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Billing code 99418 · Physician & professional

99418 Medicaid reimbursement rate by state (2026)

Physician and practitioner services (fee schedule). Medicaid pays a median of $29.84 for 99418 across 34 states, from $18.56 in Connecticut to $56.49 in New Mexico.

Data as of Oct 5, 202634 statesEvery rate links to its official source

States publishing
34
National median
$29.84units vary by state
Lowest
$18.56Connecticut
Highest
$56.49New Mexico
Answer

What does Medicaid pay for 99418?

34 state Medicaid programs publish a fee-for-service rate for 99418. The national median is $29.84 (units differ between states). New Mexico pays the most, $56.49, and Connecticut the least, $18.56, a 3.0x spread.

State ranking

99418 rate by state: highest, middle and lowest

One like-for-like fee-for-service rate per state, ranked. The workspace lists all 34 states with every variant, modifier and effective date.

#StateMedicaid rateUnitPer hourManaged-care plans% of Medicare
1New Mexico Source · since 2025-01-01$56.49——Plans must pay at least this—
2Montana Source · since 2026-07-01$48.83——Not classified—
3Nebraska Source · since 2026-07-01$43.31——Plans negotiate; applies out of network—
17Ohio Source · since 2023-01-01$30.03——Plans negotiate; applies out of network—
18Wyoming Source · since 2023-01-01$29.65——Not classified—
19Massachusetts Source · since 2026-10-01$28.94——Plans negotiate; applies out of network—
33Washington Source · since 2026-07-01$20.45——Plans negotiate; applies out of network—
34Connecticut Source · since 2023-04-01$18.56——Not classified—
See all 34 states for 99418 — start free

26 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 99418 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 99418?

It depends on the state. Of the 34 states with a published fee-for-service rate, the median is $29.84. New Mexico pays the most ($56.49) and Connecticut the least ($18.56).

Which state pays the highest Medicaid rate for 99418?

New Mexico, at $56.49, effective 2025-01-01.

Do managed-care plans pay the same rate for 99418?

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.