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37253 Medicaid reimbursement rates by state

Physician and practitioner services (fee schedule). 46 state Medicaid programs publish a fee-for-service rate for 37253 at the physician psychologist level. Rates run from $31.27 in New Jersey to $273.28 in Alaska, with a median of $114.44.

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

States publishing
46
Median rate
$114.44units vary by state
Highest
$273.28Alaska
Medicare (non-facility)
$149.13–$220.682026 physician fee schedule

37253 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)$273.28since 2026-07-01——Not classified—Alaska Medicaid Physician Fee Schedule S
MontanaAny qualified provider (rate does not vary by provider) · Montana Medicaid and HMK Plus (fee-for-service)$238.46since 2026-07-01——Not classified—Montana Healthcare Programs fee schedule
New MexicoAny qualified provider (rate does not vary by provider) · New Mexico Medicaid (fee-for-service, HCA Medical Assistance Division)$238.35since 2025-01-01——Plans must pay at least this—New Mexico Medicaid Fee for Service CPT
CaliforniaAny qualified provider (rate does not vary by provider) · California Medi-Cal (fee-for-service)$195.46since 2026-10-01——Plans negotiate; applies out of network—Medi-Cal Rates (Rates files zip: rates_d
IowaPhysician or licensed psychologist (incl. BCBA-D) · Iowa Medicaid (fee-for-service schedules; the floor IA Health Link plans must pay)$191.11since 2020-05-01——Plans must pay at least this—Iowa Medicaid fee schedule #02 PHYSICIAN
MarylandAny qualified provider (rate does not vary by provider) · Maryland Medicaid (fee-for-service, MDH)$176.53since 2026-01-01——Not classified—Maryland Medicaid Professional Services
DelawareAny qualified provider (rate does not vary by provider) · Delaware Medicaid (fee-for-service, DMMA / DMAP)$164.57since 2026-01-01——Plans negotiate; applies out of network—DMAP 2026 Physician Fee Schedule
KentuckyAny qualified provider (rate does not vary by provider) · Kentucky Medicaid (fee-for-service, DMS fee schedules)$164.35since 2020-01-01——Plans negotiate; applies out of network—KY Medicaid Physician fee schedule (2020
South DakotaAny qualified provider (rate does not vary by provider) · South Dakota Medicaid (fee-for-service, DSS Division of Medical Services)$160.94since 2026-07-01——Not classified—South Dakota Medicaid Physician fee sche
New YorkPhysician or licensed psychologist (incl. BCBA-D) · New York Medicaid (fee-for-service)$155.74since 2023-10-01unit—Plans negotiate; applies out of network—eMedNY Physician Fee Schedule Sect 5 (Su
LouisianaAny qualified provider (rate does not vary by provider) · Louisiana Medicaid (fee-for-service)$153.08since 2026-01-01——Plans must pay at least this—Louisiana Medicaid Enhanced Professional
WisconsinAny qualified provider (rate does not vary by provider) · Wisconsin Medicaid and BadgerCare Plus (fee-for-service, ForwardHealth maximum allowable fees)$150.36since 2016-01-01——Plans negotiate; applies out of network—ForwardHealth max fee schedule: Medical-
WyomingAny qualified provider (rate does not vary by provider) · Wyoming Medicaid (fee-for-service, Department of Health)$145.78since 2026-07-01——Not classified—Wyoming Medicaid Downloadable Fee Schedu
OklahomaAny qualified provider (rate does not vary by provider) · Oklahoma SoonerCare (fee-for-service, OHCA)$145.54since 2026-07-01——Plans must pay at least this—SoonerCare Title XIX Fee Schedule
UtahPhysician or licensed psychologist (incl. BCBA-D) · Utah Medicaid (fee-for-service, Traditional plan)$142.35since 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)$140.16since 2026-01-01——Not classified—Vermont Medicaid Fee Schedule - CPT Code
ConnecticutAny qualified provider (rate does not vary by provider) · Connecticut Medicaid / HUSKY Health (fee-for-service, CMAP)$138.15since 2026-01-01——Not classified—CMAP fee schedule: Physician Surgical 04
MississippiAny qualified provider (rate does not vary by provider) · Mississippi Medicaid (fee-for-service)$136.57since 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)$136.05since 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)$134.49since 2026-07-01——Not classified—Idaho Medicaid Numerical Fee Schedule Ju
MinnesotaAny qualified provider (rate does not vary by provider) · Minnesota Health Care Programs: Medical Assistance (fee-for-service)$128.13since 2026-02-01——Plans negotiate; applies out of network—MHCP Fee Schedule - Current Fee Schedule
TexasPhysician or licensed psychologist (incl. BCBA-D) · Texas Medicaid (fee-for-service, TMHP)$124.93since 2026-09-01——Plans negotiate; applies out of network—TMHP Texas Medicaid Fee Schedule - Physi
