99394 Medicaid reimbursement rate by state (2026)
Physician and practitioner services (fee schedule). Medicaid pays a median of $92.55 for 99394 across 50 states, from $27.25 in Kansas to $259.00 in Pennsylvania.
- States publishing
- 50
- National median
- $92.55units vary by state
- Lowest
- $27.25Kansas
- Highest
- $259.00Pennsylvania
What does Medicaid pay for 99394?
50 state Medicaid programs publish a fee-for-service rate for 99394. The national median is $92.55 (units differ between states). Pennsylvania pays the most, $259.00, and Kansas the least, $27.25, a 9.5x spread.
99394 rate by state: highest, middle and lowest
One like-for-like fee-for-service rate per state, ranked. The workspace lists all 50 states with every variant, modifier and effective date.
Frequently asked questions
What does Medicaid pay for 99394?
It depends on the state. Of the 50 states with a published fee-for-service rate, the median is $92.55. Pennsylvania pays the most ($259.00) and Kansas the least ($27.25).
Which state pays the highest Medicaid rate for 99394?
Pennsylvania, at $259.00, effective 2005-10-01.
Do managed-care plans pay the same rate for 99394?
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.