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28043 Medicaid reimbursement rate by state (2026)

Physician and practitioner services (fee schedule). Medicaid pays a median of $258.40 for 28043 across 49 states, from $24.30 in Rhode Island to $635.23 in Alaska.

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

States publishing
49
National median
$258.40units vary by state
Lowest
$24.30Rhode Island
Highest
$635.23Alaska

What does Medicaid pay for 28043?

49 state Medicaid programs publish a fee-for-service rate for 28043 at the physician psychologist level. The national median is $258.40 (units differ between states). Alaska pays the most, $635.23, and Rhode Island the least, $24.30, a 26.1x spread.

Medicare (non-facility, 2026 physician fee schedule): $341.81–$496.09 depending on the state's Medicare locality.

28043 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$635.23——Not classified—
2Alabama Source · since 2026-09-24$613.69——Not classified—
3Connecticut Source · since 2026-01-01$573.32——Not classified—
24Maine Source · since 2026-01-01$259.10——Not classified—
25West Virginia Source · since 2026-04-01$258.40——Plans negotiate; applies out of network—
26Arizona Source · since 2026-10-01$256.71——Plans negotiate; applies out of network—
48New Jersey Source · since 2024-12-01$32.95——Not classified—
49Rhode Island Source · since 1996-01-01$24.30——Plans negotiate; applies out of network—
See all 49 states for 28043 — 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.

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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 28043 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 28043?

It depends on the state. Of the 49 states with a published fee-for-service rate, the median is $258.40. Alaska pays the most ($635.23) and Rhode Island the least ($24.30).

Which state pays the highest Medicaid rate for 28043?

Alaska, at $635.23, effective 2026-07-01.

Do managed-care plans pay the same rate for 28043?

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 28043

28024Physician and practitioner services (fee schedule) · 49 states28035Physician and practitioner services (fee schedule) · 49 states28039Physician and practitioner services (fee schedule) · 49 states28041Physician and practitioner services (fee schedule) · 49 states28045Physician and practitioner services (fee schedule) · 49 states28046Physician and practitioner services (fee schedule) · 49 states28047Physician and practitioner services (fee schedule) · 48 states28050Physician and practitioner services (fee schedule) · 49 states

Most-published Physician & professional codes

10005Physician and practitioner services (fee schedule) · 50 states10006Physician and practitioner services (fee schedule) · 50 states10007Physician and practitioner services (fee schedule) · 50 states10008Physician and practitioner services (fee schedule) · 50 states10009Physician and practitioner services (fee schedule) · 50 states10010Physician and practitioner services (fee schedule) · 50 states10021Physician and practitioner services (fee schedule) · 50 states10030Physician and practitioner services (fee schedule) · 50 states

Highest-paying states

Alaska Medicaid fee scheduleAlabama Medicaid fee scheduleConnecticut Medicaid fee schedule