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41820 Medicaid reimbursement rates by state

Physician and practitioner services (fee schedule). 32 state Medicaid programs publish a fee-for-service rate for 41820 at the physician psychologist level. Rates run from $9.30 in New Jersey to $431.69 in Georgia, with a median of $119.88.

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

States publishing
32
Median rate
$119.88units vary by state
Highest
$431.69Georgia
Medicare (non-facility)
—not on the physician fee schedule

41820 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
GeorgiaAny qualified provider (rate does not vary by provider) · Georgia Medicaid (fee-for-service)$431.69⚠ over 3× mediansince 2017-01-01——Plans negotiate; applies out of network—Physician Maximum Allowed Fee Schedule -
MontanaAny qualified provider (rate does not vary by provider) · Montana Medicaid and HMK Plus (fee-for-service)$362.25since 2025-07-01——Not classified—Montana Healthcare Programs fee schedule
North CarolinaPhysician or licensed psychologist (incl. BCBA-D) · North Carolina Medicaid Direct (fee-for-service)$338.15since 2025-10-01——Plans must pay at least this—NC Medicaid fee schedule 'Physician Serv
AlabamaAny qualified provider (rate does not vary by provider) · Alabama Medicaid (fee-for-service, Alabama Medicaid Agency fee schedules)$320.00since 2026-08-25——Not classified—Physician Fee Schedule (REF-0129-Q)
ArkansasAny qualified provider (rate does not vary by provider) · Arkansas Medicaid (fee-for-service)$257.00since 2025-05-15——Not classified—Arkansas Medicaid Dental Fee Schedule (R
MaineAny qualified provider (rate does not vary by provider) · MaineCare (fee-for-service)$210.42since 2026-01-01——Not classified—MaineCare Fee Schedule (MaineCare UCR, H
NevadaPhysician or licensed psychologist (incl. BCBA-D) · Nevada Medicaid (fee-for-service provider-type reimbursement schedules)$206.39since 2024-01-01——Plans must pay at least this—Provider Type 20 Physician, MD., Osteopa
ColoradoAny qualified provider (rate does not vary by provider) · Child Health Plan Plus (CHP+, Colorado's CHIP)$198.29since 2026-07-01——Plans negotiate; applies out of network—Child Health Plan Plus FY 2026-2027 Fee
WisconsinAny qualified provider (rate does not vary by provider) · Wisconsin Medicaid and BadgerCare Plus (fee-for-service, ForwardHealth maximum allowable fees)$196.76since 2008-07-01——Plans negotiate; applies out of network—ForwardHealth max fee schedule: Medical-
New MexicoAny qualified provider (rate does not vary by provider) · New Mexico Medicaid (fee-for-service, HCA Medical Assistance Division)$194.56since 2025-01-01——Plans must pay at least this—New Mexico Medicaid Fee for Service CPT
UtahPhysician or licensed psychologist (incl. BCBA-D) · Utah Medicaid (fee-for-service, Traditional plan)$176.23since 2022-01-01——Plans negotiate; applies out of network—Utah Medicaid Coverage and Reimbursement
MinnesotaAny qualified provider (rate does not vary by provider) · Minnesota Health Care Programs: Medical Assistance (fee-for-service)$168.53since 2026-02-01——Plans negotiate; applies out of network—MHCP Fee Schedule - Current Fee Schedule
FloridaAny qualified provider (rate does not vary by provider) · Florida Medicaid (fee-for-service)$164.75since 2026-01-01——Plans negotiate; applies out of network—Practitioner Fee Schedule (2026-01-01)
IowaPhysician or licensed psychologist (incl. BCBA-D) · Iowa Medicaid (fee-for-service schedules; the floor IA Health Link plans must pay)$154.62since 2013-07-01——Plans must pay at least this—Iowa Medicaid fee schedule #02 PHYSICIAN
ArizonaAny qualified provider (rate does not vary by provider) · Arizona AHCCCS fee-for-service (AIHP, Tribal ALTCS, TRBHA and other FFS members)$128.76since 2026-10-01——Plans negotiate; applies out of network—AHCCCS Arizona Health Care Cost Containm
MissouriAny qualified provider (rate does not vary by provider) · Missouri MO HealthNet (fee-for-service)$120.95since 2019-07-01——Plans must pay at least this—MO HealthNet fee schedule: Practitioner
