0531T Medicaid reimbursement rate by state (2026)
Physician and practitioner services (fee schedule). Medicaid pays a median of $1,987.59 for 0531T across 9 states, from $41.76 in Iowa to $4,252.28 in Rhode Island.
- States publishing
- 9
- National median
- $1,987.59units vary by state
- Lowest
- $41.76Iowa
- Highest
- $4,252.28Rhode Island
What does Medicaid pay for 0531T?
9 state Medicaid programs publish a fee-for-service rate for 0531T. The national median is $1,987.59 (units differ between states). Rhode Island pays the most, $4,252.28, and Iowa the least, $41.76, a 101.8x spread.
0531T rate by state: highest, middle and lowest
One like-for-like fee-for-service rate per state, ranked. The workspace lists all 9 states with every variant, modifier and effective date.
Frequently asked questions
What does Medicaid pay for 0531T?
It depends on the state. Of the 9 states with a published fee-for-service rate, the median is $1,987.59. Rhode Island pays the most ($4,252.28) and Iowa the least ($41.76).
Which state pays the highest Medicaid rate for 0531T?
Rhode Island, at $4,252.28, effective 2026-07-01.
Do managed-care plans pay the same rate for 0531T?
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.