Medicaid Physician Fee Schedules by State

51 states publish Medicaid physician fee schedules. Nationally, the median published rate runs 81.8% of the Medicare amount for the same code, ranging from 48.6% (Pennsylvania) to 170.2% (Alaska).

Every state, kept current

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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

8,419

National median % of Medicare

81.8%

Every state's physician schedule compared

StatePublished codesMedian % of MedicarePA-required codesVintage
Alaska6,105170.2%--2026
Alabama6,35671.6%--2026
Arkansas6,73795%--2026
Arizona7,063107.8%--2026
California6,31877.9%--2026
Colorado6,77286.2%3532026
Connecticut6,72967.5%2822026
District of Columbia6,53088.9%2292026
Delaware6,37896.9%--2026
Florida6,29277.8%1672026
Georgia6,37485.5%--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
Kentucky7,02974.1%2292026
Louisiana6,58986.7%--2026
Massachusetts6,68078.6%--2026
Maryland64108.5%--2026
Maine6,84667.2%--2026
Michigan6,95563.8%--2026
Minnesota6,90273.5%3232026
Missouri6,77682.7%712026
Mississippi6,55482.4%--2026
Montana7,001143.1%2002026
North Carolina6,54777.8%--2026
North Dakota6,704106.9%2162026
Nebraska6,533121.4%--2026
New Hampshire6,73154%1382026
New Jersey6,80480.6%612026
New Mexico7,208153%--2026
Nevada6,592124.9%--2026
New York6,16797.8%--2026
Ohio6,54770.3%--2026
Oklahoma6,50987.6%--2026
Oregon6,98879.6%--2026
Pennsylvania4,67648.6%--2026
Rhode Island5,024----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
Wisconsin6,67884.1%--2026
West Virginia6,92770.9%--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.

Browse by code

Every physician code priced by ten or more state Medicaid programs, grouped by code number, each with its state count and median rate. Physician codes by number

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, Alaska pays the most (170.2% of Medicare) and Pennsylvania the least (48.6%) 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.