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41830 Medicaid reimbursement rates by state

Physician and practitioner services (fee schedule). 23 state Medicaid programs publish a fee-for-service rate for 41830 at the physician psychologist level. Rates run from $9.30 in New Jersey to $625.44 in Wisconsin, with a median of $235.59.

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

States publishing
23
Median rate
$235.59units vary by state
Highest
$625.44Wisconsin
Medicare (non-facility)
$452.56–$671.262026 physician fee schedule

41830 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
WisconsinAny qualified provider (rate does not vary by provider) · Wisconsin Medicaid and BadgerCare Plus (fee-for-service, ForwardHealth maximum allowable fees)$625.44since 2008-07-01——Plans negotiate; applies out of network—ForwardHealth max fee schedule: Medical-
New YorkPhysician or licensed psychologist (incl. BCBA-D) · New York Medicaid (fee-for-service)$431.34since 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)$421.90since 2026-01-01——Plans must pay at least this—Louisiana Medicaid Enhanced Professional
MichiganAny qualified provider (rate does not vary by provider) · Michigan Medicaid (fee-for-service)$321.63since 2026-01-01——Plans negotiate; applies out of network—MDHHS Oral Maxillofacial Surgeon Fee Sch
MarylandAny qualified provider (rate does not vary by provider) · Maryland Medicaid (fee-for-service, MDH)$321.61since 2026-01-01——Not classified—Maryland Medicaid Professional Services
ArizonaAny qualified provider (rate does not vary by provider) · Arizona AHCCCS fee-for-service (AIHP, Tribal ALTCS, TRBHA and other FFS members)$304.16since 2026-10-01——Plans negotiate; applies out of network—AHCCCS Arizona Health Care Cost Containm
ColoradoAny qualified provider (rate does not vary by provider) · Child Health Plan Plus (CHP+, Colorado's CHIP)$290.70since 2026-07-01——Plans negotiate; applies out of network—Child Health Plan Plus FY 2026-2027 Fee
IndianaAny qualified provider (rate does not vary by provider) · Indiana Medicaid (fee-for-service)$283.12since 2026-01-01unit—Plans must pay at least this—IHCP Professional Fee Schedule (Last Upd
VirginiaAny qualified provider (rate does not vary by provider) · Virginia Medicaid (fee-for-service, DMAS)$255.50since 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)$247.83since 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)$240.83since 2026-10-01——Plans negotiate; applies out of network—Emergency Adoption (date filed: Septembe
MissouriAny qualified provider (rate does not vary by provider) · Missouri MO HealthNet (fee-for-service)$235.59since 2022-07-01——Plans must pay at least this—MO HealthNet fee schedule: Practitioner
FloridaAny qualified provider (rate does not vary by provider) · Florida Medicaid (fee-for-service)$229.38since 2026-01-01——Plans negotiate; applies out of network—Practitioner Fee Schedule (2026-01-01)
KentuckyAny qualified provider (rate does not vary by provider) · Kentucky Medicaid (fee-for-service, DMS fee schedules)$223.87since 2020-01-01——Plans negotiate; applies out of network—KY Medicaid Physician fee schedule (2020
MinnesotaAny qualified provider (rate does not vary by provider) · Minnesota Health Care Programs: Medical Assistance (fee-for-service)$219.47since 2026-02-01——Plans negotiate; applies out of network—MHCP Fee Schedule - Current Fee Schedule
IllinoisAny qualified provider (rate does not vary by provider) · Illinois Medicaid (HFS fee-for-service)$218.63since 2013-01-01——Plans negotiate; applies out of network—HFS Practitioner Fee Schedule (effective
South CarolinaAny qualified provider (rate does not vary by provider) · South Carolina Healthy Connections Medicaid (fee-for-service)$216.96since 2024-07-01——Plans negotiate; applies out of network—SCDHHS Nurse Midwives Fee Schedule (sche
GeorgiaAny qualified provider (rate does not vary by provider) · Georgia Medicaid (fee-for-service)$216.63since 2017-01-01——Plans negotiate; applies out of network—OutPatient Max Allowed Site of Service F
North CarolinaAny qualified provider (rate does not vary by provider) · North Carolina Medicaid Direct (fee-for-service)$201.59since 2025-10-01——Plans must pay at least this—NC Medicaid fee schedule 'Nurse Practiti
WashingtonAny qualified provider (rate does not vary by provider) · Washington Apple Health (Medicaid) fee-for-service$177.34since 2026-07-01——Plans negotiate; applies out of network—HCA Physician-related services fee sched
CaliforniaAny qualified provider (rate does not vary by provider) · California Medi-Cal (fee-for-service)$50.00since 2026-10-01——Plans negotiate; applies out of network—Medi-Cal UA and UB Modifier Maximum Allo
NebraskaAny qualified provider (rate does not vary by provider) · Nebraska Medicaid (fee-for-service)$29.59since 2026-07-01——Plans negotiate; applies out of network—Nebraska Medicaid fee schedule 471-000-5
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 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 41830?

It depends on the state. Of the 23 states with a published fee-for-service rate, the median is $235.59. Wisconsin pays the most ($625.44) and New Jersey the least ($9.30 per base unit).

Which state pays the highest Medicaid rate for 41830?

Wisconsin, at $625.44, effective 2008-07-01.

Do managed-care plans pay the same rate for 41830?

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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