0698T Medicaid reimbursement rate by state (2026)
Outpatient hospital services (fee schedule). Medicaid pays a median of $491.80 for 0698T across 6 states, from $266.00 in Utah to $950.50 in Connecticut.
- States publishing
- 6
- National median
- $491.80units vary by state
- Lowest
- $266.00Utah
- Highest
- $950.50Connecticut
What does Medicaid pay for 0698T?
6 state Medicaid programs publish a fee-for-service rate for 0698T. The national median is $491.80 (units differ between states). Connecticut pays the most, $950.50, and Utah the least, $266.00, a 3.6x spread.
0698T rate by state: highest, middle and lowest
One like-for-like fee-for-service rate per state, ranked. The workspace lists all 6 states with every variant, modifier and effective date.
Frequently asked questions
What does Medicaid pay for 0698T?
It depends on the state. Of the 6 states with a published fee-for-service rate, the median is $491.80. Connecticut pays the most ($950.50) and Utah the least ($266.00).
Which state pays the highest Medicaid rate for 0698T?
Connecticut, at $950.50, effective 2026-01-01.
Do managed-care plans pay the same rate for 0698T?
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.