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37255 Medicaid reimbursement rates by state

Physician and practitioner services (fee schedule). 40 state Medicaid programs publish a fee-for-service rate for 37255 at the physician psychologist level. Rates run from $76.82 in Washington to $733.72 in Alabama, with a median of $319.92.

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

States publishing
40
Median rate
$319.92units vary by state
Highest
$733.72Alabama
Medicare (non-facility)
$444.09–$609.742026 physician fee schedule

37255 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)$733.72since 2026-09-24——Not classified—Teaching Facility Fee Schedule
MontanaPhysician or licensed psychologist (incl. BCBA-D) · Montana Medicaid and HMK Plus (fee-for-service)$716.88since 2026-07-01——Not classified—Montana Healthcare Programs fee schedule
South DakotaAny qualified provider (rate does not vary by provider) · South Dakota Medicaid (fee-for-service, DSS Division of Medical Services)$476.99since 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)$445.26since 2026-01-01unit—Plans negotiate; applies out of network—eMedNY Physician Fee Schedule Sect 5 (Su
IowaPhysician or licensed psychologist (incl. BCBA-D) · Iowa Medicaid (fee-for-service schedules; the floor IA Health Link plans must pay)$444.16since 2026-01-01——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)$433.91since 2026-01-01——Not classified—Maryland Medicaid Professional Services
OklahomaAny qualified provider (rate does not vary by provider) · Oklahoma SoonerCare (fee-for-service, OHCA)$433.91since 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)$422.64since 2026-01-01——Not classified—Vermont Medicaid Fee Schedule - CPT Code
ColoradoAny qualified provider (rate does not vary by provider) · Child Health Plan Plus (CHP+, Colorado's CHIP)$416.39since 2026-07-01——Plans negotiate; applies out of network—Child Health Plan Plus FY 2026-2027 Fee
KentuckyAny qualified provider (rate does not vary by provider) · Kentucky Medicaid (fee-for-service, DMS fee schedules)$413.46since 2026-01-01——Plans negotiate; applies out of network—KY Medicaid Physician fee schedule (2026
OregonAny qualified provider (rate does not vary by provider) · Oregon Health Plan (fee-for-service, OHA)$409.89since 2026-02-01——Plans negotiate; applies out of network—OHP FFS medical-dental fee schedule (fee
MississippiAny qualified provider (rate does not vary by provider) · Mississippi Medicaid (fee-for-service)$405.41since 2026-01-01——Plans must pay at least this—DOM Comprehensive Fee Schedule, June 202
IdahoAny qualified provider (rate does not vary by provider) · Idaho Medicaid (fee-for-service, Division of Medicaid / Gainwell)$403.18since 2026-07-01——Not classified—Idaho Medicaid Numerical Fee Schedule Ju
LouisianaAny qualified provider (rate does not vary by provider) · Louisiana Medicaid (fee-for-service)$394.94since 2026-01-01——Plans must pay at least this—Louisiana Medicaid Professional Services
MinnesotaAny qualified provider (rate does not vary by provider) · Minnesota Health Care Programs: Medical Assistance (fee-for-service)$388.52since 2026-02-01——Plans negotiate; applies out of network—MHCP Fee Schedule - Current Fee Schedule
UtahAny qualified provider (rate does not vary by provider) · Utah Medicaid (fee-for-service, Traditional plan)$380.29since 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)$345.45since 2026-01-01——Plans negotiate; applies out of network—ForwardHealth max fee schedule: Medical-
West VirginiaAny qualified provider (rate does not vary by provider) · West Virginia Medicaid (fee-for-service, Bureau for Medical Services)$341.84since 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)$340.41since 2026-01-01——Not classified—MaineCare Fee Schedule (MaineCare UCR, H
MichiganAny qualified provider (rate does not vary by provider) · Michigan Medicaid (fee-for-service)$325.25since 2026-01-01——Plans negotiate; applies out of network—MDHHS Practitioner and Medical Clinic Fe
ConnecticutAny qualified provider (rate does not vary by provider) · Connecticut Medicaid / HUSKY Health (fee-for-service, CMAP)$314.59since 2026-01-01——Not classified—CMAP fee schedule: Physician Surgical 04
