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J0136 Medicaid reimbursement rate by state (2026)

Injection, acetaminophen (b braun). Medicaid pays a median of $0.05 for J0136 across 34 states, from $0.04 in Virginia to $0.18 in New Jersey.

Data as of 2026-10-05. Every rate links to the official document it came from.

States publishing
34
National median
$0.05units vary by state
Lowest
$0.04Virginia
Highest
$0.18New Jersey

What does Medicaid pay for J0136?

34 state Medicaid programs publish a fee-for-service rate for J0136 at the physician psychologist level. The national median is $0.05 (units differ between states). New Jersey pays the most, $0.18, and Virginia the least, $0.04, a 4.5x spread.

J0136 rate by state: highest, middle and lowest

One like-for-like fee-for-service rate per state, ranked. The workspace lists all 34 states with every variant, modifier and effective date.

#StateMedicaid rateUnitPer hourManaged-care plans% of Medicare
1New Jersey Source · since 2025-01-01$0.18——Not classified—
2Iowa Source · since 2023-11-01$0.10——Plans must pay at least this—
3Indiana Source · since 2023-07-01$0.09unit—Plans must pay at least this—
17Oregon Source · since 2024-04-01$0.05——Plans negotiate; applies out of network—
18Oklahoma Source · since 2024-04-01$0.05——State sets the plan rate—
19Kansas Source · since 2024-04-01$0.05——Plans must pay at least this—
33Colorado Source · since 2026-10-01$0.04——Not classified—
34Virginia Source · since 2026-07-01$0.04——Plans negotiate; applies out of network—
See all 34 states for J0136 — start free

26 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.

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 J0136 in your states. Get an alert when any state changes it, with every variant and the managed-care rule.

Frequently asked questions

What does Medicaid pay for J0136?

It depends on the state. Of the 34 states with a published fee-for-service rate, the median is $0.05. New Jersey pays the most ($0.18) and Virginia the least ($0.04).

Which state pays the highest Medicaid rate for J0136?

New Jersey, at $0.18, effective 2025-01-01.

Do managed-care plans pay the same rate for J0136?

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.