West VirginiaAny qualified provider (rate does not vary by provider) · West Virginia Medicaid (fee-for-service, Bureau for Medical Services)$115.17since 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)$113.71since 2026-01-01——Not classified—MaineCare Fee Schedule (MaineCare UCR, H
NebraskaAny qualified provider (rate does not vary by provider) · Nebraska Medicaid (fee-for-service)$111.14since 2026-07-01——Plans negotiate; applies out of network—Nebraska Medicaid fee schedule 471-000-5
MichiganAny qualified provider (rate does not vary by provider) · Michigan Medicaid (fee-for-service)$108.20since 2025-01-01——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)$99.51since 2024-08-01——Paid by the state, outside plans—KMAP Fee Schedule MKN Medicaid (FeeSched
ColoradoAny qualified provider (rate does not vary by provider) · Child Health Plan Plus (CHP+, Colorado's CHIP)$95.60since 2026-07-01——Plans negotiate; applies out of network—Child Health Plan Plus FY 2026-2027 Fee
MissouriAny qualified provider (rate does not vary by provider) · Missouri MO HealthNet (fee-for-service)$89.77since 2019-07-01——Plans must pay at least this—MO HealthNet fee schedule: Practitioner
South CarolinaAny qualified provider (rate does not vary by provider) · South Carolina Healthy Connections Medicaid (fee-for-service)$88.80since 2024-07-01——Plans negotiate; applies out of network—SCDHHS Nurse Midwives Fee Schedule (sche
NevadaPhysician or licensed psychologist (incl. BCBA-D) · Nevada Medicaid (fee-for-service provider-type reimbursement schedules)$77.93since 2024-01-01——Plans must pay at least this—Provider Type 20 Physician, MD., Osteopa
HawaiiAny qualified provider (rate does not vary by provider) · Hawaii Medicaid (Med-QUEST) fee-for-service$65.04since 2026-06-01——Plans must pay at least this—Medicaid Fee-For-Service (FFS) Fee Sched
GeorgiaAny qualified provider (rate does not vary by provider) · Georgia Medicaid (fee-for-service)$64.95since 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)$64.44since 2026-10-01——Plans negotiate; applies out of network—AHCCCS Arizona Health Care Cost Containm
North CarolinaPhysician or licensed psychologist (incl. BCBA-D) · North Carolina Medicaid Direct (fee-for-service)$63.35since 2025-10-01——Plans must pay at least this—NC Medicaid fee schedule 'Physician Serv
IndianaAny qualified provider (rate does not vary by provider) · Indiana Medicaid (fee-for-service)$61.71since 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)$60.93since 2016-01-01——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)$54.11since 2026-07-01——Plans negotiate; applies out of network—DMAS procedure fee file cptmedical2.csv
New HampshireAny qualified provider (rate does not vary by provider) · New Hampshire Medicaid (fee-for-service, DHHS / NH MMIS)$50.39since 2023-07-01——Plans negotiate; applies out of network—2026 Fee Schedule - Covered Procedures R
MassachusettsAny qualified provider (rate does not vary by provider) · MassHealth (fee-for-service, EOHHS 101 CMR rate regulations)$50.10since 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)$48.58since 2026-01-01——Plans negotiate; applies out of network—Practitioner Fee Schedule (2026-01-01)
IllinoisAny qualified provider (rate does not vary by provider) · Illinois Medicaid (HFS fee-for-service)$47.55since 2024-04-01——Plans negotiate; applies out of network—HFS Practitioner Fee Schedule (effective
ArkansasAny qualified provider (rate does not vary by provider) · Arkansas Medicaid (fee-for-service)$41.71since 2025-06-13——Not classified—Arkansas Medicaid Physician / CRNA / Fam
WashingtonAny qualified provider (rate does not vary by provider) · Washington Apple Health (Medicaid) fee-for-service$35.54since 2026-07-01——Plans negotiate; applies out of network—HCA Physician-related services fee sched
Rhode IslandAny qualified provider (rate does not vary by provider) · Rhode Island Medicaid (fee-for-service)$31.94since 2016-01-01——Plans negotiate; applies out of network—RI Medicaid Interactive Fee For Service
New JerseyAny qualified provider (rate does not vary by provider) · New Jersey Medicaid / NJ FamilyCare (fee-for-service)$31.27since 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 37253?

It depends on the state. Of the 46 states with a published fee-for-service rate, the median is $114.44. Alaska pays the most ($273.28) and New Jersey the least ($31.27).

Which state pays the highest Medicaid rate for 37253?

Alaska, at $273.28, effective 2026-07-01.

Do managed-care plans pay the same rate for 37253?

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 37253 in your statesYour codes on one rate card: every payer's rule, Medicare comparison, rank and rate changes.
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