KansasAny qualified provider (rate does not vary by provider) · MediKan (Kansas state-funded medical program, KMAP fee schedule)$299.78since 2026-01-01——Paid by the state, outside plans—KMAP Fee Schedule MKN Medicaid (FeeSched
South CarolinaAny qualified provider (rate does not vary by provider) · South Carolina Healthy Connections Medicaid (fee-for-service)$271.01since 2026-01-01——Plans negotiate; applies out of network—SCDHHS Nurse Midwives Fee Schedule (sche
MissouriAny qualified provider (rate does not vary by provider) · Missouri MO HealthNet (fee-for-service)$147.56since 2026-01-01——Plans must pay at least this—MO HealthNet fee schedule: Practitioner
NevadaPhysician or licensed psychologist (incl. BCBA-D) · Nevada Medicaid (fee-for-service provider-type reimbursement schedules)$141.21since 2026-01-01——Plans must pay at least this—Provider Type 20 Physician, MD., Osteopa
ArizonaAny qualified provider (rate does not vary by provider) · Arizona AHCCCS fee-for-service (AIHP, Tribal ALTCS, TRBHA and other FFS members)$140.22since 2026-10-01——Plans negotiate; applies out of network—AHCCCS Arizona Health Care Cost Containm
New HampshireAny qualified provider (rate does not vary by provider) · New Hampshire Medicaid (fee-for-service, DHHS / NH MMIS)$132.47since 2026-01-01——Plans negotiate; applies out of network—2026 Fee Schedule - Covered Procedures R
HawaiiAny qualified provider (rate does not vary by provider) · Hawaii Medicaid (Med-QUEST) fee-for-service$127.61since 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)$119.52since 2026-01-01——Plans negotiate; applies out of network—Max Allow Payment_OutP Site of Service -
VirginiaAny qualified provider (rate does not vary by provider) · Virginia Medicaid (fee-for-service, DMAS)$119.51since 2026-01-01——Plans negotiate; applies out of network—DMAS procedure fee file cptmedical2.csv
IndianaAny qualified provider (rate does not vary by provider) · Indiana Medicaid (fee-for-service)$118.91since 2026-01-01unit—Plans must pay at least this—IHCP Professional Fee Schedule (Last Upd
TexasPhysician or licensed psychologist (incl. BCBA-D) · Texas Medicaid (fee-for-service, TMHP)$114.23since 2026-01-01——Plans negotiate; applies out of network—TMHP Texas Medicaid Fee Schedule - Physi
North CarolinaAny qualified provider (rate does not vary by provider) · North Carolina Medicaid Direct (fee-for-service)$108.08since 2026-01-01——Plans must pay at least this—NC Medicaid fee schedule 'Nurse Practiti
OhioAny qualified provider (rate does not vary by provider) · Ohio Medicaid (fee-for-service)$108.07since 2026-01-01——Plans negotiate; applies out of network—ODM CPT/HCPCS procedure code changes for
ArkansasAny qualified provider (rate does not vary by provider) · Arkansas Medicaid (fee-for-service)$107.18since 2026-03-25——Not classified—Arkansas Medicaid Physician / CRNA / Fam
FloridaAny qualified provider (rate does not vary by provider) · Florida Medicaid (fee-for-service)$105.73since 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)$100.98since 2026-01-01——Plans negotiate; applies out of network—HFS Practitioner Fee Schedule (effective
MassachusettsAny qualified provider (rate does not vary by provider) · MassHealth (fee-for-service, EOHHS 101 CMR rate regulations)$96.87since 2026-01-01——Plans negotiate; applies out of network—Administrative Bulletin 26-09: 101 CMR 3
Rhode IslandAny qualified provider (rate does not vary by provider) · Rhode Island Medicaid (fee-for-service)$78.84since 2026-01-01——Plans negotiate; applies out of network—RI Medicaid Interactive Fee For Service
WashingtonAny qualified provider (rate does not vary by provider) · Washington Apple Health (Medicaid) fee-for-service$76.82since 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 37255?

It depends on the state. Of the 40 states with a published fee-for-service rate, the median is $319.92. Alabama pays the most ($733.72) and Washington the least ($76.82).

Which state pays the highest Medicaid rate for 37255?

Alabama, at $733.72, effective 2026-09-24.

Do managed-care plans pay the same rate for 37255?

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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Medicaid rates by state
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