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0011M Medicaid reimbursement rate by state (2026)

Physician and practitioner services (fee schedule). Medicaid pays a median of $684.00 for 0011M across 7 states, from $47.40 in Florida to $760.00 in Montana.

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

States publishing
7
National median
$684.00units vary by state
Lowest
$47.40Florida
Highest
$760.00Montana

What does Medicaid pay for 0011M?

7 state Medicaid programs publish a fee-for-service rate for 0011M at the physician psychologist level. The national median is $684.00 (units differ between states). Montana pays the most, $760.00, and Florida the least, $47.40, a 16.0x spread.

0011M rate by state: highest, middle and lowest

One like-for-like fee-for-service rate per state, ranked. The workspace lists all 7 states with every variant, modifier and effective date.

#StateMedicaid rateUnitPer hourManaged-care plans% of Medicare
1Montana Source · since 2021-07-01$760.00——Not classified—
2Kentucky Source · since 2020-01-01$760.00——Plans negotiate; applies out of network—
3New Mexico Source · since 2024-11-01$760.00——Plans must pay at least this—
7Florida Source · since 2026-01-01$47.40——Plans negotiate; applies out of network—
See all 7 states for 0011M — start free

3 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.

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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 0011M in your states. Get an alert when any state changes it, with every variant and the managed-care rule.
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Frequently asked questions

What does Medicaid pay for 0011M?

It depends on the state. Of the 7 states with a published fee-for-service rate, the median is $684.00. Montana pays the most ($760.00) and Florida the least ($47.40).

Which state pays the highest Medicaid rate for 0011M?

Montana, at $760.00, effective 2021-07-01.

Do managed-care plans pay the same rate for 0011M?

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.

Related codes

Codes next to 0011M

00102Physician and practitioner services (fee schedule) · 39 states00103Physician and practitioner services (fee schedule) · 39 states00104Physician and practitioner services (fee schedule) · 40 states0011APhysician and practitioner services (fee schedule) · 8 states00120Physician and practitioner services (fee schedule) · 39 states00124Physician and practitioner services (fee schedule) · 39 states00126Physician and practitioner services (fee schedule) · 39 states0012APhysician and practitioner services (fee schedule) · 7 states

Most-published Physician & professional codes

10005Physician and practitioner services (fee schedule) · 50 states10006Physician and practitioner services (fee schedule) · 50 states10007Physician and practitioner services (fee schedule) · 50 states10008Physician and practitioner services (fee schedule) · 50 states10009Physician and practitioner services (fee schedule) · 50 states10010Physician and practitioner services (fee schedule) · 50 states10021Physician and practitioner services (fee schedule) · 50 states10030Physician and practitioner services (fee schedule) · 50 states

Highest-paying states

Montana Medicaid fee scheduleKentucky Medicaid fee scheduleNew Mexico Medicaid fee schedule