Medicaid Physician Fee Schedules by State

51 states publish Medicaid physician fee schedules. Nationally, the median published rate runs 83.1% of the Medicare amount for the same code, ranging from 47.3% (Florida) to 364.2% (Rhode Island).

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State pages show common-procedure samples. Full all-codes physician schedules for every state come with the Rates plan.

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Publishing states

51

Distinct procedure codes

8,589

National median % of Medicare

83.1%

Every state's physician schedule compared

StatePublished codesMedian % of MedicarePA-required codesVintage
Alaska6,105170.2%--2026
Alabama6,35671.6%--2026
Arkansas6,73796.2%--2026
Arizona7,494104.8%--2026
California6,31877.9%--2026
Colorado6,77286.2%3532026
Connecticut6,72967.5%2822026
District of Columbia6,53088.9%2292026
Delaware6,37896.9%--2026
Florida2,25947.3%222026
Georgia6,37285.5%--2026
Hawaii6,785104.3%--2025
Iowa6,70977.6%--2026
Idaho6,71779.4%3692026
Illinois6,46972.6%102026
Indiana6,76494.6%3932026
Kansas6,31681.9%--2026
Kentucky7,02973.8%2292026
Louisiana6,53886.7%--2026
Massachusetts6,67978.6%--2026
Maryland8----2026
Maine6,84667.2%--2026
Michigan7,37663.8%--2026
Minnesota6,90273.5%3232026
Missouri6,77682.8%712026
Mississippi6,554206.8%--2026
Montana7,001143.1%2002026
North Carolina6,54777.8%--2026
North Dakota6,704106.9%2162026
Nebraska6,533121.7%--2026
New Hampshire6,73154%1382026
New Jersey6,80480.6%612026
New Mexico7,208152.9%--2026
Nevada6,592124.8%--2026
New York6,16797.8%--2026
Ohio6,54770.3%--2026
Oklahoma6,50987.6%--2026
Oregon6,98879.6%--2026
Pennsylvania4,67667%--2026
Rhode Island5,024364.2%--2026
South Carolina6,58469.6%--2026
South Dakota1----2026
Tennessee1----2025
Texas6,55084.8%--2026
Utah6,36275.7%3022026
Virginia6,70686.6%--2026
Vermont6,51481.3%1632026
Washington6,54559.3%--2026
Wisconsin6,678106.4%--2026
West Virginia6,89170.9%--2026
Wyoming6,43289.7%2852026

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. "--" in the PA column means the state publishes no prior-authorization flags on this schedule.

Other Medicaid fee-schedule categories

Frequently asked questions

Which states pay the most for Medicaid physician services?

Measured as a median percentage of the national Medicare amount, Rhode Island pays the most (364.2% of Medicare) and Florida the least (47.3%) among states with comparable codes. The full ranking is in the table on this page; individual procedures vary widely within every state.

What do these Medicaid physician fee schedules cover?

Published fee-for-service rates for physician and professional services: office visits, preventive care, surgery, and evaluation and management services. Each state page lists common procedures with plain-language descriptions and the state's published rate; the complete all-codes schedules are available with a ProviderSignal Rates subscription.

How current are these rates?

Rates come from each state's currently published Medicaid fee schedule and are re-collected on a rolling schedule; pages update automatically after each collection. Most states' schedules on this page are effective 2026.