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42320 Medicaid reimbursement rate by state (2026)

Physician and practitioner services (fee schedule). Medicaid pays a median of $167.13 for 42320 across 50 states, from $9.30 in New Jersey to $426.85 in Alaska.

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

States publishing
50
National median
$167.13units vary by state
Lowest
$9.30New Jersey
Highest
$426.85Alaska

What does Medicaid pay for 42320?

50 state Medicaid programs publish a fee-for-service rate for 42320 at the physician psychologist level. The national median is $167.13 (units differ between states). Alaska pays the most, $426.85, and New Jersey the least, $9.30 per base unit, a 45.9x spread.

Medicare (non-facility, 2026 physician fee schedule): $231.65–$340.58 depending on the state's Medicare locality.

42320 rate by state: highest, middle and lowest

One like-for-like fee-for-service rate per state, ranked. The workspace lists all 50 states with every variant, modifier and effective date.

#StateMedicaid rateUnitPer hourManaged-care plans% of Medicare
1Alaska Source · since 2026-07-01$426.85——Not classified—
2Alabama Source · since 2026-09-24$381.76——Not classified—
3Montana Source · since 2026-07-01$367.57——Not classified—
25Arizona Source · since 2026-10-01$167.48——Plans negotiate; applies out of network—
26Michigan Source · since 2026-01-01$166.78——Plans negotiate; applies out of network—
27Indiana Source · since 2026-01-01$163.65unit—Plans must pay at least this—
49Rhode Island Source · since 1996-01-01$28.00——Plans negotiate; applies out of network—
50New Jersey Source · since 2014-07-01$9.30base unit—Not classified—
See all 50 states for 42320 — start free

42 more states, with every modifier and provider-type variant, rate history and the plan rule in each state. 14-day free trial, no credit card.

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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; states with several Medicare localities show a range. Confirm rates with the payer before billing.

Track 42320 in your states. Get an alert when any state changes it, with every variant and the managed-care rule.
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Frequently asked questions

What does Medicaid pay for 42320?

It depends on the state. Of the 50 states with a published fee-for-service rate, the median is $167.13. Alaska pays the most ($426.85) and New Jersey the least ($9.30 per base unit).

Which state pays the highest Medicaid rate for 42320?

Alaska, at $426.85, effective 2026-07-01.

Do managed-care plans pay the same rate for 42320?

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 workspace shows the rule for each state, cited to the contract or statute.

Related codes

Codes next to 42320

42299Physician and practitioner services (fee schedule) · 5 states42300Physician and practitioner services (fee schedule) · 50 states42305Physician and practitioner services (fee schedule) · 50 states42310Physician and practitioner services (fee schedule) · 50 states42330Physician and practitioner services (fee schedule) · 50 states42335Physician and practitioner services (fee schedule) · 50 states42340Physician and practitioner services (fee schedule) · 50 states42400Physician and practitioner services (fee schedule) · 50 states

Most-published Physician & professional codes

10005Physician and practitioner services (fee schedule) · 50 states10006Physician and practitioner services (fee schedule) · 50 states10007Physician and practitioner services (fee schedule) · 50 states10008Physician and practitioner services (fee schedule) · 50 states10009Physician and practitioner services (fee schedule) · 50 states10010Physician and practitioner services (fee schedule) · 50 states10021Physician and practitioner services (fee schedule) · 50 states10030Physician and practitioner services (fee schedule) · 50 states

Highest-paying states

Alaska Medicaid fee scheduleAlabama Medicaid fee scheduleMontana Medicaid fee schedule