99285 Medicaid reimbursement rate by state (2026)
Physician and practitioner services (fee schedule). Medicaid pays a median of $138.99 for 99285 across 50 states, from $66.18 in Wisconsin to $323.58 in Alaska.
- States publishing
- 50
- National median
- $138.99units vary by state
- Lowest
- $66.18Wisconsin
- Highest
- $323.58Alaska
What does Medicaid pay for 99285?
50 state Medicaid programs publish a fee-for-service rate for 99285. The national median is $138.99 (units differ between states). Alaska pays the most, $323.58, and Wisconsin the least, $66.18, a 4.9x spread.
99285 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 99285?
It depends on the state. Of the 50 states with a published fee-for-service rate, the median is $138.99. Alaska pays the most ($323.58) and Wisconsin the least ($66.18).
Which state pays the highest Medicaid rate for 99285?
Alaska, at $323.58, effective 2026-07-01.
Do managed-care plans pay the same rate for 99285?
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.