Skip to content
Billing code 99402 · Physician & professional

99402 Medicaid reimbursement rate by state (2026)

Physician and practitioner services (fee schedule). Medicaid pays a median of $45.45 for 99402 across 39 states, from $17.98 in Arkansas to $111.27 in Alaska.

Data as of Oct 5, 202639 statesEvery rate links to its official source

States publishing
39
National median
$45.45units vary by state
Lowest
$17.98Arkansas
Highest
$111.27Alaska
Answer

What does Medicaid pay for 99402?

39 state Medicaid programs publish a fee-for-service rate for 99402. The national median is $45.45 (units differ between states). Alaska pays the most, $111.27, and Arkansas the least, $17.98, a 6.2x spread.

State ranking

99402 rate by state: highest, middle and lowest

One like-for-like fee-for-service rate per state, ranked. The workspace lists all 39 states with every variant, modifier and effective date.

#StateMedicaid rateUnitPer hourManaged-care plans% of Medicare
1Alaska Source · since 2026-07-01$111.27——Not classified—
2Montana Source · since 2026-07-01$91.08——Not classified—
3New Mexico Source · since 2025-01-01$88.60——Plans must pay at least this—
19South Carolina Source · since 2024-07-01$45.64——Not classified—
20Delaware Source · since 2026-01-01$45.45——Paid by the state, outside plans—
21West Virginia Source · since 2026-04-01$44.65——Plans negotiate; applies out of network—
38Wisconsin Source · since 2008-07-01$18.78——Plans negotiate; applies out of network—
39Arkansas Source · since 2025-06-13$17.98——Not classified—
See all 39 states for 99402 — start free

31 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.

  • Source for every rate
  • Full rate history
  • CSV and API export

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 99402 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 99402?

It depends on the state. Of the 39 states with a published fee-for-service rate, the median is $45.45. Alaska pays the most ($111.27) and Arkansas the least ($17.98).

Which state pays the highest Medicaid rate for 99402?

Alaska, at $111.27, effective 2026-07-01.

Do managed-care plans pay the same rate for 99402?

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.