99226 Medicaid reimbursement rate by state (2026)
Physician and practitioner services (fee schedule). Medicaid pays a median of $70.82 for 99226 across 7 states, from $44.79 in Rhode Island to $100.37 in Alabama.
- States publishing
- 7
- National median
- $70.82units vary by state
- Lowest
- $44.79Rhode Island
- Highest
- $100.37Alabama
What does Medicaid pay for 99226?
7 state Medicaid programs publish a fee-for-service rate for 99226. The national median is $70.82 (units differ between states). Alabama pays the most, $100.37, and Rhode Island the least, $44.79, a 2.2x spread.
99226 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 99226?
It depends on the state. Of the 7 states with a published fee-for-service rate, the median is $70.82. Alabama pays the most ($100.37) and Rhode Island the least ($44.79).
Which state pays the highest Medicaid rate for 99226?
Alabama, at $100.37, effective 2016-10-01.
Do managed-care plans pay the same rate for 99226?
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.