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Billing code 92060 · Physician & professional

92060 Medicaid reimbursement rate by state (2026)

Physician and practitioner services (fee schedule). Medicaid pays a median of $31.51 for 92060 across 50 states, from $8.80 in Rhode Island to $67.28 in Hawaii.

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

States publishing
50
National median
$31.51units vary by state
Lowest
$8.80Rhode Island
Highest
$67.28Hawaii
Answer

What does Medicaid pay for 92060?

50 state Medicaid programs publish a fee-for-service rate for 92060. The national median is $31.51 (units differ between states). Hawaii pays the most, $67.28, and Rhode Island the least, $8.80, a 7.6x spread.

Medicare (non-facility, 2026 physician fee schedule): $58.01–$84.44 depending on the state's Medicare locality.

State ranking

92060 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
1Hawaii Source · since 2026-06-01$67.28——Plans must pay at least this—
2Alaska Source · since 2026-07-01$66.82——Not classified—
3Arizona Source · since 2026-10-01$66.57——Plans negotiate; applies out of network—
25District of Columbia Source · since 2026-01-01$31.76——Not classified—
26Virginia Source · since 2026-07-01$31.25——Plans negotiate; applies out of network—
27Mississippi Source · since 2023-07-01$31.08——Plans must pay at least this—
49New Jersey Source · since 2026-07-01$15.44——Not classified—
50Rhode Island Source · since 1993-04-01$8.80——Plans negotiate; applies out of network—
See all 50 states for 92060 — 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 92060 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 92060?

It depends on the state. Of the 50 states with a published fee-for-service rate, the median is $31.51. Hawaii pays the most ($67.28) and Rhode Island the least ($8.80).

Which state pays the highest Medicaid rate for 92060?

Hawaii, at $67.28, effective 2026-06-01.

Do managed-care plans pay the same rate for 92060?

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.