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49999 Medicaid reimbursement rate by state (2026)

Physician and practitioner services (fee schedule). Medicaid pays a median of $123.33 for 49999 across 10 states, from $8.10 in New Jersey to $1,200.00 in District of Columbia.

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

States publishing
10
National median
$123.33units vary by state
Lowest
$8.10New Jersey
Highest
$1,200.00District of Columbia

What does Medicaid pay for 49999?

10 state Medicaid programs publish a fee-for-service rate for 49999 at the physician psychologist level. The national median is $123.33 (units differ between states). District of Columbia pays the most, $1,200.00, and New Jersey the least, $8.10 per base unit, a 148.1x spread.

49999 rate by state: highest, middle and lowest

One like-for-like fee-for-service rate per state, ranked. The workspace lists all 10 states with every variant, modifier and effective date.

#StateMedicaid rateUnitPer hourManaged-care plans% of Medicare
1District of Columbia Source · since 1993-04-01$1,200.00——Not classified—
2Hawaii Source · since 2024-03-04$695.22——Plans must pay at least this—
3Florida Source · since 2026-01-01$692.13——Plans negotiate; applies out of network—
5Kansas Source · since 2024-08-01$170.31——Plans must pay at least this—
6Maine Source · since 2026-01-01$76.34——Not classified—
9Indiana Source · since 2020-10-15$20.00percent of billed charges—Plans must pay at least this—
10New Jersey Source · since 2014-07-01$8.10base unit—Not classified—
See all 10 states for 49999 — start free

3 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.

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 49999 in your states. Get an alert when any state changes it, with every variant and the managed-care rule.

Frequently asked questions

What does Medicaid pay for 49999?

It depends on the state. Of the 10 states with a published fee-for-service rate, the median is $123.33. District of Columbia pays the most ($1,200.00) and New Jersey the least ($8.10 per base unit).

Which state pays the highest Medicaid rate for 49999?

District of Columbia, at $1,200.00, effective 1993-04-01.

Do managed-care plans pay the same rate for 49999?

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.