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L1040 Medicaid reimbursement rate by state (2026)

Addition to ctlso or scoliosis orthosis. Medicaid pays a median of $76.54 for L1040 across 50 states, from $30.30 in New York to $186.31 in Alaska.

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

States publishing
50
National median
$76.54units vary by state
Lowest
$30.30New York
Highest
$186.31Alaska

What does Medicaid pay for L1040?

50 state Medicaid programs publish a fee-for-service rate for L1040 at the physician psychologist level. The national median is $76.54 (units differ between states). Alaska pays the most, $186.31, and New York the least, $30.30, a 6.1x spread.

L1040 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.

#StateMedicaid rateUnitPer hourManaged-care plans% of Medicare
1Alaska Source · since 2026-01-01$186.31——Not classified—
2Hawaii Source · since 2026-06-01$162.76——Plans negotiate; applies out of network—
3Minnesota Source · since 2026-01-01$108.96——Plans negotiate; applies out of network—
25West Virginia Source · since 2026-04-01$76.54——Plans must pay at least this—
26District of Columbia Source · since 2026-04-01$76.54——Not classified—
27North Carolina Source$76.16——Plans negotiate; applies out of network—
49Iowa Source · since 2018-09-01$38.58——Plans must pay at least this—
50New York Source · since 2022-06-01$30.30——Plans negotiate; applies out of network—
See all 50 states for L1040 — start free

42 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 L1040 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 L1040?

It depends on the state. Of the 50 states with a published fee-for-service rate, the median is $76.54. Alaska pays the most ($186.31) and New York the least ($30.30).

Which state pays the highest Medicaid rate for L1040?

Alaska, at $186.31, effective 2026-01-01.

Do managed-care plans pay the same rate for L1040?

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.