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15774 Medicaid reimbursement rates by state

Physician and practitioner services (fee schedule). 33 state Medicaid programs publish a fee-for-service rate for 15774 at the physician psychologist level. Rates run from $61.16 in New Jersey to $345.00 in Iowa, with a median of $128.57.

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

States publishing
33
Median rate
$128.57units vary by state
Highest
$345.00Iowa
Medicare (non-facility)
$181.99–$250.392026 physician fee schedule

15774 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
IowaPhysician or licensed psychologist (incl. BCBA-D) · Iowa Medicaid (fee-for-service schedules; the floor IA Health Link plans must pay)$345.00since 2020-01-01——Plans must pay at least this—Iowa Medicaid fee schedule #02 PHYSICIAN
MontanaAny qualified provider (rate does not vary by provider) · Montana Medicaid and HMK Plus (fee-for-service)$282.12since 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)$265.90since 2025-01-01——Plans must pay at least this—New Mexico Medicaid Fee for Service CPT
OklahomaAny qualified provider (rate does not vary by provider) · Oklahoma SoonerCare (fee-for-service, OHCA)$174.15since 2026-07-01——Plans must pay at least this—SoonerCare Title XIX Fee Schedule
New YorkPhysician or licensed psychologist (incl. BCBA-D) · New York Medicaid (fee-for-service)$169.03since 2023-10-01unit—Plans negotiate; applies out of network—eMedNY Physician Fee Schedule Sect 5 (Su
MississippiAny qualified provider (rate does not vary by provider) · Mississippi Medicaid (fee-for-service)$163.79since 2026-07-01——Plans must pay at least this—DOM Comprehensive Fee Schedule, Septembe
NebraskaAny qualified provider (rate does not vary by provider) · Nebraska Medicaid (fee-for-service)$163.02since 2026-07-01——Plans negotiate; applies out of network—Nebraska Medicaid fee schedule 471-000-5
OregonAny qualified provider (rate does not vary by provider) · Oregon Health Plan (fee-for-service, OHA)$159.58since 2026-02-01——Plans negotiate; applies out of network—OHP FFS medical-dental fee schedule (fee
LouisianaAny qualified provider (rate does not vary by provider) · Louisiana Medicaid (fee-for-service)$157.31since 2020-01-01——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)$156.60since 2026-01-01——Not classified—Maryland Medicaid Professional Services
CaliforniaAny qualified provider (rate does not vary by provider) · California Medi-Cal (fee-for-service)$155.25since 2026-10-01——Plans negotiate; applies out of network—Medi-Cal Rates (Rates files zip: rates_d
MinnesotaAny qualified provider (rate does not vary by provider) · Minnesota Health Care Programs: Medical Assistance (fee-for-service)$149.23since 2026-02-01——Plans negotiate; applies out of network—MHCP Fee Schedule - Current Fee Schedule
ColoradoAny qualified provider (rate does not vary by provider) · Child Health Plan Plus (CHP+, Colorado's CHIP)$141.94since 2026-07-01——Plans negotiate; applies out of network—Child Health Plan Plus FY 2026-2027 Fee
NevadaPhysician or licensed psychologist (incl. BCBA-D) · Nevada Medicaid (fee-for-service provider-type reimbursement schedules)$141.92since 2024-01-01——Plans must pay at least this—Provider Type 20 Physician, MD., Osteopa
KentuckyAny qualified provider (rate does not vary by provider) · Kentucky Medicaid (fee-for-service, DMS fee schedules)$138.56since 2020-01-01——Plans negotiate; applies out of network—KY Medicaid Physician fee schedule (2020
MaineAny qualified provider (rate does not vary by provider) · MaineCare (fee-for-service)$135.16since 2026-01-01——Not classified—MaineCare Fee Schedule (MaineCare UCR, H
IndianaAny qualified provider (rate does not vary by provider) · Indiana Medicaid (fee-for-service)$128.57since 2026-01-01unit—Plans must pay at least this—IHCP Professional Fee Schedule (Last Upd
