99494 Medicaid reimbursement rate by state (2026)
Physician and practitioner services (fee schedule). Medicaid pays a median of $49.24 for 99494 across 33 states, from $27.30 in New Jersey to $86.39 in Montana.
- States publishing
- 33
- National median
- $49.24units vary by state
- Lowest
- $27.30New Jersey
- Highest
- $86.39Montana
What does Medicaid pay for 99494?
33 state Medicaid programs publish a fee-for-service rate for 99494. The national median is $49.24 (units differ between states). Montana pays the most, $86.39, and New Jersey the least, $27.30, a 3.2x spread.
Medicare (non-facility, 2026 physician fee schedule): $56.98–$77.71 depending on the state's Medicare locality.
99494 rate by state: highest, middle and lowest
One like-for-like fee-for-service rate per state, ranked. The workspace lists all 33 states with every variant, modifier and effective date.
Frequently asked questions
What does Medicaid pay for 99494?
It depends on the state. Of the 33 states with a published fee-for-service rate, the median is $49.24. Montana pays the most ($86.39) and New Jersey the least ($27.30).
Which state pays the highest Medicaid rate for 99494?
Montana, at $86.39, effective 2026-07-01.
Do managed-care plans pay the same rate for 99494?
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.