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32097 Medicaid reimbursement rates by state

Physician and practitioner services (fee schedule). 32 state Medicaid programs publish a fee-for-service rate for 32097 at the physician psychologist level. Rates run from $95.23 in Texas to $1,243.25 in Alabama, with a median of $562.08.

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

States publishing
32
Median rate
$562.08units vary by state
Highest
$1,243.25Alabama
Medicare (non-facility)
—not on the physician fee schedule

32097 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)$1,243.25since 2026-09-24——Not classified—Teaching Facility Fee Schedule
NebraskaAny qualified provider (rate does not vary by provider) · Nebraska Medicaid (fee-for-service)$1,037.40since 2026-07-01——Plans negotiate; applies out of network—Nebraska Medicaid fee schedule 471-000-5
ArizonaAny qualified provider (rate does not vary by provider) · Arizona AHCCCS fee-for-service (AIHP, Tribal ALTCS, TRBHA and other FFS members)$792.44since 2026-10-01——Plans negotiate; applies out of network—AHCCCS Arizona Health Care Cost Containm
IowaPhysician or licensed psychologist (incl. BCBA-D) · Iowa Medicaid (fee-for-service schedules; the floor IA Health Link plans must pay)$765.47since 2013-07-01——Plans must pay at least this—Iowa Medicaid fee schedule #02 PHYSICIAN
New YorkPhysician or licensed psychologist (incl. BCBA-D) · New York Medicaid (fee-for-service)$739.89since 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)$703.30since 2026-01-01——Not classified—Maryland Medicaid Professional Services
IndianaAny qualified provider (rate does not vary by provider) · Indiana Medicaid (fee-for-service)$702.02since 2026-01-01unit—Plans must pay at least this—IHCP Professional Fee Schedule (Last Upd
GeorgiaAny qualified provider (rate does not vary by provider) · Georgia Medicaid (fee-for-service)$697.88since 2017-01-01——Plans negotiate; applies out of network—Physician Maximum Allowed Fee Schedule -
OklahomaAny qualified provider (rate does not vary by provider) · Oklahoma SoonerCare (fee-for-service, OHCA)$676.55since 2026-07-01——Plans must pay at least this—SoonerCare Title XIX Fee Schedule
VirginiaAny qualified provider (rate does not vary by provider) · Virginia Medicaid (fee-for-service, DMAS)$666.96since 2026-07-01——Plans negotiate; applies out of network—DMAS procedure fee file cptmedical2.csv
LouisianaAny qualified provider (rate does not vary by provider) · Louisiana Medicaid (fee-for-service)$660.05since 2013-02-01——Plans must pay at least this—Louisiana Medicaid Professional Services
KentuckyAny qualified provider (rate does not vary by provider) · Kentucky Medicaid (fee-for-service, DMS fee schedules)$656.11since 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)$644.70since 2026-01-01——Not classified—CMAP fee schedule: Physician Surgical 04
ColoradoAny qualified provider (rate does not vary by provider) · Child Health Plan Plus (CHP+, Colorado's CHIP)$642.48since 2026-07-01——Plans negotiate; applies out of network—Child Health Plan Plus FY 2026-2027 Fee
FloridaAny qualified provider (rate does not vary by provider) · Florida Medicaid (fee-for-service)$598.77since 2026-01-01——Plans negotiate; applies out of network—Practitioner Fee Schedule (2026-01-01)
MassachusettsAny qualified provider (rate does not vary by provider) · MassHealth (fee-for-service, EOHHS 101 CMR rate regulations)$579.08since 2026-10-01——Plans negotiate; applies out of network—Emergency Adoption (date filed: Septembe
IllinoisAny qualified provider (rate does not vary by provider) · Illinois Medicaid (HFS fee-for-service)$545.08since 2024-04-01——Plans negotiate; applies out of network—HFS Practitioner Fee Schedule (effective
