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10012 Medicaid reimbursement rate by state (2026)

Physician and practitioner services (fee schedule). Medicaid pays a median of $131.31 for 10012 across 23 states, from $8.10 in New Jersey to $290.20 in New Mexico.

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

States publishing
23
National median
$131.31units vary by state
Lowest
$8.10New Jersey
Highest
$290.20New Mexico

What does Medicaid pay for 10012?

23 state Medicaid programs publish a fee-for-service rate for 10012 at the physician psychologist level. The national median is $131.31 (units differ between states). New Mexico pays the most, $290.20, and New Jersey the least, $8.10 per base unit, a 35.8x spread.

10012 rate by state: highest, middle and lowest

One like-for-like fee-for-service rate per state, ranked. The workspace lists all 23 states with every variant, modifier and effective date.

#StateMedicaid rateUnitPer hourManaged-care plans% of Medicare
1New Mexico Source · since 2025-01-01$290.20——Plans must pay at least this—
2Maryland Source · since 2026-01-01$247.87——Not classified—
3New York Source · since 2023-01-01$202.00unit—Plans negotiate; applies out of network—
11Idaho Source · since 2025-09-01$134.96——Not classified—
12Pennsylvania Source · since 2019-08-19$131.31——Plans negotiate; applies out of network—
13Iowa Source · since 2019-01-01$83.28——Plans must pay at least this—
22Arkansas Source · since 2025-06-13$12.02——Not classified—
23New Jersey Source · since 2019-12-01$8.10base unit—Not classified—
See all 23 states for 10012 — start free

15 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 10012 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 10012?

It depends on the state. Of the 23 states with a published fee-for-service rate, the median is $131.31. New Mexico pays the most ($290.20) and New Jersey the least ($8.10 per base unit).

Which state pays the highest Medicaid rate for 10012?

New Mexico, at $290.20, effective 2025-01-01.

Do managed-care plans pay the same rate for 10012?

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.