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43889 Medicaid reimbursement rates by state

Physician and practitioner services (fee schedule). 14 state Medicaid programs publish a fee-for-service rate for 43889 at the physician psychologist level. Rates run from $106.31 in Missouri to $1,074.70 in Alabama, with a median of $544.86.

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

States publishing
14
Median rate
$544.86units vary by state
Highest
$1,074.70Alabama
Medicare (non-facility)
—not on the physician fee schedule

43889 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
AlabamaPhysician or licensed psychologist (incl. BCBA-D) · Alabama Medicaid (fee-for-service, Alabama Medicaid Agency fee schedules)$1,074.70since 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)$745.35since 2026-10-01——Plans negotiate; applies out of network—AHCCCS Arizona Health Care Cost Containm
GeorgiaAny qualified provider (rate does not vary by provider) · Georgia Medicaid (fee-for-service)$624.81since 2026-01-01——Plans negotiate; applies out of network—Schedule of Maximum Allw Pymt Physician
LouisianaAny qualified provider (rate does not vary by provider) · Louisiana Medicaid (fee-for-service)$586.59since 2026-01-01——Plans must pay at least this—Louisiana Medicaid Professional Services
ColoradoAny qualified provider (rate does not vary by provider) · Child Health Plan Plus (CHP+, Colorado's CHIP)$568.58since 2026-07-01——Plans negotiate; applies out of network—Child Health Plan Plus FY 2026-2027 Fee
OhioAny qualified provider (rate does not vary by provider) · Ohio Medicaid (fee-for-service)$559.98since 2026-01-01——Plans negotiate; applies out of network—ODM CPT/HCPCS procedure code changes for
PennsylvaniaPhysician or licensed psychologist (incl. BCBA-D) · Pennsylvania Medical Assistance (fee-for-service)$557.57since 2026-08-01——Plans negotiate; applies out of network—PA DHS PROMISe Outpatient Fee Schedule (
MassachusettsAny qualified provider (rate does not vary by provider) · MassHealth (fee-for-service, EOHHS 101 CMR rate regulations)$532.15since 2026-01-01——Plans negotiate; applies out of network—Administrative Bulletin 26-09: 101 CMR 3
MinnesotaAny qualified provider (rate does not vary by provider) · Minnesota Health Care Programs: Medical Assistance (fee-for-service)$523.60since 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)$501.89since 2026-01-01——Plans negotiate; applies out of network—HFS Practitioner Fee Schedule (effective
WisconsinAny qualified provider (rate does not vary by provider) · Wisconsin Medicaid and BadgerCare Plus (fee-for-service, ForwardHealth maximum allowable fees)$480.45since 2026-07-01——Plans negotiate; applies out of network—ForwardHealth max fee schedule: Medical-
MichiganAny qualified provider (rate does not vary by provider) · Michigan Medicaid (fee-for-service)$459.02since 2026-01-01——Plans negotiate; applies out of network—MDHHS Practitioner and Medical Clinic Fe
KansasAny qualified provider (rate does not vary by provider) · Kansas Medicaid QMB (Qualified Medicare Beneficiary) KMAP fee schedule$161.10since 2026-01-01——Not classified—KMAP Fee Schedule QMB Medicaid (FeeSched
MissouriAny qualified provider (rate does not vary by provider) · Missouri MO HealthNet (fee-for-service)$106.31since 2026-01-01——Plans must pay at least this—MO HealthNet fee schedule: Practitioner

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 43889?

It depends on the state. Of the 14 states with a published fee-for-service rate, the median is $544.86. Alabama pays the most ($1,074.70) and Missouri the least ($106.31).

Which state pays the highest Medicaid rate for 43889?

Alabama, at $1,074.70, effective 2026-09-24.

Do managed-care plans pay the same rate for 43889?

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 43889 in your statesYour codes on one rate card: every payer's rule, Medicare comparison, rank and rate changes.
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