T1015 Medicaid reimbursement rate by state (2026)
Clinic visit/encounter, all-inclusive. Medicaid pays a median of $71.50 for T1015 across 15 states, from $6.12 in Virginia to $826.00 in Texas.
- States publishing
- 15
- National median
- $71.50units vary by state
- Lowest
- $6.12Virginia
- Highest
- $826.00Texas
What does Medicaid pay for T1015?
15 state Medicaid programs publish a fee-for-service rate for T1015. The national median is $71.50 (units differ between states). Texas pays the most, $826.00, and Virginia the least, $6.12, a 135.0x spread.
T1015 rate by state: highest, middle and lowest
One like-for-like fee-for-service rate per state, ranked. The workspace lists all 15 states with every variant, modifier and effective date.
Frequently asked questions
What does Medicaid pay for T1015?
It depends on the state. Of the 15 states with a published fee-for-service rate, the median is $71.50. Texas pays the most ($826.00) and Virginia the least ($6.12).
Which state pays the highest Medicaid rate for T1015?
Texas, at $826.00, effective 2026-01-01.
Do managed-care plans pay the same rate for T1015?
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.