99504 Medicaid reimbursement rate by state (2026)
Physician and practitioner services (fee schedule). Medicaid pays a median of $36.12 for 99504 across 5 states, from $29.75 in Wisconsin to $75.00 in Alaska.
- States publishing
- 5
- National median
- $36.12units vary by state
- Lowest
- $29.75Wisconsin
- Highest
- $75.00Alaska
What does Medicaid pay for 99504?
5 state Medicaid programs publish a fee-for-service rate for 99504. The national median is $36.12 (units differ between states). Alaska pays the most, $75.00, and Wisconsin the least, $29.75, a 2.5x spread.
99504 rate by state: highest, middle and lowest
One like-for-like fee-for-service rate per state, ranked. The workspace lists all 5 states with every variant, modifier and effective date.
Frequently asked questions
What does Medicaid pay for 99504?
It depends on the state. Of the 5 states with a published fee-for-service rate, the median is $36.12. Alaska pays the most ($75.00) and Wisconsin the least ($29.75).
Which state pays the highest Medicaid rate for 99504?
Alaska, at $75.00, effective 2025-10-01.
Do managed-care plans pay the same rate for 99504?
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.