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37193 Medicaid reimbursement rates by state

Physician and practitioner services (fee schedule). 41 state Medicaid programs publish a fee-for-service rate for 37193 at the physician psychologist level. Rates run from $151.00 in New Jersey to $2,380.95 in Alabama, with a median of $854.40.

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

States publishing
41
Median rate
$854.40units vary by state
Highest
$2,380.95Alabama
Medicare (non-facility)
$1,233.37–$1,927.262026 physician fee schedule

37193 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)$2,380.95since 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)$2,008.12since 2025-01-01——Plans must pay at least this—New Mexico Medicaid Fee for Service CPT
MontanaAny qualified provider (rate does not vary by provider) · Montana Medicaid and HMK Plus (fee-for-service)$1,984.95since 2026-07-01——Not classified—Montana Healthcare Programs fee schedule
MarylandAny qualified provider (rate does not vary by provider) · Maryland Medicaid (fee-for-service, MDH)$1,481.51since 2026-01-01——Not classified—Maryland Medicaid Professional Services
IowaPhysician or licensed psychologist (incl. BCBA-D) · Iowa Medicaid (fee-for-service schedules; the floor IA Health Link plans must pay)$1,468.17since 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)$1,414.68since 2023-10-01unit—Plans negotiate; applies out of network—eMedNY Physician Fee Schedule Sect 5 (Su
KentuckyAny qualified provider (rate does not vary by provider) · Kentucky Medicaid (fee-for-service, DMS fee schedules)$1,316.84since 2020-01-01——Plans negotiate; applies out of network—KY Medicaid Physician fee schedule (2020
LouisianaAny qualified provider (rate does not vary by provider) · Louisiana Medicaid (fee-for-service)$1,270.38since 2026-01-01——Plans must pay at least this—Louisiana Medicaid Enhanced Professional
OklahomaAny qualified provider (rate does not vary by provider) · Oklahoma SoonerCare (fee-for-service, OHCA)$1,200.03since 2026-07-01——Plans must pay at least this—SoonerCare Title XIX Fee Schedule
VermontAny qualified provider (rate does not vary by provider) · Vermont Medicaid (fee-for-service, DVHA)$1,182.76since 2026-01-01——Not classified—Vermont Medicaid Fee Schedule - CPT Code
UtahPhysician or licensed psychologist (incl. BCBA-D) · Utah Medicaid (fee-for-service, Traditional plan)$1,177.96since 2026-07-01——Plans negotiate; applies out of network—Utah Medicaid Coverage and Reimbursement
WisconsinAny qualified provider (rate does not vary by provider) · Wisconsin Medicaid and BadgerCare Plus (fee-for-service, ForwardHealth maximum allowable fees)$1,174.28since 2012-01-01——Plans negotiate; applies out of network—ForwardHealth max fee schedule: Medical-
ConnecticutAny qualified provider (rate does not vary by provider) · Connecticut Medicaid / HUSKY Health (fee-for-service, CMAP)$1,168.78since 2026-01-01——Not classified—CMAP fee schedule: Physician Surgical 04
OregonAny qualified provider (rate does not vary by provider) · Oregon Health Plan (fee-for-service, OHA)$1,142.77since 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)$1,124.70since 2026-07-01——Not classified—Idaho Medicaid Numerical Fee Schedule Ju
MississippiAny qualified provider (rate does not vary by provider) · Mississippi Medicaid (fee-for-service)$1,120.08since 2026-07-01——Plans must pay at least this—DOM Comprehensive Fee Schedule, Septembe
MinnesotaAny qualified provider (rate does not vary by provider) · Minnesota Health Care Programs: Medical Assistance (fee-for-service)$1,094.03since 2026-02-01——Plans negotiate; applies out of network—MHCP Fee Schedule - Current Fee Schedule
MaineAny qualified provider (rate does not vary by provider) · MaineCare (fee-for-service)$946.31since 2026-01-01——Not classified—MaineCare Fee Schedule (MaineCare UCR, H
West VirginiaAny qualified provider (rate does not vary by provider) · West Virginia Medicaid (fee-for-service, Bureau for Medical Services)$929.88since 2026-04-01——Plans negotiate; applies out of network—BMS RBRVS 2026 Effective 4/1/26 - 3/31/2
MichiganAny qualified provider (rate does not vary by provider) · Michigan Medicaid (fee-for-service)$900.56since 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)$854.40since 2024-08-01——Paid by the state, outside plans—KMAP Fee Schedule MKN Medicaid (FeeSched
