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11921 Medicaid reimbursement rates by state

Physician and practitioner services (fee schedule). 37 state Medicaid programs publish a fee-for-service rate for 11921 at the physician psychologist level. Rates run from $20.14 in Rhode Island to $518.70 in Nebraska, with a median of $143.88.

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

States publishing
37
Median rate
$143.88units vary by state
Highest
$518.70Nebraska
Medicare (non-facility)
$208.32–$277.562026 physician fee schedule

11921 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
NebraskaAny qualified provider (rate does not vary by provider) · Nebraska Medicaid (fee-for-service)$518.70⚠ over 3× mediansince 2026-07-01——Plans negotiate; applies out of network—Nebraska Medicaid fee schedule 471-000-5
MontanaAny qualified provider (rate does not vary by provider) · Montana Medicaid and HMK Plus (fee-for-service)$328.13since 2026-07-01——Not classified—Montana Healthcare Programs fee schedule
New MexicoAny qualified provider (rate does not vary by provider) · New Mexico Medicaid (fee-for-service, HCA Medical Assistance Division)$310.73since 2025-01-01——Plans must pay at least this—New Mexico Medicaid Fee for Service CPT
AlabamaPhysician or licensed psychologist (incl. BCBA-D) · Alabama Medicaid (fee-for-service, Alabama Medicaid Agency fee schedules)$295.94since 2026-09-24——Not classified—Teaching Facility Fee Schedule
DelawareAny qualified provider (rate does not vary by provider) · Delaware Medicaid (fee-for-service, DMMA / DMAP)$226.09since 2026-01-01——Plans negotiate; applies out of network—DMAP 2026 Physician Fee Schedule
New YorkPhysician or licensed psychologist (incl. BCBA-D) · New York Medicaid (fee-for-service)$202.83since 2023-10-01unit—Plans negotiate; applies out of network—eMedNY Physician Fee Schedule Sect 5 (Su
OklahomaAny qualified provider (rate does not vary by provider) · Oklahoma SoonerCare (fee-for-service, OHCA)$200.23since 2026-07-01——Plans must pay at least this—SoonerCare Title XIX Fee Schedule
IowaPhysician or licensed psychologist (incl. BCBA-D) · Iowa Medicaid (fee-for-service schedules; the floor IA Health Link plans must pay)$199.29since 2022-06-01——Plans must pay at least this—Iowa Medicaid fee schedule #02 PHYSICIAN
VermontAny qualified provider (rate does not vary by provider) · Vermont Medicaid (fee-for-service, DVHA)$192.96since 2026-01-01——Not classified—Vermont Medicaid Fee Schedule - CPT Code
MississippiAny qualified provider (rate does not vary by provider) · Mississippi Medicaid (fee-for-service)$187.49since 2026-07-01——Plans must pay at least this—DOM Comprehensive Fee Schedule, Septembe
OregonAny qualified provider (rate does not vary by provider) · Oregon Health Plan (fee-for-service, OHA)$187.13since 2026-02-01——Plans negotiate; applies out of network—OHP FFS medical-dental fee schedule (fee
IdahoAny qualified provider (rate does not vary by provider) · Idaho Medicaid (fee-for-service, Division of Medicaid / Gainwell)$185.40since 2026-07-01——Not classified—Idaho Medicaid Numerical Fee Schedule Ju
ColoradoAny qualified provider (rate does not vary by provider) · Child Health Plan Plus (CHP+, Colorado's CHIP)$182.79since 2026-07-01——Plans negotiate; applies out of network—Child Health Plan Plus FY 2026-2027 Fee
MinnesotaAny qualified provider (rate does not vary by provider) · Minnesota Health Care Programs: Medical Assistance (fee-for-service)$177.02since 2026-02-01——Plans negotiate; applies out of network—MHCP Fee Schedule - Current Fee Schedule
LouisianaAny qualified provider (rate does not vary by provider) · Louisiana Medicaid (fee-for-service)$173.77since 2025-07-01——Plans must pay at least this—Louisiana Medicaid Professional Services
MarylandAny qualified provider (rate does not vary by provider) · Maryland Medicaid (fee-for-service, MDH)$161.06since 2026-01-01——Not classified—Maryland Medicaid Professional Services
MaineAny qualified provider (rate does not vary by provider) · MaineCare (fee-for-service)$156.62since 2026-01-01——Not classified—MaineCare Fee Schedule (MaineCare UCR, H
MichiganAny qualified provider (rate does not vary by provider) · Michigan Medicaid (fee-for-service)$148.89since 2026-01-01——Plans negotiate; applies out of network—MDHHS Practitioner and Medical Clinic Fe
OhioAny qualified provider (rate does not vary by provider) · Ohio Medicaid (fee-for-service)$143.88since 2024-01-01——Plans negotiate; applies out of network—Appendix DD to OAC 5160-1-60 (Non-Instit
