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25630 Medicaid reimbursement rate by state (2026)

Physician and practitioner services (fee schedule). Medicaid pays a median of $250.99 for 25630 across 49 states, from $9.30 in New Jersey to $557.53 in Alaska.

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

States publishing
49
National median
$250.99units vary by state
Lowest
$9.30New Jersey
Highest
$557.53Alaska

What does Medicaid pay for 25630?

49 state Medicaid programs publish a fee-for-service rate for 25630 at the physician psychologist level. The national median is $250.99 (units differ between states). Alaska pays the most, $557.53, and New Jersey the least, $9.30 per base unit, a 59.9x spread.

Medicare (non-facility, 2026 physician fee schedule): $303.61–$447.27 depending on the state's Medicare locality.

25630 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
1Alaska Source · since 2026-07-01$557.53——Not classified—
2Montana Source · since 2026-07-01$484.95——Not classified—
3Alabama Source · since 2026-09-24$458.17——Not classified—
24Colorado Source · since 2026-07-01$251.57——Plans negotiate; applies out of network—
25Texas Source · since 2026-03-01$250.99——Plans negotiate; applies out of network—
26Louisiana Source · since 2025-07-01$250.91——Plans must pay at least this—
48Rhode Island Source · since 1996-01-01$27.30——Plans negotiate; applies out of network—
49New Jersey Source · since 2014-07-01$9.30base unit—Not classified—
See all 49 states for 25630 — 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 25630 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 25630?

It depends on the state. Of the 49 states with a published fee-for-service rate, the median is $250.99. Alaska pays the most ($557.53) and New Jersey the least ($9.30 per base unit).

Which state pays the highest Medicaid rate for 25630?

Alaska, at $557.53, effective 2026-07-01.

Do managed-care plans pay the same rate for 25630?

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.