MinnesotaAny qualified provider (rate does not vary by provider) · Minnesota Health Care Programs: Medical Assistance (fee-for-service)$537.49since 2026-02-01——Plans negotiate; applies out of network—MHCP Fee Schedule - Current Fee Schedule
MichiganAny qualified provider (rate does not vary by provider) · Michigan Medicaid (fee-for-service)$490.97since 2026-01-01——Plans negotiate; applies out of network—MDHHS Practitioner and Medical Clinic Fe
KansasAny qualified provider (rate does not vary by provider) · MediKan (Kansas state-funded medical program, KMAP fee schedule)$459.73since 2024-08-01——Paid by the state, outside plans—KMAP Fee Schedule MKN Medicaid (FeeSched
North CarolinaAny qualified provider (rate does not vary by provider) · North Carolina Medicaid Direct (fee-for-service)$459.72since 2025-10-01——Plans must pay at least this—NC Medicaid fee schedule 'Nurse Practiti
WashingtonAny qualified provider (rate does not vary by provider) · Washington Apple Health (Medicaid) fee-for-service$445.07since 2026-07-01——Plans negotiate; applies out of network—HCA Physician-related services fee sched
OhioAny qualified provider (rate does not vary by provider) · Ohio Medicaid (fee-for-service)$407.84since 2024-01-01——Plans negotiate; applies out of network—Appendix DD to OAC 5160-1-60 (Non-Instit
South CarolinaAny qualified provider (rate does not vary by provider) · South Carolina Healthy Connections Medicaid (fee-for-service)$354.51since 2024-07-01——Plans negotiate; applies out of network—SCDHHS Nurse Midwives Fee Schedule (sche
New JerseyAny qualified provider (rate does not vary by provider) · New Jersey Medicaid / NJ FamilyCare (fee-for-service)$330.26since 2026-07-01——Not classified—NJMMIS Procedure Master Listing CPTHCPCS
ArkansasAny qualified provider (rate does not vary by provider) · Arkansas Medicaid (fee-for-service)$146.39since 2025-06-13——Not classified—Arkansas Medicaid Physician / CRNA / Fam
CaliforniaAny qualified provider (rate does not vary by provider) · California Medi-Cal (fee-for-service)$133.28since 2026-10-01——Plans negotiate; applies out of network—Medi-Cal Rates (Rates files zip: rates_d
WisconsinAny qualified provider (rate does not vary by provider) · Wisconsin Medicaid and BadgerCare Plus (fee-for-service, ForwardHealth maximum allowable fees)$121.34since 2012-01-01——Plans negotiate; applies out of network—ForwardHealth max fee schedule: Medical-
MissouriAny qualified provider (rate does not vary by provider) · Missouri MO HealthNet (fee-for-service)$119.66since 2022-07-01——Plans must pay at least this—MO HealthNet fee schedule: Practitioner
PennsylvaniaPhysician or licensed psychologist (incl. BCBA-D) · Pennsylvania Medical Assistance (fee-for-service)$104.62since 2012-06-25——Plans negotiate; applies out of network—PA DHS PROMISe Outpatient Fee Schedule (
OregonAny qualified provider (rate does not vary by provider) · Oregon Health Plan (fee-for-service, OHA)$95.44since 2026-02-01——Plans negotiate; applies out of network—OHP FFS medical-dental fee schedule (fee
TexasPhysician or licensed psychologist (incl. BCBA-D) · Texas Medicaid (fee-for-service, TMHP)$95.23since 2026-09-01——Plans negotiate; applies out of network—TMHP Texas Medicaid Fee Schedule - Physi

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 32097?

It depends on the state. Of the 32 states with a published fee-for-service rate, the median is $562.08. Alabama pays the most ($1,243.25) and Texas the least ($95.23).

Which state pays the highest Medicaid rate for 32097?

Alabama, at $1,243.25, effective 2026-09-24.

Do managed-care plans pay the same rate for 32097?

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.

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