source · since 2016-10-01$133.74——Not classified—
2Arizona Source · since 2021-10-01$123.27——Plans negotiate; applies out of network—
3North Carolina Source · since 2025-10-01$115.95——Plans must pay at least this—
5Georgia Source · since 2017-01-01$103.84——Plans negotiate; applies out of network—
8Illinois Source · since 2010-02-01$34.85——Plans negotiate; applies out of network—
9New York Source · since 2022-04-01$30.30unit—Not classified—
See all 9 states for 99326 — start free

3 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 99326 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 99326?

It depends on the state. Of the 9 states with a published fee-for-service rate, the median is $103.84. Alabama pays the most ($133.74) and New York the least ($30.30 per unit).

Which state pays the highest Medicaid rate for 99326?

Alabama, at $133.74, effective 2016-10-01.

Do managed-care plans pay the same rate for 99326?

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.