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48160 Medicaid reimbursement rates by state

Physician and practitioner services (fee schedule). 16 state Medicaid programs publish a fee-for-service rate for 48160 at the physician psychologist level. Rates run from $0.00 in Arkansas to $2,632.95 in Nevada, with a median of $1,751.47.

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

States publishing
16
Median rate
$1,751.47units vary by state
Highest
$2,632.95Nevada
Medicare (non-facility)
—not on the physician fee schedule

48160 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
NevadaPhysician or licensed psychologist (incl. BCBA-D) · Nevada Medicaid (fee-for-service provider-type reimbursement schedules)$2,632.95since 2024-01-01——Plans must pay at least this—Provider Type 20 Physician, MD., Osteopa
IndianaAny qualified provider (rate does not vary by provider) · Indiana Medicaid (fee-for-service)$2,515.36since 2026-01-01unit—Plans must pay at least this—IHCP Professional Fee Schedule (Last Upd
IllinoisAny qualified provider (rate does not vary by provider) · Illinois Medicaid (HFS fee-for-service)$2,332.67since 2013-01-01——Plans negotiate; applies out of network—HFS Practitioner Fee Schedule (effective
North CarolinaPhysician or licensed psychologist (incl. BCBA-D) · North Carolina Medicaid Direct (fee-for-service)$2,271.71since 2025-10-01——Plans must pay at least this—NC Medicaid fee schedule 'Physician Serv
MinnesotaAny qualified provider (rate does not vary by provider) · Minnesota Health Care Programs: Medical Assistance (fee-for-service)$2,101.11since 2026-02-01——Plans negotiate; applies out of network—MHCP Fee Schedule - Current Fee Schedule
MaineAny qualified provider (rate does not vary by provider) · MaineCare (fee-for-service)$1,891.10since 2026-01-01——Not classified—MaineCare Fee Schedule (MaineCare UCR, H
LouisianaAny qualified provider (rate does not vary by provider) · Louisiana Medicaid (fee-for-service)$1,778.01since 1995-07-07——Plans must pay at least this—Louisiana Medicaid Professional Services
WisconsinAny qualified provider (rate does not vary by provider) · Wisconsin Medicaid and BadgerCare Plus (fee-for-service, ForwardHealth maximum allowable fees)$1,754.00since 2008-07-01——Plans negotiate; applies out of network—ForwardHealth max fee schedule: Medical-
IdahoAny qualified provider (rate does not vary by provider) · Idaho Medicaid (fee-for-service, Division of Medicaid / Gainwell)$1,748.93since 2025-09-01——Not classified—Idaho Medicaid Numerical Fee Schedule Ju
KentuckyAny qualified provider (rate does not vary by provider) · Kentucky Medicaid (fee-for-service, DMS fee schedules)$1,660.49since 2020-01-01——Plans negotiate; applies out of network—KY Medicaid Physician fee schedule (2020
New MexicoAny qualified provider (rate does not vary by provider) · New Mexico Medicaid (fee-for-service, HCA Medical Assistance Division)$1,653.75since 2025-01-01——Plans must pay at least this—New Mexico Medicaid Fee for Service CPT
ConnecticutAny qualified provider (rate does not vary by provider) · Connecticut Medicaid / HUSKY Health (fee-for-service, CMAP)$1,436.85since 2008-01-01——Not classified—CMAP fee schedule: Physician Surgical 04
TexasPhysician or licensed psychologist (incl. BCBA-D) · Texas Medicaid (fee-for-service, TMHP)$211.70since 2026-09-01——Plans negotiate; applies out of network—TMHP Texas Medicaid Fee Schedule - Physi
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
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
ArkansasAny qualified provider (rate does not vary by provider) · Arkansas Medicaid (fee-for-service)$0.00since 2025-06-13——Not classified—Arkansas Medicaid Physician / CRNA / Fam

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 48160?

It depends on the state. Of the 16 states with a published fee-for-service rate, the median is $1,751.47. Nevada pays the most ($2,632.95) and Arkansas the least ($0.00).

Which state pays the highest Medicaid rate for 48160?

Nevada, at $2,632.95, effective 2024-01-01.

Do managed-care plans pay the same rate for 48160?

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.

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