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Billing code C5277 · Hospital outpatient

C5277 Medicaid reimbursement rate by state (2026)

Application of low cost skin substitute graft to face. Medicaid pays a median of $317.31 for C5277 across 5 states, from $176.34 in Utah to $546.91 in Rhode Island.

Data as of Oct 5, 20265 statesEvery rate links to its official source

States publishing
5
National median
$317.31units vary by state
Lowest
$176.34Utah
Highest
$546.91Rhode Island
Answer

What does Medicaid pay for C5277?

5 state Medicaid programs publish a fee-for-service rate for C5277. The national median is $317.31 (units differ between states). Rhode Island pays the most, $546.91, and Utah the least, $176.34, a 3.1x spread.

State ranking

C5277 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.

#StateMedicaid rateUnitPer hourManaged-care plans% of Medicare
1Rhode Island Source · since 2026-07-01$546.91——Plans negotiate; applies out of network—
2New Mexico Source · since 2014-01-01$379.75——Plans must pay at least this—
3Kentucky Source · since 2025-01-01$317.31——Plans negotiate; applies out of network—
See all 5 states for C5277 — start free

2 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 C5277 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 C5277?

It depends on the state. Of the 5 states with a published fee-for-service rate, the median is $317.31. Rhode Island pays the most ($546.91) and Utah the least ($176.34).

Which state pays the highest Medicaid rate for C5277?

Rhode Island, at $546.91, effective 2026-07-01.

Do managed-care plans pay the same rate for C5277?

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.