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22548 Medicaid reimbursement rates by state

Physician and practitioner services (fee schedule). 41 state Medicaid programs publish a fee-for-service rate for 22548 at the physician psychologist level. Rates run from $9.30 in New Jersey to $2,986.18 in Alabama, with a median of $1,452.25.

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

States publishing
41
Median rate
$1,452.25units vary by state
Highest
$2,986.18Alabama
Medicare (non-facility)
—not on the physician fee schedule

22548 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
AlabamaPhysician or licensed psychologist (incl. BCBA-D) · Alabama Medicaid (fee-for-service, Alabama Medicaid Agency fee schedules)$2,986.18since 2026-09-24——Not classified—Teaching Facility Fee Schedule
New MexicoAny qualified provider (rate does not vary by provider) · New Mexico Medicaid (fee-for-service, HCA Medical Assistance Division)$2,941.27since 2025-01-01——Plans must pay at least this—New Mexico Medicaid Fee for Service CPT
MontanaPhysician or licensed psychologist (incl. BCBA-D) · Montana Medicaid and HMK Plus (fee-for-service)$2,730.99since 2026-07-01——Not classified—Montana Healthcare Programs fee schedule
NevadaPhysician or licensed psychologist (incl. BCBA-D) · Nevada Medicaid (fee-for-service provider-type reimbursement schedules)$2,073.54since 2024-01-01——Plans must pay at least this—Provider Type 20 Physician, MD., Osteopa
ArizonaAny qualified provider (rate does not vary by provider) · Arizona AHCCCS fee-for-service (AIHP, Tribal ALTCS, TRBHA and other FFS members)$1,980.75since 2026-10-01——Plans negotiate; applies out of network—AHCCCS Arizona Health Care Cost Containm
New YorkPhysician or licensed psychologist (incl. BCBA-D) · New York Medicaid (fee-for-service)$1,881.62since 2023-10-01unit—Plans negotiate; applies out of network—eMedNY Physician Fee Schedule Sect 5 (Su
MarylandAny qualified provider (rate does not vary by provider) · Maryland Medicaid (fee-for-service, MDH)$1,753.57since 2026-01-01——Not classified—Maryland Medicaid Professional Services
IndianaAny qualified provider (rate does not vary by provider) · Indiana Medicaid (fee-for-service)$1,707.37since 2026-01-01unit—Plans must pay at least this—IHCP Professional Fee Schedule (Last Upd
IowaPhysician or licensed psychologist (incl. BCBA-D) · Iowa Medicaid (fee-for-service schedules; the floor IA Health Link plans must pay)$1,694.25since 2013-07-01——Plans must pay at least this—Iowa Medicaid fee schedule #02 PHYSICIAN
VirginiaAny qualified provider (rate does not vary by provider) · Virginia Medicaid (fee-for-service, DMAS)$1,683.74since 2026-07-01——Plans negotiate; applies out of network—DMAS procedure fee file cptmedical1.csv
OklahomaAny qualified provider (rate does not vary by provider) · Oklahoma SoonerCare (fee-for-service, OHCA)$1,672.91since 2026-07-01——Plans must pay at least this—SoonerCare Title XIX Fee Schedule
UtahPhysician or licensed psychologist (incl. BCBA-D) · Utah Medicaid (fee-for-service, Traditional plan)$1,639.00since 2026-07-01——Plans negotiate; applies out of network—Utah Medicaid Coverage and Reimbursement
GeorgiaAny qualified provider (rate does not vary by provider) · Georgia Medicaid (fee-for-service)$1,619.79since 2017-01-01——Plans negotiate; applies out of network—Physician Maximum Allowed Fee Schedule -
LouisianaAny qualified provider (rate does not vary by provider) · Louisiana Medicaid (fee-for-service)$1,617.24since 2025-07-01——Plans must pay at least this—Louisiana Medicaid Professional Services
IllinoisAny qualified provider (rate does not vary by provider) · Illinois Medicaid (HFS fee-for-service)$1,597.81since 2013-01-01——Plans negotiate; applies out of network—HFS Practitioner Fee Schedule (effective
MississippiAny qualified provider (rate does not vary by provider) · Mississippi Medicaid (fee-for-service)$1,575.69since 2026-07-01——Plans must pay at least this—DOM Comprehensive Fee Schedule, Septembe
FloridaAny qualified provider (rate does not vary by provider) · Florida Medicaid (fee-for-service)$1,511.61since 2026-01-01——Plans negotiate; applies out of network—Practitioner Fee Schedule (2026-01-01)
VermontAny qualified provider (rate does not vary by provider) · Vermont Medicaid (fee-for-service, DVHA)$1,492.02since 2026-01-01——Not classified—Vermont Medicaid Fee Schedule - CPT Code
IdahoAny qualified provider (rate does not vary by provider) · Idaho Medicaid (fee-for-service, Division of Medicaid / Gainwell)$1,462.00since 2026-07-01——Not classified—Idaho Medicaid Numerical Fee Schedule Ju
