21920 Medicaid reimbursement rate by state (2026)

Physician and practitioner services (fee schedule). Medicaid pays a median of $163.99 for 21920 across 50 states, from $6.30 in Rhode Island to $425.85 in Alaska.

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

States publishing: 50
National median: $163.99units vary by state
Lowest: $6.30Rhode Island
Highest: $425.85Alaska

What does Medicaid pay for 21920?

50 state Medicaid programs publish a fee-for-service rate for 21920 at the physician psychologist level. The national median is $163.99 (units differ between states). Alaska pays the most, $425.85, and Rhode Island the least, $6.30, a 67.6x spread.

Medicare (non-facility, 2026 physician fee schedule): $232.92–$348.57 depending on the state's Medicare locality.

21920 rate by state: highest, middle and lowest

One like-for-like fee-for-service rate per state, ranked. The workspace lists all 50 states with every variant, modifier and effective date.

#	State	Medicaid rate	Unit	Per hour	Managed-care plans	% of Medicare
1	Alaska Source · since 2026-07-01	$425.85	—	—	Not classified	—
2	Alabama Source · since 2026-09-24	$384.44	—	—	Not classified	—
3	Montana Source · since 2026-07-01	$370.86	—	—	Not classified	—
···
25	Michigan Source · since 2026-01-01	$168.27	—	—	Plans negotiate; applies out of network	—
26	Connecticut Source · since 2026-01-01	$159.71	—	—	Not classified	—
27	Hawaii Source · since 2026-06-01	$158.04	—	—	Plans must pay at least this	—
···
49	California Source · since 2026-10-01	$19.25	—	—	Plans negotiate; applies out of network	—
50	Rhode Island Source · since 1996-01-01	$6.30	—	—	Plans negotiate; applies out of network	—

See all 50 states for 21920 — start free

42 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.

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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 21920 in your states. Get an alert when any state changes it, with every variant and the managed-care rule.

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Frequently asked questions

What does Medicaid pay for 21920?

It depends on the state. Of the 50 states with a published fee-for-service rate, the median is $163.99. Alaska pays the most ($425.85) and Rhode Island the least ($6.30).

Which state pays the highest Medicaid rate for 21920?

Alaska, at $425.85, effective 2026-07-01.

Do managed-care plans pay the same rate for 21920?

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.

Related codes

Codes next to 21920

21813Physician and practitioner services (fee schedule) · 45 states 21820Physician and practitioner services (fee schedule) · 49 states 21825Physician and practitioner services (fee schedule) · 50 states 21899Physician and practitioner services (fee schedule) · 8 states 21925Physician and practitioner services (fee schedule) · 50 states 21930Physician and practitioner services (fee schedule) · 50 states 21931Physician and practitioner services (fee schedule) · 50 states 21932Physician and practitioner services (fee schedule) · 50 states

Most-published Physician & professional codes

Highest-paying states

Alaska Medicaid fee scheduleAlabama Medicaid fee scheduleMontana Medicaid fee schedule