Alabama Medicaid Fee Schedule

Alabama Medicaid, published by the Alabama Medicaid Agency. Schedules effective through 2026.

Alabama publishes 10,383 Medicaid fee-for-service rates across 7 service categories. An established-patient office visit (99213) pays $63.95, a two-view chest X-ray (71046) $16.14 and a CPAP device (E0601) $519.40. Pooled across categories with a national Medicare comparator, Alabama's published rates run a median 69.2% of the Medicare amount, ranking 43 of 49 jurisdictions with a comparable basis.

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These pages show common-procedure samples per category. The complete all-codes Alabama schedules export as CSV with the Rates plan.

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Alabama's published schedules by category

Codes on the current schedule, the newest effective date, the median published rate as a percentage of national Medicare where a comparator exists, and one recognizable procedure's rate per category. Open a category for its common-procedure table.

CategoryCodesEffectiveMedian % of MedicareExample ratePA required
Physician6,356202671.6%$63.95 Office visit, established patient, low complexity (20-29 min) (99213)--
Lab & Imaging1,766202670%$16.14 Chest X-ray, 2 views (71046)--
DME & Supplies1,437202653%$519.40 Continuous positive airway pressure (cpap) device (E0601)--
Drugs6532026------
Vision61202670.2%$120.72 Eye exam, new patient, comprehensive (92004)--
Behavioral Health17202656%$85.41 Psychotherapy, 60 minutes (90837)--
State-Specific Services93202667.6%----
DentalAlabama's dental Medicaid rates live in the dental section, with their own per-state page.

Published Medicaid fee-for-service schedule amounts, not a coverage or eligibility guarantee. Managed-care plan rates can differ. Where no prior-authorization flag is shown, the state does not publish one.

Where Alabama publishes its fee schedules

Publisher
Alabama Medicaid Agency
Program
Alabama Medicaid
Official source
https://medicaid.alabama.gov/content/Gated/7.3G_Fee_Schedules.aspx
Last checked
Aug 21, 2026

ProviderSignal collects every category from the state's publication, standardizes the rows and labels each code in its own plain language. Rates are the published amounts; the state's page remains the legal source.

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These are common-procedure samples. The complete Alabama schedules, every category and every code, export as CSV on the Rates plan.

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Frequently asked questions

Does Alabama publish a Medicaid fee schedule?

Yes. Alabama publishes 10,383 Medicaid fee-for-service procedure rates across 7 service categories, effective through 2026, all collected and normalized here with plain-language procedure names. Alabama Medicaid Agency publishes Alabama's Medicaid fee schedules.

Who publishes Alabama's Medicaid fee schedule?

Alabama Medicaid Agency publishes Alabama's Medicaid fee schedules. The state's own fee-schedule page is https://medicaid.alabama.gov/content/Gated/7.3G_Fee_Schedules.aspx. ProviderSignal collects every category from it, standardizes the rows and re-checks the source on a rolling cadence (last checked Aug 21, 2026).

What does Alabama Medicaid pay for common services?

An established-patient office visit (99213) pays $63.95, a two-view chest X-ray (71046) $16.14 and a CPAP device (E0601) $519.40. Every figure is the state's published fee-for-service amount for the code's benchmark locality; managed-care plans can pay differently. The category pages list common procedures with plain-language names, and the complete all-codes schedules export as CSV on the Rates plan.

How do Alabama's Medicaid rates compare with Medicare?

Pooled across categories with a national Medicare comparator, Alabama's published rates run a median 69.2% of the Medicare amount, ranking 43 of 49 jurisdictions with a comparable basis.

What service categories does Alabama publish?

Physician (6,356 codes), Lab & Imaging (1,766 codes), DME & Supplies (1,437 codes), Drugs (653 codes), Vision (61 codes), Behavioral Health (17 codes), State-Specific Services (93 codes). Dental rates have their own section with per-state pages.

How current are these rates?

Rates come from Alabama's currently published fee schedules, the newest effective 2026, and are re-collected on a rolling monthly cadence. This page updates automatically after each collection sweep.