ConnecticutAny qualified provider (rate does not vary by provider) · Connecticut Medicaid / HUSKY Health (fee-for-service, CMAP)$137.95since 2026-01-01——Not classified—CMAP fee schedule: Physician Surgical 04
WisconsinAny qualified provider (rate does not vary by provider) · Wisconsin Medicaid and BadgerCare Plus (fee-for-service, ForwardHealth maximum allowable fees)$137.09since 2015-12-01——Plans negotiate; applies out of network—ForwardHealth max fee schedule: Medical-
HawaiiAny qualified provider (rate does not vary by provider) · Hawaii Medicaid (Med-QUEST) fee-for-service$130.48since 2026-06-01——Plans must pay at least this—Medicaid Fee-For-Service (FFS) Fee Sched
ArizonaAny qualified provider (rate does not vary by provider) · Arizona AHCCCS fee-for-service (AIHP, Tribal ALTCS, TRBHA and other FFS members)$119.68since 2026-10-01——Plans negotiate; applies out of network—AHCCCS Arizona Health Care Cost Containm
IndianaAny qualified provider (rate does not vary by provider) · Indiana Medicaid (fee-for-service)$117.43since 2026-01-01unit—Plans must pay at least this—IHCP Professional Fee Schedule (Last Upd
South CarolinaAny qualified provider (rate does not vary by provider) · South Carolina Healthy Connections Medicaid (fee-for-service)$115.77since 2024-07-01——Plans negotiate; applies out of network—SCDHHS Nurse Midwives Fee Schedule (sche
TexasPhysician or licensed psychologist (incl. BCBA-D) · Texas Medicaid (fee-for-service, TMHP)$109.74since 2025-03-01——Plans negotiate; applies out of network—TMHP Texas Medicaid Fee Schedule - Physi
GeorgiaAny qualified provider (rate does not vary by provider) · Georgia Medicaid (fee-for-service)$106.13since 2017-01-01——Plans negotiate; applies out of network—OutPatient Max Allowed Site of Service F
VirginiaAny qualified provider (rate does not vary by provider) · Virginia Medicaid (fee-for-service, DMAS)$100.41since 2026-07-01——Plans negotiate; applies out of network—DMAS procedure fee file cptmedical1.csv
North CarolinaAny qualified provider (rate does not vary by provider) · North Carolina Medicaid Direct (fee-for-service)$99.75since 2025-10-01——Plans must pay at least this—NC Medicaid fee schedule 'Nurse Practiti
MassachusettsAny qualified provider (rate does not vary by provider) · MassHealth (fee-for-service, EOHHS 101 CMR rate regulations)$97.64since 2026-10-01——Plans negotiate; applies out of network—Emergency Adoption (date filed: Septembe
New HampshireAny qualified provider (rate does not vary by provider) · New Hampshire Medicaid (fee-for-service, DHHS / NH MMIS)$95.91since 2023-07-01——Plans negotiate; applies out of network—2026 Fee Schedule - Covered Procedures R
FloridaAny qualified provider (rate does not vary by provider) · Florida Medicaid (fee-for-service)$90.54since 2026-01-01——Plans negotiate; applies out of network—Practitioner Fee Schedule (2026-01-01)
IllinoisAny qualified provider (rate does not vary by provider) · Illinois Medicaid (HFS fee-for-service)$86.98since 2024-04-01——Plans negotiate; applies out of network—HFS Practitioner Fee Schedule (effective
WashingtonAny qualified provider (rate does not vary by provider) · Washington Apple Health (Medicaid) fee-for-service$68.22since 2026-07-01——Plans negotiate; applies out of network—HCA Physician-related services fee sched
KansasAny qualified provider (rate does not vary by provider) · Kansas Medicaid QMB (Qualified Medicare Beneficiary) KMAP fee schedule$45.70since 2009-12-18——Not classified—KMAP Fee Schedule QMB Medicaid (FeeSched
MissouriAny qualified provider (rate does not vary by provider) · Missouri MO HealthNet (fee-for-service)$33.53since 2022-07-01——Plans must pay at least this—MO HealthNet fee schedule: Practitioner
Rhode IslandAny qualified provider (rate does not vary by provider) · Rhode Island Medicaid (fee-for-service)$20.14since 2008-01-01——Plans negotiate; applies out of network—RI Medicaid Interactive Fee For Service

Rates marked ⚠ are more than three times the median for the same unit; they are published as shown but often reflect an office (non-facility) fee or a different scope of service. 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 11921?

It depends on the state. Of the 37 states with a published fee-for-service rate, the median is $143.88. Nebraska pays the most ($518.70) and Rhode Island the least ($20.14).

Which state pays the highest Medicaid rate for 11921?

Nebraska, at $518.70, effective 2026-07-01.

Do managed-care plans pay the same rate for 11921?

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

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