MedicaidRateStart free trial

0470U Medicaid reimbursement rates by state

Physician and practitioner services (fee schedule). 7 state Medicaid programs publish a fee-for-service rate for 0470U at the physician psychologist level. Rates run from $322.88 in Florida to $597.91 in Montana, with a median of $597.91.

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

States publishing
7
Median rate
$597.91units vary by state
Highest
$597.91Montana
Medicare (non-facility)
—not on the physician fee schedule

0470U 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
MontanaAny qualified provider (rate does not vary by provider) · Montana Medicaid and HMK Plus (fee-for-service)$597.91since 2026-01-01——Not classified—Montana Healthcare Programs fee schedule
KentuckyAny qualified provider (rate does not vary by provider) · Kentucky Medicaid (fee-for-service, DMS fee schedules)$597.91since 2026-01-01——Plans negotiate; applies out of network—KY Medicaid Clinical Lab fee schedule (2
HawaiiAny qualified provider (rate does not vary by provider) · Hawaii Medicaid (Med-QUEST) fee-for-service$597.91since 2026-06-01——Plans negotiate; applies out of network—Medicaid Fee-For-Service (FFS) Fee Sched
South DakotaAny qualified provider (rate does not vary by provider) · South Dakota Medicaid (fee-for-service, DSS Division of Medical Services)$597.91since 2026-01-01——Not classified—South Dakota Medicaid Laboratory fee sch
MissouriAny qualified provider (rate does not vary by provider) · Missouri MO HealthNet (fee-for-service)$538.12since 2026-07-01——Plans negotiate; applies out of network—MO HealthNet fee schedule: Independent L
MississippiAny qualified provider (rate does not vary by provider) · Mississippi Medicaid (fee-for-service)$538.12since 2026-07-01——Plans must pay at least this—DOM Comprehensive Fee Schedule, Septembe
FloridaAny qualified provider (rate does not vary by provider) · Florida Medicaid (fee-for-service)$322.88since 2026-01-01——Plans negotiate; applies out of network—Independent Laboratory Fee Schedule (202

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 0470U?

It depends on the state. Of the 7 states with a published fee-for-service rate, the median is $597.91. Montana pays the most ($597.91) and Florida the least ($322.88).

Which state pays the highest Medicaid rate for 0470U?

Montana, at $597.91, effective 2026-01-01.

Do managed-care plans pay the same rate for 0470U?

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 0470U in your statesYour codes on one rate card: every payer's rule, Medicare comparison, rank and rate changes.
Medicaid rates by state