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Billing code C7568 · Hospital outpatient

C7568 Medicaid reimbursement rate by state (2026)

Catheter placement in coronary artery(ies) for coronary.... Medicaid pays a median of $1,944.57 for C7568 across 10 states, from $66.00 in South Dakota to $2,727.30 in Montana.

Data as of Oct 5, 202610 statesEvery rate links to its official source

States publishing
10
National median
$1,944.57units vary by state
Lowest
$66.00South Dakota
Highest
$2,727.30Montana
Answer

What does Medicaid pay for C7568?

10 state Medicaid programs publish a fee-for-service rate for C7568. The national median is $1,944.57 (units differ between states). Montana pays the most, $2,727.30, and South Dakota the least, $66.00, a 41.3x spread.

State ranking

C7568 rate by state: highest, middle and lowest

One like-for-like fee-for-service rate per state, ranked. The workspace lists all 10 states with every variant, modifier and effective date.

#StateMedicaid rateUnitPer hourManaged-care plans% of Medicare
1Montana Source · since 2026-01-01$2,727.30——Not classified—
2Delaware Source · since 2026-01-01$2,725.87——Plans negotiate; applies out of network—
3Arkansas Source · since 2026-01-01$2,590.94——Not classified—
5Idaho Source · since 2026-01-01$2,319.74——Not classified—
6North Dakota Source · since 2026-07-01$1,569.40——Not classified—
9Utah Source · since 2026-07-01$1,420.66——Plans negotiate; applies out of network—
10South Dakota Source · since 2026-07-01$66.00——Not classified—
See all 10 states for C7568 — start free

3 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 C7568 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 C7568?

It depends on the state. Of the 10 states with a published fee-for-service rate, the median is $1,944.57. Montana pays the most ($2,727.30) and South Dakota the least ($66.00).

Which state pays the highest Medicaid rate for C7568?

Montana, at $2,727.30, effective 2026-01-01.

Do managed-care plans pay the same rate for C7568?

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.