New HampshireAny qualified provider (rate does not vary by provider) · New Hampshire Medicaid (fee-for-service, DHHS / NH MMIS)$840.73since 2023-07-01——Plans negotiate; applies out of network—2026 Fee Schedule - Covered Procedures R
South CarolinaAny qualified provider (rate does not vary by provider) · South Carolina Healthy Connections Medicaid (fee-for-service)$756.82since 2024-07-01——Plans negotiate; applies out of network—SCDHHS Nurse Midwives Fee Schedule (sche
NebraskaAny qualified provider (rate does not vary by provider) · Nebraska Medicaid (fee-for-service)$689.12since 2026-07-01——Plans negotiate; applies out of network—Nebraska Medicaid fee schedule 471-000-5
ColoradoAny qualified provider (rate does not vary by provider) · Child Health Plan Plus (CHP+, Colorado's CHIP)$406.49since 2026-07-01——Plans negotiate; applies out of network—Child Health Plan Plus FY 2026-2027 Fee
NevadaPhysician or licensed psychologist (incl. BCBA-D) · Nevada Medicaid (fee-for-service provider-type reimbursement schedules)$392.61since 2024-01-01——Plans must pay at least this—Provider Type 20 Physician, MD., Osteopa
ArkansasAny qualified provider (rate does not vary by provider) · Arkansas Medicaid (fee-for-service)$330.19since 2025-06-13——Not classified—Arkansas Medicaid Physician / CRNA / Fam
GeorgiaAny qualified provider (rate does not vary by provider) · Georgia Medicaid (fee-for-service)$315.70since 2017-01-01——Plans negotiate; applies out of network—OutPatient Max Allowed Site of Service F
ArizonaAny qualified provider (rate does not vary by provider) · Arizona AHCCCS fee-for-service (AIHP, Tribal ALTCS, TRBHA and other FFS members)$313.37since 2026-10-01——Plans negotiate; applies out of network—AHCCCS Arizona Health Care Cost Containm
IndianaAny qualified provider (rate does not vary by provider) · Indiana Medicaid (fee-for-service)$305.76since 2026-01-01unit—Plans must pay at least this—IHCP Professional Fee Schedule (Last Upd
CaliforniaAny qualified provider (rate does not vary by provider) · California Medi-Cal (fee-for-service)$303.05since 2026-10-01——Plans negotiate; applies out of network—Medi-Cal Rates (Rates files zip: rates_d
OhioAny qualified provider (rate does not vary by provider) · Ohio Medicaid (fee-for-service)$299.08since 2024-01-01——Plans negotiate; applies out of network—Appendix DD to OAC 5160-1-60 (Non-Instit
VirginiaAny qualified provider (rate does not vary by provider) · Virginia Medicaid (fee-for-service, DMAS)$261.57since 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)$253.73since 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)$247.13since 2026-10-01——Plans negotiate; applies out of network—Emergency Adoption (date filed: Septembe
FloridaAny qualified provider (rate does not vary by provider) · Florida Medicaid (fee-for-service)$234.83since 2026-01-01——Plans negotiate; applies out of network—Practitioner Fee Schedule (2026-01-01)
MissouriAny qualified provider (rate does not vary by provider) · Missouri MO HealthNet (fee-for-service)$234.81since 2022-07-01——Plans must pay at least this—MO HealthNet fee schedule: Practitioner
IllinoisAny qualified provider (rate does not vary by provider) · Illinois Medicaid (HFS fee-for-service)$230.25since 2024-04-01——Plans negotiate; applies out of network—HFS Practitioner Fee Schedule (effective
North CarolinaPhysician or licensed psychologist (incl. BCBA-D) · North Carolina Medicaid Direct (fee-for-service)$210.41since 2025-10-01——Plans must pay at least this—NC Medicaid fee schedule 'Physician Serv
WashingtonAny qualified provider (rate does not vary by provider) · Washington Apple Health (Medicaid) fee-for-service$173.52since 2026-07-01——Plans negotiate; applies out of network—HCA Physician-related services fee sched
New JerseyAny qualified provider (rate does not vary by provider) · New Jersey Medicaid / NJ FamilyCare (fee-for-service)$151.00since 2026-07-01——Not classified—NJMMIS Procedure Master Listing CPTHCPCS

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 37193?

It depends on the state. Of the 41 states with a published fee-for-service rate, the median is $854.40. Alabama pays the most ($2,380.95) and New Jersey the least ($151.00).

Which state pays the highest Medicaid rate for 37193?

Alabama, at $2,380.95, effective 2026-09-24.

Do managed-care plans pay the same rate for 37193?

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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