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19342 Medicaid reimbursement rates by state

Physician and practitioner services (fee schedule). 24 state Medicaid programs publish a fee-for-service rate for 19342 at the physician psychologist level. Rates run from $9.30 in New Jersey to $1,185.60 in Nebraska, with a median of $596.71.

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

States publishing
24
Median rate
$596.71units vary by state
Highest
$1,185.60Nebraska
Medicare (non-facility)
—not on the physician fee schedule

19342 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)$1,185.60since 2026-07-01——Plans negotiate; applies out of network—Nebraska Medicaid fee schedule 471-000-5
MarylandAny qualified provider (rate does not vary by provider) · Maryland Medicaid (fee-for-service, MDH)$736.10since 2026-01-01——Not classified—Maryland Medicaid Professional Services
ArizonaAny qualified provider (rate does not vary by provider) · Arizona AHCCCS fee-for-service (AIHP, Tribal ALTCS, TRBHA and other FFS members)$717.02since 2026-10-01——Plans negotiate; applies out of network—AHCCCS Arizona Health Care Cost Containm
LouisianaAny qualified provider (rate does not vary by provider) · Louisiana Medicaid (fee-for-service)$710.01since 2026-01-01——Plans must pay at least this—Louisiana Medicaid Enhanced Professional
WisconsinAny qualified provider (rate does not vary by provider) · Wisconsin Medicaid and BadgerCare Plus (fee-for-service, ForwardHealth maximum allowable fees)$700.55since 2008-07-01——Plans negotiate; applies out of network—ForwardHealth max fee schedule: Medical-
New YorkPhysician or licensed psychologist (incl. BCBA-D) · New York Medicaid (fee-for-service)$695.35since 2023-10-01unit—Plans negotiate; applies out of network—eMedNY Physician Fee Schedule Sect 5 (Su
IndianaAny qualified provider (rate does not vary by provider) · Indiana Medicaid (fee-for-service)$689.71since 2026-01-01unit—Plans must pay at least this—IHCP Professional Fee Schedule (Last Upd
GeorgiaAny qualified provider (rate does not vary by provider) · Georgia Medicaid (fee-for-service)$688.70since 2017-01-01——Plans negotiate; applies out of network—Physician Maximum Allowed Fee Schedule -
KentuckyAny qualified provider (rate does not vary by provider) · Kentucky Medicaid (fee-for-service, DMS fee schedules)$651.49since 2020-01-01——Plans negotiate; applies out of network—KY Medicaid Physician fee schedule (2020
TexasPhysician or licensed psychologist (incl. BCBA-D) · Texas Medicaid (fee-for-service, TMHP)$612.93since 2025-03-01——Plans negotiate; applies out of network—TMHP Texas Medicaid Fee Schedule - Physi
ColoradoAny qualified provider (rate does not vary by provider) · Child Health Plan Plus (CHP+, Colorado's CHIP)$610.93since 2026-07-01——Plans negotiate; applies out of network—Child Health Plan Plus FY 2026-2027 Fee
VirginiaAny qualified provider (rate does not vary by provider) · Virginia Medicaid (fee-for-service, DMAS)$601.56since 2026-07-01——Plans negotiate; applies out of network—DMAS procedure fee file cptmedical1.csv
OhioAny qualified provider (rate does not vary by provider) · Ohio Medicaid (fee-for-service)$591.85since 2000-01-01——Plans negotiate; applies out of network—Appendix DD to OAC 5160-1-60 (Non-Instit
North CarolinaAny qualified provider (rate does not vary by provider) · North Carolina Medicaid Direct (fee-for-service)$587.17since 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)$573.87since 2026-10-01——Plans negotiate; applies out of network—Emergency Adoption (date filed: Septembe
IllinoisAny qualified provider (rate does not vary by provider) · Illinois Medicaid (HFS fee-for-service)$552.24since 2024-04-01——Plans negotiate; applies out of network—HFS Practitioner Fee Schedule (effective
FloridaAny qualified provider (rate does not vary by provider) · Florida Medicaid (fee-for-service)$540.06since 2026-01-01——Plans negotiate; applies out of network—Practitioner Fee Schedule (2026-01-01)
MinnesotaAny qualified provider (rate does not vary by provider) · Minnesota Health Care Programs: Medical Assistance (fee-for-service)$506.62since 2026-02-01——Plans negotiate; applies out of network—MHCP Fee Schedule - Current Fee Schedule
MissouriAny qualified provider (rate does not vary by provider) · Missouri MO HealthNet (fee-for-service)$458.09since 2022-07-01——Plans must pay at least this—MO HealthNet fee schedule: Practitioner
MichiganAny qualified provider (rate does not vary by provider) · Michigan Medicaid (fee-for-service)$442.83since 2026-01-01——Plans negotiate; applies out of network—MDHHS Practitioner and Medical Clinic Fe
WashingtonAny qualified provider (rate does not vary by provider) · Washington Apple Health (Medicaid) fee-for-service$411.06since 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)$317.83since 2024-07-01——Plans negotiate; applies out of network—SCDHHS Nurse Midwives Fee Schedule (sche
CaliforniaAny qualified provider (rate does not vary by provider) · California Medi-Cal (fee-for-service)$70.00since 2026-10-01——Plans negotiate; applies out of network—Medi-Cal UA and UB Modifier Maximum Allo
New JerseyAny qualified provider (rate does not vary by provider) · New Jersey Medicaid / NJ FamilyCare (fee-for-service)$9.30since 2014-07-01base unit—Not classified—NJMMIS Procedure Master Listing CPTCodes

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 19342?

It depends on the state. Of the 24 states with a published fee-for-service rate, the median is $596.71. Nebraska pays the most ($1,185.60) and New Jersey the least ($9.30 per base unit).

Which state pays the highest Medicaid rate for 19342?

Nebraska, at $1,185.60, effective 2026-07-01.

Do managed-care plans pay the same rate for 19342?

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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