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Billing code 99360 · Physician & professional

99360 Medicaid reimbursement rate by state (2026)

Physician and practitioner services (fee schedule). Medicaid pays a median of $44.94 for 99360 across 30 states, from $10.32 in Rhode Island to $108.54 in Alaska.

Data as of Oct 5, 202630 statesEvery rate links to its official source

States publishing
30
National median
$44.94units vary by state
Lowest
$10.32Rhode Island
Highest
$108.54Alaska
Answer

What does Medicaid pay for 99360?

30 state Medicaid programs publish a fee-for-service rate for 99360. The national median is $44.94 (units differ between states). Alaska pays the most, $108.54, and Rhode Island the least, $10.32, a 10.5x spread.

State ranking

99360 rate by state: highest, middle and lowest

One like-for-like fee-for-service rate per state, ranked. The workspace lists all 30 states with every variant, modifier and effective date.

#StateMedicaid rateUnitPer hourManaged-care plans% of Medicare
1Alaska Source · since 2026-07-01$108.54——Not classified—
2Wisconsin Source · since 2009-01-01$89.90——Plans negotiate; applies out of network—
3Nebraska Source · since 2026-07-01$82.26——Plans negotiate; applies out of network—
15Oklahoma Source · since 2026-07-01$46.77——Plans must pay at least this—
16Massachusetts Source · since 2026-10-01$43.10——Plans negotiate; applies out of network—
17South Carolina Source · since 2024-07-01$43.07——Not classified—
29California Source · since 2026-10-01$27.82——Plans negotiate; applies out of network—
30Rhode Island Source · since 1995-10-01$10.32——Plans negotiate; applies out of network—
See all 30 states for 99360 — start free

22 more states, with every modifier and provider-type variant, rate history and the plan rule in each state. 14-day free trial, no credit card.

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Rates are per the unit shown for each state; units can differ between states. Medicare amounts are computed from the CMS relative value file and locality cost indices; states with several Medicare localities show a range. Confirm rates with the payer before billing.

Track 99360 in your states. Get an alert when any state changes it, with every variant and the managed-care rule.
FAQ

Frequently asked questions

What does Medicaid pay for 99360?

It depends on the state. Of the 30 states with a published fee-for-service rate, the median is $44.94. Alaska pays the most ($108.54) and Rhode Island the least ($10.32).

Which state pays the highest Medicaid rate for 99360?

Alaska, at $108.54, effective 2026-07-01.

Do managed-care plans pay the same rate for 99360?

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.