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36410 Medicaid reimbursement rates by state

Physician and practitioner services (fee schedule). 43 state Medicaid programs publish a fee-for-service rate for 36410 at the physician psychologist level. Rates run from $4.59 in Washington to $31.40 in Alaska, with a median of $13.73.

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

States publishing
43
Median rate
$13.73units vary by state
Highest
$31.40Alaska
Medicare (non-facility)
$16.97–$24.852026 physician fee schedule

36410 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
AlaskaPhysician or licensed psychologist (incl. BCBA-D) · Alaska Medicaid (fee-for-service, Department of Health)$31.40since 2026-07-01——Not classified—Alaska Medicaid Physician Fee Schedule S
MontanaPhysician or licensed psychologist (incl. BCBA-D) · Montana Medicaid and HMK Plus (fee-for-service)$26.76since 2026-07-01——Not classified—Montana Healthcare Programs fee schedule
AlabamaPhysician or licensed psychologist (incl. BCBA-D) · Alabama Medicaid (fee-for-service, Alabama Medicaid Agency fee schedules)$25.56since 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)$24.71since 2025-01-01——Plans must pay at least this—New Mexico Medicaid Fee for Service CPT
North DakotaAny qualified provider (rate does not vary by provider) · North Dakota Medicaid (fee-for-service)$21.03since 2026-07-01——Not classified—ND Medicaid Professional (General) Servi
ArkansasAny qualified provider (rate does not vary by provider) · Arkansas Medicaid (fee-for-service)$19.80since 2025-05-15——Not classified—Arkansas Medicaid Oral Surgeon Fee Sched
DelawareAny qualified provider (rate does not vary by provider) · Delaware Medicaid (fee-for-service, DMMA / DMAP)$18.47since 2026-01-01——Plans negotiate; applies out of network—DMAP 2026 Physician Fee Schedule
South DakotaAny qualified provider (rate does not vary by provider) · South Dakota Medicaid (fee-for-service, DSS Division of Medical Services)$17.94since 2026-07-01——Not classified—South Dakota Medicaid Physician fee sche
IowaPhysician or licensed psychologist (incl. BCBA-D) · Iowa Medicaid (fee-for-service schedules; the floor IA Health Link plans must pay)$17.48since 2013-07-01——Plans must pay at least this—Iowa Medicaid fee schedule #02 PHYSICIAN
District of ColumbiaAny qualified provider (rate does not vary by provider) · DC Medicaid (DHCF) fee-for-service$17.31since 2026-01-01——Not classified—REFRP00178CSV - Medical Fee Schedule Rep
IllinoisAny qualified provider (rate does not vary by provider) · Illinois Medicaid (HFS fee-for-service)$16.65since 2010-02-01——Plans negotiate; applies out of network—HFS Practitioner Fee Schedule (effective
UtahPhysician or licensed psychologist (incl. BCBA-D) · Utah Medicaid (fee-for-service, Traditional plan)$16.03since 2026-07-01——Plans negotiate; applies out of network—Utah Medicaid Coverage and Reimbursement
VermontAny qualified provider (rate does not vary by provider) · Vermont Medicaid (fee-for-service, DVHA)$15.85since 2026-01-01——Not classified—Vermont Medicaid Fee Schedule - CPT Code
KansasAny qualified provider (rate does not vary by provider) · MediKan (Kansas state-funded medical program, KMAP fee schedule)$15.61since 2024-08-01——Paid by the state, outside plans—KMAP Fee Schedule MKN Medicaid (FeeSched
WyomingAny qualified provider (rate does not vary by provider) · Wyoming Medicaid (fee-for-service, Department of Health)$15.57since 2026-07-01——Not classified—Wyoming Medicaid Downloadable Fee Schedu
MississippiAny qualified provider (rate does not vary by provider) · Mississippi Medicaid (fee-for-service)$15.44since 2026-07-01——Plans must pay at least this—DOM Comprehensive Fee Schedule, Septembe
OregonAny qualified provider (rate does not vary by provider) · Oregon Health Plan (fee-for-service, OHA)$15.32since 2026-02-01——Plans negotiate; applies out of network—OHP FFS medical-dental fee schedule (fee
IdahoAny qualified provider (rate does not vary by provider) · Idaho Medicaid (fee-for-service, Division of Medicaid / Gainwell)$15.29since 2026-07-01——Not classified—Idaho Medicaid Numerical Fee Schedule Ju
ConnecticutAny qualified provider (rate does not vary by provider) · Connecticut Medicaid / HUSKY Health (fee-for-service, CMAP)$14.61since 2026-01-01——Not classified—CMAP fee schedule: Physician Surgical 04
MinnesotaAny qualified provider (rate does not vary by provider) · Minnesota Health Care Programs: Medical Assistance (fee-for-service)$14.40since 2026-02-01——Plans negotiate; applies out of network—MHCP Fee Schedule - Current Fee Schedule
LouisianaAny qualified provider (rate does not vary by provider) · Louisiana Medicaid (fee-for-service)$14.32since 2013-02-01——Plans must pay at least this—Louisiana Medicaid Professional Services
