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43887 Medicaid reimbursement rates by state

Physician and practitioner services (fee schedule). 32 state Medicaid programs publish a fee-for-service rate for 43887 at the physician psychologist level. Rates run from $9.30 in New Jersey to $1,537.03 in Iowa, with a median of $235.65.

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

States publishing
32
Median rate
$235.65units vary by state
Highest
$1,537.03Iowa
Medicare (non-facility)
—not on the physician fee schedule

43887 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
IowaPhysician or licensed psychologist (incl. BCBA-D) · Iowa Medicaid (fee-for-service schedules; the floor IA Health Link plans must pay)$1,537.03⚠ over 3× mediansince 2013-07-01——Plans must pay at least this—Iowa Medicaid fee schedule #02 PHYSICIAN
AlabamaPhysician or licensed psychologist (incl. BCBA-D) · Alabama Medicaid (fee-for-service, Alabama Medicaid Agency fee schedules)$497.15since 2026-09-24——Not classified—Teaching Facility Fee Schedule
ArizonaAny qualified provider (rate does not vary by provider) · Arizona AHCCCS fee-for-service (AIHP, Tribal ALTCS, TRBHA and other FFS members)$344.52since 2026-10-01——Plans negotiate; applies out of network—AHCCCS Arizona Health Care Cost Containm
OhioAny qualified provider (rate does not vary by provider) · Ohio Medicaid (fee-for-service)$343.64since 2024-01-01——Plans negotiate; applies out of network—Appendix DD to OAC 5160-1-60 (Non-Instit
NevadaPhysician or licensed psychologist (incl. BCBA-D) · Nevada Medicaid (fee-for-service provider-type reimbursement schedules)$342.74since 2024-01-01——Plans must pay at least this—Provider Type 20 Physician, MD., Osteopa
New YorkPhysician or licensed psychologist (incl. BCBA-D) · New York Medicaid (fee-for-service)$310.78since 2023-10-01unit—Plans negotiate; applies out of network—eMedNY Physician Fee Schedule Sect 5 (Su
IndianaAny qualified provider (rate does not vary by provider) · Indiana Medicaid (fee-for-service)$299.11since 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)$290.51since 2026-07-01——Plans negotiate; applies out of network—DMAS procedure fee file cptmedical2.csv
OklahomaAny qualified provider (rate does not vary by provider) · Oklahoma SoonerCare (fee-for-service, OHCA)$290.38since 2026-07-01——Plans must pay at least this—SoonerCare Title XIX Fee Schedule
North CarolinaPhysician or licensed psychologist (incl. BCBA-D) · North Carolina Medicaid Direct (fee-for-service)$273.78since 2025-10-01——Plans must pay at least this—NC Medicaid fee schedule 'Physician Serv
LouisianaAny qualified provider (rate does not vary by provider) · Louisiana Medicaid (fee-for-service)$270.04since 2025-07-01——Plans must pay at least this—Louisiana Medicaid Professional Services
MarylandAny qualified provider (rate does not vary by provider) · Maryland Medicaid (fee-for-service, MDH)$264.41since 2026-01-01——Not classified—Maryland Medicaid Professional Services
IdahoAny qualified provider (rate does not vary by provider) · Idaho Medicaid (fee-for-service, Division of Medicaid / Gainwell)$261.71since 2026-07-01——Not classified—Idaho Medicaid Numerical Fee Schedule Ju
FloridaAny qualified provider (rate does not vary by provider) · Florida Medicaid (fee-for-service)$260.13since 2026-01-01——Plans negotiate; applies out of network—Practitioner Fee Schedule (2026-01-01)
MassachusettsAny qualified provider (rate does not vary by provider) · MassHealth (fee-for-service, EOHHS 101 CMR rate regulations)$250.30since 2026-10-01——Plans negotiate; applies out of network—Emergency Adoption (date filed: Septembe
MinnesotaAny qualified provider (rate does not vary by provider) · Minnesota Health Care Programs: Medical Assistance (fee-for-service)$241.34since 2026-02-01——Plans negotiate; applies out of network—MHCP Fee Schedule - Current Fee Schedule
GeorgiaAny qualified provider (rate does not vary by provider) · Georgia Medicaid (fee-for-service)$229.96since 2017-01-01——Plans negotiate; applies out of network—Physician Maximum Allowed Fee Schedule -
IllinoisAny qualified provider (rate does not vary by provider) · Illinois Medicaid (HFS fee-for-service)$226.13since 2024-04-01——Plans negotiate; applies out of network—HFS Practitioner Fee Schedule (effective
MaineAny qualified provider (rate does not vary by provider) · MaineCare (fee-for-service)$223.37since 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)$213.85since 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)$212.48since 2026-01-01——Not classified—CMAP fee schedule: Physician Surgical 04
ColoradoAny qualified provider (rate does not vary by provider) · Child Health Plan Plus (CHP+, Colorado's CHIP)$206.53since 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)$201.34since 2020-01-01——Plans negotiate; applies out of network—KY Medicaid Physician fee schedule (2020
WashingtonAny qualified provider (rate does not vary by provider) · Washington Apple Health (Medicaid) fee-for-service$198.36since 2026-07-01——Plans negotiate; applies out of network—HCA Physician-related services fee sched
South CarolinaAny qualified provider (rate does not vary by provider) · South Carolina Healthy Connections Medicaid (fee-for-service)$157.19since 2024-07-01——Plans negotiate; applies out of network—SCDHHS Nurse Midwives Fee Schedule (sche
KansasAny qualified provider (rate does not vary by provider) · MediKan (Kansas state-funded medical program, KMAP fee schedule)$134.41since 2024-08-01——Paid by the state, outside plans—KMAP Fee Schedule MKN Medicaid (FeeSched
NebraskaAny qualified provider (rate does not vary by provider) · Nebraska Medicaid (fee-for-service)$76.93since 2026-07-01——Plans negotiate; applies out of network—Nebraska Medicaid fee schedule 471-000-5
CaliforniaAny qualified provider (rate does not vary by provider) · California Medi-Cal (fee-for-service)$55.87since 2026-10-01——Plans negotiate; applies out of network—Medi-Cal Rates (Rates files zip: rates_d
MissouriAny qualified provider (rate does not vary by provider) · Missouri MO HealthNet (fee-for-service)$50.36since 2022-07-01——Plans must pay at least this—MO HealthNet fee schedule: Practitioner
WisconsinAny qualified provider (rate does not vary by provider) · Wisconsin Medicaid and BadgerCare Plus (fee-for-service, ForwardHealth maximum allowable fees)$50.05since 2016-12-01——Plans negotiate; applies out of network—ForwardHealth max fee schedule: Medical-
TexasPhysician or licensed psychologist (incl. BCBA-D) · Texas Medicaid (fee-for-service, TMHP)$41.48since 2026-09-01——Plans negotiate; applies out of network—TMHP Texas Medicaid Fee Schedule - Physi
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 43887?

It depends on the state. Of the 32 states with a published fee-for-service rate, the median is $235.65. Iowa pays the most ($1,537.03) and New Jersey the least ($9.30 per base unit).

Which state pays the highest Medicaid rate for 43887?

Iowa, at $1,537.03, effective 2013-07-01.

Do managed-care plans pay the same rate for 43887?

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 43887 in your statesYour codes on one rate card: every payer's rule, Medicare comparison, rank and rate changes.
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