0697T Medicaid reimbursement rate by state (2026)
Outpatient hospital services (fee schedule). Medicaid pays a median of $384.27 for 0697T across 8 states, from $27.17 in Kansas to $950.50 in Connecticut.
Data as of 2026-10-05. Every rate links to the official document it came from.
- States publishing
- 8
- National median
- $384.27units vary by state
- Lowest
- $27.17Kansas
- Highest
- $950.50Connecticut
What does Medicaid pay for 0697T?
8 state Medicaid programs publish a fee-for-service rate for 0697T. The national median is $384.27 (units differ between states). Connecticut pays the most, $950.50, and Kansas the least, $27.17, a 35.0x spread.
0697T rate by state: highest, middle and lowest
One like-for-like fee-for-service rate per state, ranked. The workspace lists all 8 states with every variant, modifier and effective date.
Frequently asked questions
What does Medicaid pay for 0697T?
It depends on the state. Of the 8 states with a published fee-for-service rate, the median is $384.27. Connecticut pays the most ($950.50) and Kansas the least ($27.17).
Which state pays the highest Medicaid rate for 0697T?
Connecticut, at $950.50, effective 2026-01-01.
Do managed-care plans pay the same rate for 0697T?
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.