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21070 Medicaid reimbursement rate by state (2026)

Physician and practitioner services (fee schedule). Medicaid pays a median of $467.88 for 21070 across 49 states, from $9.30 in New Jersey to $1,407.90 in Nebraska.

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

States publishing
49
National median
$467.88units vary by state
Lowest
$9.30New Jersey
Highest
$1,407.90Nebraska

What does Medicaid pay for 21070?

49 state Medicaid programs publish a fee-for-service rate for 21070 at the physician psychologist level. The national median is $467.88 (units differ between states). Nebraska pays the most, $1,407.90, and New Jersey the least, $9.30 per base unit, a 151.4x spread.

21070 rate by state: highest, middle and lowest

One like-for-like fee-for-service rate per state, ranked. The workspace lists all 49 states with every variant, modifier and effective date.

#StateMedicaid rateUnitPer hourManaged-care plans% of Medicare
1Nebraska Source · since 2026-07-01$1,407.90——Plans negotiate; applies out of network—
2Wisconsin Source · since 2008-07-01$1,094.49——Paid by the state, outside plans—
3Alabama Source · since 2026-09-24$950.07——Not classified—
24Oklahoma Source · since 2026-07-01$475.23——Plans must pay at least this—
25Virginia Source · since 2026-07-01$467.88——Plans negotiate; applies out of network—
26North Carolina Source · since 2025-10-01$467.75——Plans must pay at least this—
48Rhode Island Source · since 1996-01-01$80.03——Plans negotiate; applies out of network—
49New Jersey Source · since 2014-07-01$9.30base unit—Not classified—
See all 49 states for 21070 — start free

41 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 21070 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 21070?

It depends on the state. Of the 49 states with a published fee-for-service rate, the median is $467.88. Nebraska pays the most ($1,407.90) and New Jersey the least ($9.30 per base unit).

Which state pays the highest Medicaid rate for 21070?

Nebraska, at $1,407.90, effective 2026-07-01.

Do managed-care plans pay the same rate for 21070?

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.