MichiganAny qualified provider (rate does not vary by provider) · Michigan Medicaid (fee-for-service)$128.01since 2026-01-01——Plans negotiate; applies out of network—MDHHS Oral Maxillofacial Surgeon Fee Sch
ArizonaAny qualified provider (rate does not vary by provider) · Arizona AHCCCS fee-for-service (AIHP, Tribal ALTCS, TRBHA and other FFS members)$125.70since 2026-10-01——Plans negotiate; applies out of network—AHCCCS Arizona Health Care Cost Containm
WisconsinAny qualified provider (rate does not vary by provider) · Wisconsin Medicaid and BadgerCare Plus (fee-for-service, ForwardHealth maximum allowable fees)$120.83since 2020-01-01——Plans negotiate; applies out of network—ForwardHealth max fee schedule: Medical-
TexasPhysician or licensed psychologist (incl. BCBA-D) · Texas Medicaid (fee-for-service, TMHP)$119.57since 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)$119.32since 2020-01-01——Plans negotiate; applies out of network—OutPatient Site of Service (in Zipped Fe
ConnecticutAny qualified provider (rate does not vary by provider) · Connecticut Medicaid / HUSKY Health (fee-for-service, CMAP)$117.89since 2026-01-01——Not classified—CMAP fee schedule: Physician Surgical 04
MissouriAny qualified provider (rate does not vary by provider) · Missouri MO HealthNet (fee-for-service)$111.71since 2022-07-01——Plans must pay at least this—MO HealthNet fee schedule: Practitioner
PennsylvaniaPhysician or licensed psychologist (incl. BCBA-D) · Pennsylvania Medical Assistance (fee-for-service)$110.42since 2020-05-26——Plans negotiate; applies out of network—PA DHS PROMISe Outpatient Fee Schedule (
OhioAny qualified provider (rate does not vary by provider) · Ohio Medicaid (fee-for-service)$110.18since 2024-01-01——Plans negotiate; applies out of network—Appendix DD to OAC 5160-1-60 (Non-Instit
KansasAny qualified provider (rate does not vary by provider) · MediKan (Kansas state-funded medical program, KMAP fee schedule)$109.19since 2024-08-01——Paid by the state, outside plans—KMAP Fee Schedule MKN Medicaid (FeeSched
MassachusettsAny qualified provider (rate does not vary by provider) · MassHealth (fee-for-service, EOHHS 101 CMR rate regulations)$106.11since 2026-10-01——Plans negotiate; applies out of network—Emergency Adoption (date filed: Septembe
VirginiaAny qualified provider (rate does not vary by provider) · Virginia Medicaid (fee-for-service, DMAS)$105.32since 2026-07-01——Plans negotiate; applies out of network—DMAS procedure fee file cptmedical1.csv
IllinoisAny qualified provider (rate does not vary by provider) · Illinois Medicaid (HFS fee-for-service)$95.98since 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$70.52since 2026-07-01——Plans negotiate; applies out of network—HCA Physician-related services fee sched
South CarolinaAny qualified provider (rate does not vary by provider) · South Carolina Healthy Connections Medicaid (fee-for-service)$68.70since 2020-01-01——Not classified—SCDHHS Base Physician Fee Schedule (sche
New JerseyAny qualified provider (rate does not vary by provider) · New Jersey Medicaid / NJ FamilyCare (fee-for-service)$61.16since 2026-07-01——Not classified—NJMMIS Procedure Master Listing CPTHCPCS

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 15774?

It depends on the state. Of the 33 states with a published fee-for-service rate, the median is $128.57. Iowa pays the most ($345.00) and New Jersey the least ($61.16).

Which state pays the highest Medicaid rate for 15774?

Iowa, at $345.00, effective 2020-01-01.

Do managed-care plans pay the same rate for 15774?

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.

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Medicaid rates by state
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