Every state, kept current
The Rates plan
$29/mo7-day free trialThe table on this page is a common-procedure sample. The full Oregon physician schedule has 6,988 codes.
- Every code on all 51 published schedules
- Full-schedule CSV export and state network lists
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Published codes
6,988
Physician procedures on the 2026 schedule
Median % of Medicare
79.6%
vs national Medicare, GPCI-neutral
Effective vintage
2026
latest effective year on the schedule
Oregon publishes no code-level fee schedule; it prices fee-for-service care by formula (CMS relative value units times its published conversion factors). The per-code rates shown are computed from that methodology and labeled as derived.
Oregon publishes no code-level fee schedule for these services. The rates shown are computed from the state's own published methodology (CMS relative value units multiplied by the state's conversion factors) and are labeled as derived. No other public source lists Oregon Medicaid rates per code.
Common physician procedures and what Oregon Medicaid pays
A curated sample of recognizable procedures from the 6,988-code schedule. Rates are the state's published fee-for-service amounts; the percentage compares each rate with the national Medicare amount for the same code.
| Code | Procedure | Oregon rate | % of Medicare |
|---|---|---|---|
| 10021 | Fine needle aspiration biopsy, first lesion, no imaging | $81.09 | 80.4% |
| 10060 | Drainage of a skin abscess, simple | $103.78 | 80.7% |
| 10061 | Drainage of a skin abscess, complicated or multiple | $176.72 | 80.3% |
| 10080 | Drainage of a pilonidal cyst, simple | $218.30 | 81% |
| 10081 | Drainage of a pilonidal cyst, complicated | $306.13 | 80.5% |
| 10120 | Removal of a foreign body from tissue, simple | $127.15 | 80.8% |
| 10121 | Removal of a foreign body from skin, complicated | $221.27 | 80.4% |
| 10140 | Drainage of a blood or fluid collection under the skin | $140.45 | 80.6% |
| 10160 | Needle drainage of an abscess or cyst | $105.99 | 80.5% |
| 10180 | Drainage of an infected surgical wound | $230.99 | 80.1% |
| 11000 | Removal of infected or dead skin, up to 10% of body | $47.79 | 80.8% |
| 11042 | Wound debridement, skin and tissue below, first 20 sq cm | $107.08 | 80.8% |
| 11043 | Wound debridement to muscle, first 20 sq cm | $191.77 | 80.1% |
| 11044 | Wound debridement to bone, first 20 sq cm | $256.07 | 79.9% |
| 11045 | Wound debridement, skin, each added 20 sq cm | $33.46 | 80.1% |
| 11055 | Trimming of one callus or corn | $56.98 | 81.2% |
| 11056 | Trimming of 2-4 calluses or corns | $65.88 | 81.2% |
| 11057 | Trimming of 5 or more calluses or corns | $72.05 | 81.1% |
| 11102 | Skin biopsy, tangential, first lesion | $77.43 | 81.1% |
| 11104 | Skin biopsy, punch, first lesion | $98.16 | 81% |
| 11106 | Skin biopsy, incisional, first lesion | $122.44 | 80.9% |
| 11200 | Removal of skin tags, up to 15 | $74.51 | 80.8% |
| 11201 | Removal of skin tags, each added 10 | $14.72 | 80.1% |
| 11300 | Shave removal of a skin lesion, trunk/arm/leg, 0.5 cm or less | $78.25 | 81.1% |
| 11305 | Shave removal of a skin lesion, scalp/neck/genitals, 0.5 cm or less | $81.96 | 81% |
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. Rows marked * show the schedule's representative published variant.
More Oregon Medicaid fee schedules
- Oregon Medicaid fee schedule 2026, all categories
- Oregon lab & imaging fee schedule · 2,677 codes
- Oregon state-specific services fee schedule · 372 codes
- Oregon vision fee schedule · 51 codes
- Oregon dme & supplies fee schedule · 28 codes
- Oregon behavioral health fee schedule · 19 codes
Physician rates in neighboring states
Frequently asked questions
What does Oregon Medicaid pay for physician and professional services?
Oregon Medicaid publishes no code-level physician fee schedule; it prices services by formula. The 6,988 per-code rates below are computed from the state's own published methodology and pay a median 79.6% of the national Medicare amount. The schedule covers office visits, preventive care, surgery, and evaluation and management services. The table on this page shows published rates for common procedures; the complete all-codes schedule is available as a CSV download with a ProviderSignal Rates subscription.
How do Oregon's physician rates compare with Medicare?
Across physician codes with a national Medicare comparator, Oregon Medicaid pays a median 79.6% of the Medicare amount (GPCI-neutral national comparison). Individual codes vary widely, so check the per-code percentage in the table.
Do physician services need prior authorization in Oregon?
Oregon does not publish prior-authorization indicators on this fee schedule, so PA requirements must be confirmed through the state's provider manual or portal. Absence of a flag here means "not published", never "no PA required".
Where do these rates come from?
Oregon publishes no per-code fee schedule, so ProviderSignal computes each rate from the state's own published pricing methodology: CMS relative value units multiplied by the state's published conversion factors, plus the state's percent-of-Medicare rules where they apply. Every computed rate is labeled as derived. Procedure descriptions are ProviderSignal's own plain-language labels or public-domain CMS text.
Does Oregon publish a Medicaid fee schedule?
No. Oregon prices fee-for-service care by formula instead of publishing a code table, which is why most rate aggregators list nothing for the state. ProviderSignal applies Oregon's own published formula to every applicable code, so this page is the citable per-code answer, flagged as computed rather than published.