99218 Medicaid reimbursement rate by state (2026)
Physician and practitioner services (fee schedule). Medicaid pays a median of $63.85 for 99218 across 8 states, from $30.30 in New York to $95.26 in Alabama.
- States publishing
- 8
- National median
- $63.85units vary by state
- Lowest
- $30.30New York
- Highest
- $95.26Alabama
What does Medicaid pay for 99218?
8 state Medicaid programs publish a fee-for-service rate for 99218. The national median is $63.85 (units differ between states). Alabama pays the most, $95.26, and New York the least, $30.30 per unit, a 3.1x spread.
99218 rate by state: highest, middle and lowest
One like-for-like fee-for-service rate per state, ranked. The workspace lists all 8 states with every variant, modifier and effective date.
Frequently asked questions
What does Medicaid pay for 99218?
It depends on the state. Of the 8 states with a published fee-for-service rate, the median is $63.85. Alabama pays the most ($95.26) and New York the least ($30.30 per unit).
Which state pays the highest Medicaid rate for 99218?
Alabama, at $95.26, effective 2016-10-01.
Do managed-care plans pay the same rate for 99218?
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.