99201 Medicaid reimbursement rate by state (2026)
Physician and practitioner services (fee schedule). Medicaid pays a median of $36.36 for 99201 across 7 states, from $14.86 in Michigan to $60.24 in North Carolina.
- States publishing
- 7
- National median
- $36.36units vary by state
- Lowest
- $14.86Michigan
- Highest
- $60.24North Carolina
What does Medicaid pay for 99201?
7 state Medicaid programs publish a fee-for-service rate for 99201. The national median is $36.36 (units differ between states). North Carolina pays the most, $60.24, and Michigan the least, $14.86, a 4.1x spread.
99201 rate by state: highest, middle and lowest
One like-for-like fee-for-service rate per state, ranked. The workspace lists all 7 states with every variant, modifier and effective date.
Frequently asked questions
What does Medicaid pay for 99201?
It depends on the state. Of the 7 states with a published fee-for-service rate, the median is $36.36. North Carolina pays the most ($60.24) and Michigan the least ($14.86).
Which state pays the highest Medicaid rate for 99201?
North Carolina, at $60.24, effective 2025-10-01.
Do managed-care plans pay the same rate for 99201?
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.