43497 Medicaid reimbursement rate by state (2026)
Physician and practitioner services (fee schedule). Medicaid pays a median of $626.94 for 43497 across 43 states, from $120.74 in Rhode Island to $1,218.58 in Alabama.
Data as of 2026-10-05. Every rate links to the official document it came from.
- States publishing
- 43
- National median
- $626.94units vary by state
- Lowest
- $120.74Rhode Island
- Highest
- $1,218.58Alabama
What does Medicaid pay for 43497?
43 state Medicaid programs publish a fee-for-service rate for 43497 at the physician psychologist level. The national median is $626.94 (units differ between states). Alabama pays the most, $1,218.58, and Rhode Island the least, $120.74, a 10.1x spread.
43497 rate by state: highest, middle and lowest
One like-for-like fee-for-service rate per state, ranked. The workspace lists all 43 states with every variant, modifier and effective date.
Frequently asked questions
What does Medicaid pay for 43497?
It depends on the state. Of the 43 states with a published fee-for-service rate, the median is $626.94. Alabama pays the most ($1,218.58) and Rhode Island the least ($120.74).
Which state pays the highest Medicaid rate for 43497?
Alabama, at $1,218.58, effective 2026-09-24.
Do managed-care plans pay the same rate for 43497?
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.