Skip to content

J1720 Medicaid reimbursement rate by state (2026)

Injection, hydrocortisone sodium succinate, up to 100 mg. Medicaid pays a median of $23.05 for J1720 across 41 states, from $1.74 in New Jersey to $26.60 in California.

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

States publishing
41
National median
$23.05units vary by state
Lowest
$1.74New Jersey
Highest
$26.60California

What does Medicaid pay for J1720?

41 state Medicaid programs publish a fee-for-service rate for J1720 at the physician psychologist level. The national median is $23.05 (units differ between states). California pays the most, $26.60, and New Jersey the least, $1.74, a 15.3x spread.

J1720 rate by state: highest, middle and lowest

One like-for-like fee-for-service rate per state, ranked. The workspace lists all 41 states with every variant, modifier and effective date.

#StateMedicaid rateUnitPer hourManaged-care plans% of Medicare
1California Source · since 2026-10-01$26.60——Plans negotiate; applies out of network—
2Utah Source · since 2026-10-01$25.93——Plans negotiate; applies out of network—
3Nevada Source · since 2026-09-01$23.93——Plans must pay at least this—
20Nebraska Source · since 2026-07-01$23.05——Plans negotiate; applies out of network—
21Minnesota Source · since 2026-07-01$23.05——Plans negotiate; applies out of network—
22Virginia Source · since 2026-07-01$23.05——Plans negotiate; applies out of network—
40Arkansas Source · since 2025-06-13$4.94——Not classified—
41New Jersey Source · since 2025-01-01$1.74——Not classified—
See all 41 states for J1720 — start free

33 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 J1720 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 J1720?

It depends on the state. Of the 41 states with a published fee-for-service rate, the median is $23.05. California pays the most ($26.60) and New Jersey the least ($1.74).

Which state pays the highest Medicaid rate for J1720?

California, at $26.60, effective 2026-10-01.

Do managed-care plans pay the same rate for J1720?

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.