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Billing code 99487 · Physician & professional

99487 Medicaid reimbursement rate by state (2026)

Physician and practitioner services (fee schedule). Medicaid pays a median of $107.12 for 99487 across 11 states, from $12.76 in Kansas to $202.82 in Montana.

Data as of Oct 5, 202611 statesEvery rate links to its official source

States publishing
11
National median
$107.12units vary by state
Lowest
$12.76Kansas
Highest
$202.82Montana
Answer

What does Medicaid pay for 99487?

11 state Medicaid programs publish a fee-for-service rate for 99487. The national median is $107.12 (units differ between states). Montana pays the most, $202.82, and Kansas the least, $12.76, a 15.9x spread.

Medicare (non-facility, 2026 physician fee schedule): $134.51–$161.11 depending on the state's Medicare locality.

State ranking

99487 rate by state: highest, middle and lowest

One like-for-like fee-for-service rate per state, ranked. The workspace lists all 11 states with every variant, modifier and effective date.

#StateMedicaid rateUnitPer hourManaged-care plans% of Medicare
1Montana Source · since 2026-07-01$202.82——Not classified—
2Rhode Island Source · since 2026-07-01$147.60——Plans negotiate; applies out of network—
3Utah Source · since 2026-07-01$122.28——Plans negotiate; applies out of network—
5Oregon Source · since 2026-02-01$116.12——Plans negotiate; applies out of network—
6New Hampshire Source · since 2024-09-01$107.12——Plans must pay at least this—
10Kentucky Source · since 2020-01-01$71.39——Plans negotiate; applies out of network—
11Kansas Source · since 2020-01-01$12.76——Not classified—
See all 11 states for 99487 — start free

4 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 99487 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 99487?

It depends on the state. Of the 11 states with a published fee-for-service rate, the median is $107.12. Montana pays the most ($202.82) and Kansas the least ($12.76).

Which state pays the highest Medicaid rate for 99487?

Montana, at $202.82, effective 2026-07-01.

Do managed-care plans pay the same rate for 99487?

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.