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22527 Medicaid reimbursement rates by state

Physician and practitioner services (fee schedule). 16 state Medicaid programs publish a fee-for-service rate for 22527 at the physician psychologist level. Rates run from $76.06 in Washington to $1,574.45 in Maryland, with a median of $1,048.81.

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

States publishing
16
Median rate
$1,048.81units vary by state
Highest
$1,574.45Maryland
Medicare (non-facility)
—not on the physician fee schedule

22527 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
MarylandAny qualified provider (rate does not vary by provider) · Maryland Medicaid (fee-for-service, MDH)$1,574.45since 2026-01-01——Not classified—Maryland Medicaid Professional Services
OklahomaAny qualified provider (rate does not vary by provider) · Oklahoma SoonerCare (fee-for-service, OHCA)$1,343.03since 2026-07-01——Plans must pay at least this—SoonerCare Title XIX Fee Schedule
ColoradoAny qualified provider (rate does not vary by provider) · Child Health Plan Plus (CHP+, Colorado's CHIP)$1,293.18since 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)$1,256.39since 2026-02-01——Plans negotiate; applies out of network—MHCP Fee Schedule - Current Fee Schedule
KansasAny qualified provider (rate does not vary by provider) · MediKan (Kansas state-funded medical program, KMAP fee schedule)$1,221.15since 2009-12-18——Paid by the state, outside plans—KMAP Fee Schedule MKN Medicaid (FeeSched
KentuckyAny qualified provider (rate does not vary by provider) · Kentucky Medicaid (fee-for-service, DMS fee schedules)$1,113.91since 2020-01-01——Plans negotiate; applies out of network—KY Medicaid Physician fee schedule (2020
ConnecticutAny qualified provider (rate does not vary by provider) · Connecticut Medicaid / HUSKY Health (fee-for-service, CMAP)$1,091.71since 2008-01-01——Not classified—CMAP fee schedule: Physician Surgical 04
New YorkPhysician or licensed psychologist (incl. BCBA-D) · New York Medicaid (fee-for-service)$1,079.91since 2023-01-01unit—Plans negotiate; applies out of network—eMedNY Physician Fee Schedule Sect 5 (Su
MichiganAny qualified provider (rate does not vary by provider) · Michigan Medicaid (fee-for-service)$1,017.71since 2026-01-01——Plans negotiate; applies out of network—MDHHS Practitioner and Medical Clinic Fe
LouisianaAny qualified provider (rate does not vary by provider) · Louisiana Medicaid (fee-for-service)$868.10since 2013-02-01——Plans must pay at least this—Louisiana Medicaid Professional Services
IndianaAny qualified provider (rate does not vary by provider) · Indiana Medicaid (fee-for-service)$138.05since 2026-01-01unit—Plans must pay at least this—IHCP Professional Fee Schedule (Last Upd
New JerseyAny qualified provider (rate does not vary by provider) · New Jersey Medicaid / NJ FamilyCare (fee-for-service)$126.96since 2014-07-01——Not classified—NJMMIS Procedure Master Listing children
TexasPhysician or licensed psychologist (incl. BCBA-D) · Texas Medicaid (fee-for-service, TMHP)$120.55since 2026-03-01——Plans negotiate; applies out of network—TMHP Texas Medicaid Fee Schedule - Physi
OhioAny qualified provider (rate does not vary by provider) · Ohio Medicaid (fee-for-service)$118.38since 2013-12-31——Plans negotiate; applies out of network—Appendix DD to OAC 5160-1-60 (Non-Instit
MassachusettsAny qualified provider (rate does not vary by provider) · MassHealth (fee-for-service, EOHHS 101 CMR rate regulations)$111.26since 2026-10-01——Plans negotiate; applies out of network—Emergency Adoption (date filed: Septembe
WashingtonAny qualified provider (rate does not vary by provider) · Washington Apple Health (Medicaid) fee-for-service$76.06since 2026-07-01——Plans negotiate; applies out of network—HCA Physician-related services fee sched

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 22527?

It depends on the state. Of the 16 states with a published fee-for-service rate, the median is $1,048.81. Maryland pays the most ($1,574.45) and Washington the least ($76.06).

Which state pays the highest Medicaid rate for 22527?

Maryland, at $1,574.45, effective 2026-01-01.

Do managed-care plans pay the same rate for 22527?

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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