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0946T Medicaid reimbursement rate by state (2026)

Outpatient hospital services (fee schedule). Medicaid pays a median of $36.86 for 0946T across 9 states, from $1.17 in South Dakota to $106.34 in New Mexico.

Data as of 2026-10-05. Every rate links to the official document it came from.

States publishing
9
National median
$36.86units vary by state
Lowest
$1.17South Dakota
Highest
$106.34New Mexico

What does Medicaid pay for 0946T?

9 state Medicaid programs publish a fee-for-service rate for 0946T. The national median is $36.86 (units differ between states). New Mexico pays the most, $106.34, and South Dakota the least, $1.17, a 91.0x spread.

0946T 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.

#StateMedicaid rateUnitPer hourManaged-care plans% of Medicare
1New Mexico Source · since 2025-01-01$106.34——Plans must pay at least this—
2Delaware Source · since 2026-01-01$57.01——Plans negotiate; applies out of network—
3Kentucky Source · since 2026-01-01$55.68——Plans negotiate; applies out of network—
5Kansas Source · since 2025-01-01$36.86——Not classified—
8Iowa Source · since 2026-01-01$1.17——Plans must pay at least this—
9South Dakota Source · since 2026-02-27$1.17——Not classified—
See all 9 states for 0946T — start free

3 more states, with every modifier and provider-type variant, rate history and the plan rule in each state. 14-day free trial, no credit card.

Rates are per the unit shown for each state; units can differ between states. Medicare amounts are computed from the CMS relative value file and locality cost indices; states with several Medicare localities show a range. Confirm rates with the payer before billing.

Track 0946T in your states. Get an alert when any state changes it, with every variant and the managed-care rule.

Frequently asked questions

What does Medicaid pay for 0946T?

It depends on the state. Of the 9 states with a published fee-for-service rate, the median is $36.86. New Mexico pays the most ($106.34) and South Dakota the least ($1.17).

Which state pays the highest Medicaid rate for 0946T?

New Mexico, at $106.34, effective 2025-01-01.

Do managed-care plans pay the same rate for 0946T?

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.