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Billing code C9760 · Hospital outpatient

C9760 Medicaid reimbursement rate by state (2026)

Non-randomized, non-blinded procedure for nyha class ii. Medicaid pays a median of $12,558.47 for C9760 across 13 states, from $300.83 in South Dakota to $27,500.50 in Minnesota.

Data as of Oct 5, 202613 statesEvery rate links to its official source

States publishing
13
National median
$12,558.47units vary by state
Lowest
$300.83South Dakota
Highest
$27,500.50Minnesota
Answer

What does Medicaid pay for C9760?

13 state Medicaid programs publish a fee-for-service rate for C9760. The national median is $12,558.47 (units differ between states). Minnesota pays the most, $27,500.50, and South Dakota the least, $300.83, a 91.4x spread.

State ranking

C9760 rate by state: highest, middle and lowest

One like-for-like fee-for-service rate per state, ranked. The workspace lists all 13 states with every variant, modifier and effective date.

#StateMedicaid rateUnitPer hourManaged-care plans% of Medicare
1Minnesota Source · since 2021-01-01$27,500.50——Plans negotiate; applies out of network—
2Connecticut Source · since 2026-01-01$27,500.50——Not classified—
3Wyoming Source · since 2026-01-01$24,210.91——Not classified—
6Arkansas Source · since 2026-01-01$14,035.94——Not classified—
7Massachusetts Source · since 2026-01-01$12,558.47——Plans negotiate; applies out of network—
8New Mexico Source · since 2020-07-01$12,500.50——Plans must pay at least this—
12Utah Source · since 2026-07-01$7,696.15——Plans negotiate; applies out of network—
13South Dakota Source · since 2026-02-27$300.83——Not classified—
See all 13 states for C9760 — start free

5 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 C9760 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 C9760?

It depends on the state. Of the 13 states with a published fee-for-service rate, the median is $12,558.47. Minnesota pays the most ($27,500.50) and South Dakota the least ($300.83).

Which state pays the highest Medicaid rate for C9760?

Minnesota, at $27,500.50, effective 2021-01-01.

Do managed-care plans pay the same rate for C9760?

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.