KansasAny qualified provider (rate does not vary by provider) · MediKan (Kansas state-funded medical program, KMAP fee schedule)$118.80since 1987-07-01——Paid by the state, outside plans—KMAP Fee Schedule MKN Medicaid (FeeSched
ConnecticutAny qualified provider (rate does not vary by provider) · Connecticut Medicaid / HUSKY Health (fee-for-service, CMAP)$116.38since 2008-01-01——Not classified—CMAP fee schedule: Physician Surgical 04
South CarolinaAny qualified provider (rate does not vary by provider) · South Carolina Healthy Connections Medicaid (fee-for-service)$113.00since 2012-07-01——Not classified—SCDHHS Base Physician Fee Schedule (sche
IllinoisAny qualified provider (rate does not vary by provider) · Illinois Medicaid (HFS fee-for-service)$96.38since 2013-01-01——Plans negotiate; applies out of network—HFS Practitioner Fee Schedule (effective
OregonAny qualified provider (rate does not vary by provider) · Oregon Health Plan (fee-for-service, OHA)$87.83since 2011-08-01——Plans negotiate; applies out of network—OHP FFS medical-dental fee schedule (fee
KentuckyAny qualified provider (rate does not vary by provider) · Kentucky Medicaid (fee-for-service, DMS fee schedules)$75.00since 2020-01-01——Plans negotiate; applies out of network—KY Medicaid Physician fee schedule (2020
MississippiAny qualified provider (rate does not vary by provider) · Mississippi Medicaid (fee-for-service)$74.23since 2020-05-01——Plans must pay at least this—DOM Comprehensive Fee Schedule, June 202
TexasPhysician or licensed psychologist (incl. BCBA-D) · Texas Medicaid (fee-for-service, TMHP)$71.29since 2026-09-01——Plans negotiate; applies out of network—TMHP Texas Medicaid Fee Schedule - Physi
NebraskaAny qualified provider (rate does not vary by provider) · Nebraska Medicaid (fee-for-service)$59.18since 2026-07-01——Plans negotiate; applies out of network—Nebraska Medicaid fee schedule 471-000-5
New HampshireAny qualified provider (rate does not vary by provider) · New Hampshire Medicaid (fee-for-service, DHHS / NH MMIS)$54.74since 2023-07-01——Plans negotiate; applies out of network—2026 Fee Schedule - Covered Procedures R
MarylandAny qualified provider (rate does not vary by provider) · Maryland Medicaid (fee-for-service, MDH)$49.00since 2026-01-01——Not classified—Maryland Medicaid Professional Services
LouisianaAny qualified provider (rate does not vary by provider) · Louisiana Medicaid (fee-for-service)$35.42since 2013-02-01——Plans must pay at least this—Louisiana Medicaid Professional Services
Rhode IslandAny qualified provider (rate does not vary by provider) · Rhode Island Medicaid (fee-for-service)$26.00since 1996-12-01——Plans negotiate; applies out of network—RI Medicaid Interactive Fee For Service
CaliforniaAny qualified provider (rate does not vary by provider) · California Medi-Cal (fee-for-service)$15.00since 2026-10-01——Plans negotiate; applies out of network—Medi-Cal UA and UB Modifier Maximum Allo
IndianaAny qualified provider (rate does not vary by provider) · Indiana Medicaid (fee-for-service)$10.33since 2026-01-01unit—Plans must pay at least this—IHCP Professional Fee Schedule (Last Upd
New JerseyAny qualified provider (rate does not vary by provider) · New Jersey Medicaid / NJ FamilyCare (fee-for-service)$9.30since 2014-07-01base unit—Not classified—NJMMIS Procedure Master Listing CPTCodes

Rates marked ⚠ are more than three times the median for the same unit; they are published as shown but often reflect an office (non-facility) fee or a different scope of service. 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 41820?

It depends on the state. Of the 32 states with a published fee-for-service rate, the median is $119.88. Georgia pays the most ($431.69) and New Jersey the least ($9.30 per base unit).

Which state pays the highest Medicaid rate for 41820?

Georgia, at $431.69, effective 2017-01-01.

Do managed-care plans pay the same rate for 41820?

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 41820 in your statesYour codes on one rate card: every payer's rule, Medicare comparison, rank and rate changes.
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