99215 Medicaid reimbursement rate by state (2026)
Return-patient office visit, level 5 of 5. Medicaid pays a median of $147.32 for 99215 across 50 states, from $62.41 in California to $336.96 in Alaska.
Data as of 2026-10-05. Every rate links to the official document it came from.
- States publishing
- 50
- National median
- $147.32units vary by state
- Lowest
- $62.41California
- Highest
- $336.96Alaska
What does Medicaid pay for 99215?
50 state Medicaid programs publish a fee-for-service rate for 99215 at the physician psychologist level. The national median is $147.32 (units differ between states). Alaska pays the most, $336.96, and California the least, $62.41, a 5.4x spread. Where the billing unit matches Medicare's, Medicaid pays between 98% and 98% of the 2026 Medicare physician fee schedule amount for the state.
Medicare (non-facility, 2026 physician fee schedule): $176.04–$241.97 depending on the state's Medicare locality.
99215 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.
Frequently asked questions
What does Medicaid pay for 99215?
It depends on the state. Of the 50 states with a published fee-for-service rate, the median is $147.32. Alaska pays the most ($336.96) and California the least ($62.41).
Which state pays the highest Medicaid rate for 99215?
Alaska, at $336.96, effective 2026-07-01.
How do Medicaid rates for 99215 compare with Medicare?
Where the billing units match, Medicaid pays between 98% and 98% of the 2026 Medicare physician fee schedule amount for the state (non-facility).
Do managed-care plans pay the same rate for 99215?
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.