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Billing code 10120 · Physician & professional

10120 Medicaid reimbursement rate by state (2026)

Physician and practitioner services (fee schedule). Medicaid pays a median of $98.41 for 10120 across 50 states, from $6.30 in Rhode Island to $254.05 in Alaska.

Data as of Oct 5, 202650 statesEvery rate links to its official source

States publishing
50
National median
$98.41units vary by state
Lowest
$6.30Rhode Island
Highest
$254.05Alaska
Answer

What does Medicaid pay for 10120?

50 state Medicaid programs publish a fee-for-service rate for 10120. The national median is $98.41 (units differ between states). Alaska pays the most, $254.05, and Rhode Island the least, $6.30, a 40.3x spread.

Medicare (non-facility, 2026 physician fee schedule): $139.13–$209.42 depending on the state's Medicare locality.

State ranking

10120 rate by state: highest, middle and lowest

One like-for-like fee-for-service rate per state, ranked. The workspace lists all 50 states with every variant, modifier and effective date.

#StateMedicaid rateUnitPer hourManaged-care plans% of Medicare
1Alaska Source · since 2026-07-01$254.05——Not classified—
2Alabama Source · since 2026-09-24$227.95——Not classified—
3Montana Source · since 2026-07-01$221.13——Not classified—
25Michigan Source · since 2026-01-01$100.32——Plans negotiate; applies out of network—
26Colorado Source · since 2026-07-01$96.49——Plans negotiate; applies out of network—
27Indiana Source · since 2026-01-01$96.39unit—Plans must pay at least this—
49District of Columbia Source · since 2018-04-01$12.00——Not classified—
50Rhode Island Source · since 1993-04-01$6.30——Plans negotiate; applies out of network—
See all 50 states for 10120 — start free

42 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.

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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 10120 in your states. Get an alert when any state changes it, with every variant and the managed-care rule.
FAQ

Frequently asked questions

What does Medicaid pay for 10120?

It depends on the state. Of the 50 states with a published fee-for-service rate, the median is $98.41. Alaska pays the most ($254.05) and Rhode Island the least ($6.30).

Which state pays the highest Medicaid rate for 10120?

Alaska, at $254.05, effective 2026-07-01.

Do managed-care plans pay the same rate for 10120?

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.