Skip to content

E0946 Medicaid reimbursement rate by state (2026)

Fracture, frame, dual with cross bars, attached to bed,. Medicaid pays a median of $69.45 for E0946 across 36 states, from $1.37 in Kansas to $742.15 in Vermont.

Data as of 2026-10-05. Every rate links to the official document it came from.

States publishing
36
National median
$69.45units vary by state
Lowest
$1.37Kansas
Highest
$742.15Vermont

What does Medicaid pay for E0946?

36 state Medicaid programs publish a fee-for-service rate for E0946 at the nurse midwife level. The national median is $69.45 (units differ between states). Vermont pays the most, $742.15, and Kansas the least, $1.37, a 541.7x spread.

E0946 rate by state: highest, middle and lowest

One like-for-like fee-for-service rate per state, ranked. The workspace lists all 36 states with every variant, modifier and effective date.

#StateMedicaid rateUnitPer hourManaged-care plans% of Medicare
1Vermont Source · since 2026-01-01$742.15——Not classified—
2Idaho Source · since 2026-07-01$728.52——Not classified—
3Minnesota Source · since 2026-01-01$716.70——Plans negotiate; applies out of network—
18New Mexico Source · since 2025-01-01$70.27——Plans must pay at least this—
19Massachusetts Source · since 2026-03-01$68.62——Plans negotiate; applies out of network—
20District of Columbia Source · since 2026-04-01$67.46——Not classified—
35Wisconsin Source · since 2023-01-01$2.23——Plans negotiate; applies out of network—
36Kansas Source · since 1989-01-01$1.37——Not classified—
See all 36 states for E0946 — start free

28 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.

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 E0946 in your states. Get an alert when any state changes it, with every variant and the managed-care rule.

Frequently asked questions

What does Medicaid pay for E0946?

It depends on the state. Of the 36 states with a published fee-for-service rate, the median is $69.45. Vermont pays the most ($742.15) and Kansas the least ($1.37).

Which state pays the highest Medicaid rate for E0946?

Vermont, at $742.15, effective 2026-01-01.

Do managed-care plans pay the same rate for E0946?

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.