99378 Medicaid reimbursement rate by state (2026)
Physician and practitioner services (fee schedule). Medicaid pays a median of $71.42 for 99378 across 10 states, from $22.10 in Virginia to $88.12 in North Carolina.
- States publishing
- 10
- National median
- $71.42units vary by state
- Lowest
- $22.10Virginia
- Highest
- $88.12North Carolina
What does Medicaid pay for 99378?
10 state Medicaid programs publish a fee-for-service rate for 99378. The national median is $71.42 (units differ between states). North Carolina pays the most, $88.12, and Virginia the least, $22.10, a 4.0x spread.
99378 rate by state: highest, middle and lowest
One like-for-like fee-for-service rate per state, ranked. The workspace lists all 10 states with every variant, modifier and effective date.
Frequently asked questions
What does Medicaid pay for 99378?
It depends on the state. Of the 10 states with a published fee-for-service rate, the median is $71.42. North Carolina pays the most ($88.12) and Virginia the least ($22.10).
Which state pays the highest Medicaid rate for 99378?
North Carolina, at $88.12, effective 2025-10-01.
Do managed-care plans pay the same rate for 99378?
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.