MarylandAny qualified provider (rate does not vary by provider) · Maryland Medicaid (fee-for-service, MDH)$13.73since 2026-01-01——Not classified—Maryland Medicaid Professional Services
CaliforniaAny qualified provider (rate does not vary by provider) · California Medi-Cal (fee-for-service)$13.62since 2026-10-01——Plans negotiate; applies out of network—Medi-Cal Rates (Rates files zip: rates_d
ColoradoAny qualified provider (rate does not vary by provider) · Child Health Plan Plus (CHP+, Colorado's CHIP)$13.31since 2026-07-01——Plans negotiate; applies out of network—Child Health Plan Plus FY 2026-2027 Fee
West VirginiaAny qualified provider (rate does not vary by provider) · West Virginia Medicaid (fee-for-service, Bureau for Medical Services)$12.93since 2026-04-01——Plans negotiate; applies out of network—BMS RBRVS 2026 Effective 4/1/26 - 3/31/2
MaineAny qualified provider (rate does not vary by provider) · MaineCare (fee-for-service)$12.89since 2026-01-01——Not classified—MaineCare Fee Schedule (MaineCare UCR, H
KentuckyAny qualified provider (rate does not vary by provider) · Kentucky Medicaid (fee-for-service, DMS fee schedules)$11.67since 2020-01-01——Plans negotiate; applies out of network—KY Medicaid Physician fee schedule (2020
New HampshireAny qualified provider (rate does not vary by provider) · New Hampshire Medicaid (fee-for-service, DHHS / NH MMIS)$10.95since 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)$10.59since 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)$10.57since 2026-07-01——Plans negotiate; applies out of network—Nebraska Medicaid fee schedule 471-000-5
NevadaPhysician or licensed psychologist (incl. BCBA-D) · Nevada Medicaid (fee-for-service provider-type reimbursement schedules)$10.26since 2024-01-01——Plans must pay at least this—Provider Type 20 Physician, MD., Osteopa
WisconsinAny qualified provider (rate does not vary by provider) · Wisconsin Medicaid and BadgerCare Plus (fee-for-service, ForwardHealth maximum allowable fees)$10.11since 2008-07-01——Plans negotiate; applies out of network—ForwardHealth max fee schedule: Medical-
HawaiiAny qualified provider (rate does not vary by provider) · Hawaii Medicaid (Med-QUEST) fee-for-service$8.79since 2026-06-01——Plans must pay at least this—Medicaid Fee-For-Service (FFS) Fee Sched
ArizonaAny qualified provider (rate does not vary by provider) · Arizona AHCCCS fee-for-service (AIHP, Tribal ALTCS, TRBHA and other FFS members)$8.50since 2026-10-01——Plans negotiate; applies out of network—AHCCCS Arizona Health Care Cost Containm
GeorgiaAny qualified provider (rate does not vary by provider) · Georgia Medicaid (fee-for-service)$8.47since 2017-01-01——Plans negotiate; applies out of network—OutPatient Max Allowed Site of Service F
New JerseyAny qualified provider (rate does not vary by provider) · New Jersey Medicaid / NJ FamilyCare (fee-for-service)$8.27since 2026-07-01——Not classified—NJMMIS Procedure Master Listing CPTHCPCS
IndianaAny qualified provider (rate does not vary by provider) · Indiana Medicaid (fee-for-service)$8.22since 2026-01-01unit—Plans must pay at least this—IHCP Professional Fee Schedule (Last Upd
OhioAny qualified provider (rate does not vary by provider) · Ohio Medicaid (fee-for-service)$7.49since 2013-12-31——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)$7.03since 2025-10-01——Plans must pay at least this—NC Medicaid fee schedule 'Nurse Practiti
VirginiaAny qualified provider (rate does not vary by provider) · Virginia Medicaid (fee-for-service, DMAS)$6.94since 2026-07-01——Plans negotiate; applies out of network—DMAS procedure fee file cptmedical2.csv
TexasPhysician or licensed psychologist (incl. BCBA-D) · Texas Medicaid (fee-for-service, TMHP)$6.74since 2026-09-01——Plans negotiate; applies out of network—TMHP Texas Medicaid Fee Schedule - Physi
MassachusettsAny qualified provider (rate does not vary by provider) · MassHealth (fee-for-service, EOHHS 101 CMR rate regulations)$6.68since 2026-10-01——Plans negotiate; applies out of network—Emergency Adoption (date filed: Septembe
WashingtonAny qualified provider (rate does not vary by provider) · Washington Apple Health (Medicaid) fee-for-service$4.59since 2026-07-01——Plans negotiate; applies out of network—HCA Physician-related services fee sched

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 36410?

It depends on the state. Of the 43 states with a published fee-for-service rate, the median is $13.73. Alaska pays the most ($31.40) and Washington the least ($4.59).

Which state pays the highest Medicaid rate for 36410?

Alaska, at $31.40, effective 2026-07-01.

Do managed-care plans pay the same rate for 36410?

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

Track 36410 in your statesYour codes on one rate card: every payer's rule, Medicare comparison, rank and rate changes.
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