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0402T Medicaid reimbursement rates by state

Physician and practitioner services (fee schedule). 6 state Medicaid programs publish a fee-for-service rate for 0402T at the physician psychologist level. Rates run from $255.02 in Colorado to $666.44 in Louisiana, with a median of $380.87.

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

States publishing
6
Median rate
$380.87units vary by state
Highest
$666.44Louisiana
Medicare (non-facility)
—not on the physician fee schedule

0402T rate in every state

One like-for-like fee-for-service rate per state, highest first. Units can differ between states; the per-hour column converts time-based units.

StateMedicaid rateUnitPer hourManaged-care plans% of MedicareSource
LouisianaAny qualified provider (rate does not vary by provider) · Louisiana Medicaid (fee-for-service)$666.44since 2024-05-01——Plans must pay at least this—Louisiana Medicaid Professional Services
WashingtonAny qualified provider (rate does not vary by provider) · Washington Apple Health (Medicaid) fee-for-service$525.65since 2023-07-01——Plans negotiate; applies out of network—HCA Physician-related services fee sched
ArizonaAny qualified provider (rate does not vary by provider) · Arizona AHCCCS fee-for-service (AIHP, Tribal ALTCS, TRBHA and other FFS members)$422.81since 2024-01-01——Plans negotiate; applies out of network—AHCCCS Arizona Health Care Cost Containm
IowaPhysician or licensed psychologist (incl. BCBA-D) · Iowa Medicaid (fee-for-service schedules; the floor IA Health Link plans must pay)$338.92since 2024-01-24——Plans must pay at least this—Iowa Medicaid fee schedule #02 PHYSICIAN
MissouriAny qualified provider (rate does not vary by provider) · Missouri MO HealthNet (fee-for-service)$279.78since 2024-07-01——Plans must pay at least this—MO HealthNet fee schedule: Practitioner
ColoradoAny qualified provider (rate does not vary by provider) · Health First Colorado (Colorado Medicaid, fee-for-service)$255.02since 2026-07-01——Not classified—Health First Colorado Physician Fee Sche

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 with the CMS formula; states with several Medicare localities show a range. Confirm rates with the payer before billing.

Frequently asked questions

What does Medicaid pay for 0402T?

It depends on the state. Of the 6 states with a published fee-for-service rate, the median is $380.87. Louisiana pays the most ($666.44) and Colorado the least ($255.02).

Which state pays the highest Medicaid rate for 0402T?

Louisiana, at $666.44, effective 2024-05-01.

Do managed-care plans pay the same rate for 0402T?

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 table shows the rule for each state, cited to the contract or statute.

Related Physician & professional codes

Track 0402T in your statesYour codes on one rate card: every payer's rule, Medicare comparison, rank and rate changes.
Medicaid rates by state