92242 Medicaid reimbursement rate by state (2026)
Physician and practitioner services (fee schedule). Medicaid pays a median of $180.20 for 92242 across 49 states, from $39.28 in Kansas to $516.69 in Alaska.
- States publishing
- 49
- National median
- $180.20units vary by state
- Lowest
- $39.28Kansas
- Highest
- $516.69Alaska
What does Medicaid pay for 92242?
49 state Medicaid programs publish a fee-for-service rate for 92242. The national median is $180.20 (units differ between states). Alaska pays the most, $516.69, and Kansas the least, $39.28, a 13.2x spread.
Medicare (non-facility, 2026 physician fee schedule): $292.84–$473.49 depending on the state's Medicare locality.
92242 rate by state: highest, middle and lowest
One like-for-like fee-for-service rate per state, ranked. The workspace lists all 49 states with every variant, modifier and effective date.
Frequently asked questions
What does Medicaid pay for 92242?
It depends on the state. Of the 49 states with a published fee-for-service rate, the median is $180.20. Alaska pays the most ($516.69) and Kansas the least ($39.28).
Which state pays the highest Medicaid rate for 92242?
Alaska, at $516.69, effective 2026-07-01.
Do managed-care plans pay the same rate for 92242?
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.