West VirginiaAny qualified provider (rate does not vary by provider) · West Virginia Medicaid (fee-for-service, Bureau for Medical Services)$1,458.14since 2026-04-01——Plans negotiate; applies out of network—BMS RBRVS 2026 Effective 4/1/26 - 3/31/2
MassachusettsAny qualified provider (rate does not vary by provider) · MassHealth (fee-for-service, EOHHS 101 CMR rate regulations)$1,452.25since 2026-10-01——Plans negotiate; applies out of network—Emergency Adoption (date filed: Septembe
KentuckyAny qualified provider (rate does not vary by provider) · Kentucky Medicaid (fee-for-service, DMS fee schedules)$1,409.34since 2020-01-01——Plans negotiate; applies out of network—KY Medicaid Physician fee schedule (2020
OhioAny qualified provider (rate does not vary by provider) · Ohio Medicaid (fee-for-service)$1,374.27since 2024-01-01——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)$1,348.24since 2025-10-01——Plans must pay at least this—NC Medicaid fee schedule 'Nurse Practiti
MinnesotaAny qualified provider (rate does not vary by provider) · Minnesota Health Care Programs: Medical Assistance (fee-for-service)$1,310.42since 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)$1,309.46since 2026-07-01——Plans negotiate; applies out of network—Child Health Plan Plus FY 2026-2027 Fee
MaineAny qualified provider (rate does not vary by provider) · MaineCare (fee-for-service)$1,265.28since 2026-01-01——Not classified—MaineCare Fee Schedule (MaineCare UCR, H
ConnecticutAny qualified provider (rate does not vary by provider) · Connecticut Medicaid / HUSKY Health (fee-for-service, CMAP)$1,264.37since 2026-01-01——Not classified—CMAP fee schedule: Physician Surgical 04
MichiganAny qualified provider (rate does not vary by provider) · Michigan Medicaid (fee-for-service)$1,239.45since 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$1,117.94since 2026-07-01——Plans negotiate; applies out of network—HCA Physician-related services fee sched
KansasAny qualified provider (rate does not vary by provider) · MediKan (Kansas state-funded medical program, KMAP fee schedule)$937.57since 2024-08-01——Paid by the state, outside plans—KMAP Fee Schedule MKN Medicaid (FeeSched
South CarolinaAny qualified provider (rate does not vary by provider) · South Carolina Healthy Connections Medicaid (fee-for-service)$798.41since 2024-07-01——Plans negotiate; applies out of network—SCDHHS Nurse Midwives Fee Schedule (sche
New HampshireAny qualified provider (rate does not vary by provider) · New Hampshire Medicaid (fee-for-service, DHHS / NH MMIS)$766.39since 2023-07-01——Plans negotiate; applies out of network—2026 Fee Schedule - Covered Procedures R
MissouriAny qualified provider (rate does not vary by provider) · Missouri MO HealthNet (fee-for-service)$735.65since 2022-07-01——Plans must pay at least this—MO HealthNet fee schedule: Practitioner
NebraskaAny qualified provider (rate does not vary by provider) · Nebraska Medicaid (fee-for-service)$510.45since 2026-07-01——Plans negotiate; applies out of network—Nebraska Medicaid fee schedule 471-000-5
WisconsinAny qualified provider (rate does not vary by provider) · Wisconsin Medicaid and BadgerCare Plus (fee-for-service, ForwardHealth maximum allowable fees)$377.38since 2008-07-01——Plans negotiate; applies out of network—ForwardHealth max fee schedule: Medical-
CaliforniaAny qualified provider (rate does not vary by provider) · California Medi-Cal (fee-for-service)$345.08since 2026-10-01——Plans negotiate; applies out of network—Medi-Cal Rates (Rates files zip: rates_d
ArkansasAny qualified provider (rate does not vary by provider) · Arkansas Medicaid (fee-for-service)$270.76since 2025-06-13——Not classified—Arkansas Medicaid Physician / CRNA / Fam
TexasPhysician or licensed psychologist (incl. BCBA-D) · Texas Medicaid (fee-for-service, TMHP)$248.88since 2026-03-01——Plans negotiate; applies out of network—TMHP Texas Medicaid Fee Schedule - Physi
OregonAny qualified provider (rate does not vary by provider) · Oregon Health Plan (fee-for-service, OHA)$237.97since 2026-02-01——Plans negotiate; applies out of network—OHP FFS medical-dental fee schedule (fee
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 22548?

It depends on the state. Of the 41 states with a published fee-for-service rate, the median is $1,452.25. Alabama pays the most ($2,986.18) and New Jersey the least ($9.30 per base unit).

Which state pays the highest Medicaid rate for 22548?

Alabama, at $2,986.18, effective 2026-09-24.

Do managed-care plans pay the same rate for 22548?

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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