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Billing code 99460 · Physician & professional

99460 Medicaid reimbursement rate by state (2026)

Physician and practitioner services (fee schedule). Medicaid pays a median of $69.92 for 99460 across 50 states, from $31.99 in Rhode Island to $155.86 in Alaska.

Data as of Oct 5, 202650 statesEvery rate links to its official source

States publishing
50
National median
$69.92units vary by state
Lowest
$31.99Rhode Island
Highest
$155.86Alaska
Answer

What does Medicaid pay for 99460?

50 state Medicaid programs publish a fee-for-service rate for 99460. The national median is $69.92 (units differ between states). Alaska pays the most, $155.86, and Rhode Island the least, $31.99, a 4.9x spread.

State ranking

99460 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.

#StateMedicaid rateUnitPer hourManaged-care plans% of Medicare
1Alaska Source · since 2026-07-01$155.86——Not classified—
2New Mexico Source · since 2025-01-01$133.00——Plans must pay at least this—
3Montana Source · since 2026-07-01$113.62——Not classified—
25Mississippi Source · since 2026-07-01$70.22——Plans must pay at least this—
26District of Columbia Source · since 2026-01-01$69.61——Not classified—
27Iowa Source · since 2013-07-01$69.24——Plans must pay at least this—
49Pennsylvania Source · since 2023-06-01$35.63——Plans negotiate; applies out of network—
50Rhode Island Source · since 2009-01-01$31.99——Plans negotiate; applies out of network—
See all 50 states for 99460 — start free

42 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 99460 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 99460?

It depends on the state. Of the 50 states with a published fee-for-service rate, the median is $69.92. Alaska pays the most ($155.86) and Rhode Island the least ($31.99).

Which state pays the highest Medicaid rate for 99460?

Alaska, at $155.86, effective 2026-07-01.

Do managed-care plans pay the same rate for 99460?

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.