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27713 Medicaid reimbursement rates by state

Physician and practitioner services (fee schedule). 29 state Medicaid programs publish a fee-for-service rate for 27713 at the physician psychologist level. Rates run from $61.00 in California to $2,595.12 in Alabama, with a median of $1,332.50.

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

States publishing
29
Median rate
$1,332.50units vary by state
Highest
$2,595.12Alabama
Medicare (non-facility)
—not on the physician fee schedule

27713 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)$2,595.12since 2026-09-24——Not classified—Teaching Facility Fee Schedule
MontanaPhysician or licensed psychologist (incl. BCBA-D) · Montana Medicaid and HMK Plus (fee-for-service)$2,464.88since 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)$1,846.01since 2026-01-01——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)$1,811.50since 2026-10-01——Plans negotiate; applies out of network—AHCCCS Arizona Health Care Cost Containm
HawaiiAny qualified provider (rate does not vary by provider) · Hawaii Medicaid (Med-QUEST) fee-for-service$1,769.12since 2026-06-01——Plans must pay at least this—Medicaid Fee-For-Service (FFS) Fee Sched
IndianaAny qualified provider (rate does not vary by provider) · Indiana Medicaid (fee-for-service)$1,563.17since 2026-01-01unit—Plans must pay at least this—IHCP Professional Fee Schedule (Last Upd
VirginiaAny qualified provider (rate does not vary by provider) · Virginia Medicaid (fee-for-service, DMAS)$1,541.84since 2026-01-01——Plans negotiate; applies out of network—DMAS procedure fee file cptmedical1.csv
GeorgiaAny qualified provider (rate does not vary by provider) · Georgia Medicaid (fee-for-service)$1,525.24since 2026-01-01——Plans negotiate; applies out of network—Schedule of Maximum Allw Pymt Physician
New YorkPhysician or licensed psychologist (incl. BCBA-D) · New York Medicaid (fee-for-service)$1,514.97since 2026-04-01unit—Plans negotiate; applies out of network—eMedNY Physician Fee Schedule Sect 5 (Su
MississippiAny qualified provider (rate does not vary by provider) · Mississippi Medicaid (fee-for-service)$1,457.01since 2026-01-01——Plans must pay at least this—DOM Comprehensive Fee Schedule, June 202
North CarolinaAny qualified provider (rate does not vary by provider) · North Carolina Medicaid Direct (fee-for-service)$1,410.01since 2026-01-01——Plans must pay at least this—NC Medicaid fee schedule 'Nurse Practiti
IdahoAny qualified provider (rate does not vary by provider) · Idaho Medicaid (fee-for-service, Division of Medicaid / Gainwell)$1,391.69since 2026-07-01——Not classified—Idaho Medicaid Numerical Fee Schedule Ju
ColoradoAny qualified provider (rate does not vary by provider) · Child Health Plan Plus (CHP+, Colorado's CHIP)$1,386.39since 2026-07-01——Plans negotiate; applies out of network—Child Health Plan Plus FY 2026-2027 Fee
OhioAny qualified provider (rate does not vary by provider) · Ohio Medicaid (fee-for-service)$1,359.33since 2026-01-01——Plans negotiate; applies out of network—ODM CPT/HCPCS procedure code changes for
UtahAny qualified provider (rate does not vary by provider) · Utah Medicaid (fee-for-service, Traditional plan)$1,332.50since 2026-07-01——Plans negotiate; applies out of network—Utah Medicaid Coverage and Reimbursement
MassachusettsAny qualified provider (rate does not vary by provider) · MassHealth (fee-for-service, EOHHS 101 CMR rate regulations)$1,300.20since 2026-01-01——Plans negotiate; applies out of network—Administrative Bulletin 26-09: 101 CMR 3
MinnesotaAny qualified provider (rate does not vary by provider) · Minnesota Health Care Programs: Medical Assistance (fee-for-service)$1,271.06since 2026-02-01——Plans negotiate; applies out of network—MHCP Fee Schedule - Current Fee Schedule
IllinoisAny qualified provider (rate does not vary by provider) · Illinois Medicaid (HFS fee-for-service)$1,222.95since 2026-01-01——Plans negotiate; applies out of network—HFS Practitioner Fee Schedule (effective
MaineAny qualified provider (rate does not vary by provider) · MaineCare (fee-for-service)$1,184.92since 2026-01-01——Not classified—MaineCare Fee Schedule (MaineCare UCR, H
MichiganAny qualified provider (rate does not vary by provider) · Michigan Medicaid (fee-for-service)$1,118.46since 2026-01-01——Plans negotiate; applies out of network—MDHHS Practitioner and Medical Clinic Fe
ConnecticutAny qualified provider (rate does not vary by provider) · Connecticut Medicaid / HUSKY Health (fee-for-service, CMAP)$1,068.76since 2026-01-01——Not classified—CMAP fee schedule: Physician Surgical 04
WashingtonAny qualified provider (rate does not vary by provider) · Washington Apple Health (Medicaid) fee-for-service$1,032.70since 2026-07-01——Plans negotiate; applies out of network—HCA Physician-related services fee sched
MissouriAny qualified provider (rate does not vary by provider) · Missouri MO HealthNet (fee-for-service)$969.34since 2026-01-01——Plans must pay at least this—MO HealthNet fee schedule: Practitioner
KansasAny qualified provider (rate does not vary by provider) · Kansas Medicaid QMB (Qualified Medicare Beneficiary) KMAP fee schedule$401.46since 2026-01-01——Not classified—KMAP Fee Schedule QMB Medicaid (FeeSched
ArkansasAny qualified provider (rate does not vary by provider) · Arkansas Medicaid (fee-for-service)$380.78since 2026-03-25——Not classified—Arkansas Medicaid Physician / CRNA / Fam
Rhode IslandAny qualified provider (rate does not vary by provider) · Rhode Island Medicaid (fee-for-service)$270.95since 2026-01-01——Plans negotiate; applies out of network—RI Medicaid Interactive Fee For Service
TexasPhysician or licensed psychologist (incl. BCBA-D) · Texas Medicaid (fee-for-service, TMHP)$216.95since 2026-01-01——Plans negotiate; applies out of network—TMHP Texas Medicaid Fee Schedule - Physi
New HampshireAny qualified provider (rate does not vary by provider) · New Hampshire Medicaid (fee-for-service, DHHS / NH MMIS)$132.47since 2026-01-01——Plans negotiate; applies out of network—2026 Fee Schedule - Covered Procedures R
CaliforniaAny qualified provider (rate does not vary by provider) · California Medi-Cal (fee-for-service)$61.00since 2026-10-01——Plans negotiate; applies out of network—Medi-Cal UA and UB Modifier Maximum Allo

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 27713?

It depends on the state. Of the 29 states with a published fee-for-service rate, the median is $1,332.50. Alabama pays the most ($2,595.12) and California the least ($61.00).

Which state pays the highest Medicaid rate for 27713?

Alabama, at $2,595.12, effective 2026-09-24.

Do managed-care plans pay the same rate for 27713?

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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