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50430 Medicaid reimbursement rates by state

Physician and practitioner services (fee schedule). 34 state Medicaid programs publish a fee-for-service rate for 50430 at the physician psychologist level. Rates run from $68.04 in New Jersey to $852.44 in New Mexico, with a median of $261.89.

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

States publishing
34
Median rate
$261.89units vary by state
Highest
$852.44New Mexico
Medicare (non-facility)
$539.35–$847.922026 physician fee schedule

50430 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
New MexicoAny qualified provider (rate does not vary by provider) · New Mexico Medicaid (fee-for-service, HCA Medical Assistance Division)$852.44since 2025-01-01——Plans must pay at least this—New Mexico Medicaid Fee for Service CPT
New YorkPhysician or licensed psychologist (incl. BCBA-D) · New York Medicaid (fee-for-service)$591.72since 2023-10-01unit—Plans negotiate; applies out of network—eMedNY Physician Fee Schedule Sect 5 (Su
OklahomaAny qualified provider (rate does not vary by provider) · Oklahoma SoonerCare (fee-for-service, OHCA)$524.05since 2026-07-01——Plans must pay at least this—SoonerCare Title XIX Fee Schedule
OregonAny qualified provider (rate does not vary by provider) · Oregon Health Plan (fee-for-service, OHA)$500.24since 2026-02-01——Plans negotiate; applies out of network—OHP FFS medical-dental fee schedule (fee
MissouriAny qualified provider (rate does not vary by provider) · Missouri MO HealthNet (fee-for-service)$492.86since 2022-07-01——Plans must pay at least this—MO HealthNet fee schedule: Practitioner
MississippiAny qualified provider (rate does not vary by provider) · Mississippi Medicaid (fee-for-service)$488.88since 2026-07-01——Plans must pay at least this—DOM Comprehensive Fee Schedule, Septembe
MinnesotaAny qualified provider (rate does not vary by provider) · Minnesota Health Care Programs: Medical Assistance (fee-for-service)$480.37since 2026-02-01——Plans negotiate; applies out of network—MHCP Fee Schedule - Current Fee Schedule
LouisianaAny qualified provider (rate does not vary by provider) · Louisiana Medicaid (fee-for-service)$477.54since 2025-07-01——Plans must pay at least this—Louisiana Medicaid Professional Services
CaliforniaAny qualified provider (rate does not vary by provider) · California Medi-Cal (fee-for-service)$475.05since 2026-10-01——Plans negotiate; applies out of network—Medi-Cal Rates (Rates files zip: rates_d
IowaPhysician or licensed psychologist (incl. BCBA-D) · Iowa Medicaid (fee-for-service schedules; the floor IA Health Link plans must pay)$463.55since 2016-01-01——Plans must pay at least this—Iowa Medicaid fee schedule #02 PHYSICIAN
WisconsinAny qualified provider (rate does not vary by provider) · Wisconsin Medicaid and BadgerCare Plus (fee-for-service, ForwardHealth maximum allowable fees)$405.51since 2016-01-01——Plans negotiate; applies out of network—ForwardHealth max fee schedule: Medical-
KentuckyAny qualified provider (rate does not vary by provider) · Kentucky Medicaid (fee-for-service, DMS fee schedules)$393.71since 2020-01-01——Plans negotiate; applies out of network—KY Medicaid Physician fee schedule (2020
MichiganIndependent (non-agency) provider · Michigan Medicaid (fee-for-service)$393.41since 2026-01-01——Plans negotiate; applies out of network—MDHHS Independent Diagnostic Testing Fac
ConnecticutAny qualified provider (rate does not vary by provider) · Connecticut Medicaid / HUSKY Health (fee-for-service, CMAP)$384.28since 2026-01-01——Not classified—CMAP fee schedule: Physician Surgical 04
AlabamaAny qualified provider (rate does not vary by provider) · Alabama Medicaid (fee-for-service, Alabama Medicaid Agency fee schedules)$383.42since 2026-08-25——Not classified—Physician Fee Schedule (REF-0129-Q)
KansasAny qualified provider (rate does not vary by provider) · MediKan (Kansas state-funded medical program, KMAP fee schedule)$364.56since 2024-08-01——Paid by the state, outside plans—KMAP Fee Schedule MKN Medicaid (FeeSched
South CarolinaAny qualified provider (rate does not vary by provider) · South Carolina Healthy Connections Medicaid (fee-for-service)$322.22since 2024-07-01——Plans negotiate; applies out of network—SCDHHS Nurse Midwives Fee Schedule (sche
NebraskaAny qualified provider (rate does not vary by provider) · Nebraska Medicaid (fee-for-service)$201.55since 2026-07-01——Plans negotiate; applies out of network—Nebraska Medicaid fee schedule 471-000-5
NevadaPhysician or licensed psychologist (incl. BCBA-D) · Nevada Medicaid (fee-for-service provider-type reimbursement schedules)$175.90since 2024-01-01——Plans must pay at least this—Provider Type 20 Physician, MD., Osteopa
GeorgiaAny qualified provider (rate does not vary by provider) · Georgia Medicaid (fee-for-service)$146.41since 2017-01-01——Plans negotiate; applies out of network—OutPatient Max Allowed Site of Service F
North CarolinaAny qualified provider (rate does not vary by provider) · North Carolina Medicaid Direct (fee-for-service)$143.80since 2025-10-01——Plans negotiate; applies out of network—NC Medicaid fee schedule 'Independent Di
MarylandAny qualified provider (rate does not vary by provider) · Maryland Medicaid (fee-for-service, MDH)$142.00since 2026-01-01——Not classified—Maryland Medicaid Professional Services
ArizonaAny qualified provider (rate does not vary by provider) · Arizona AHCCCS fee-for-service (AIHP, Tribal ALTCS, TRBHA and other FFS members)$140.93since 2026-10-01——Plans negotiate; applies out of network—AHCCCS Arizona Health Care Cost Containm
IndianaAny qualified provider (rate does not vary by provider) · Indiana Medicaid (fee-for-service)$138.47since 2026-01-01unit—Plans must pay at least this—IHCP Professional Fee Schedule (Last Upd
ColoradoAny qualified provider (rate does not vary by provider) · Child Health Plan Plus (CHP+, Colorado's CHIP)$136.94since 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)$135.09since 2024-01-01——Plans negotiate; applies out of network—Appendix DD to OAC 5160-1-60 (Non-Instit
VirginiaAny qualified provider (rate does not vary by provider) · Virginia Medicaid (fee-for-service, DMAS)$117.48since 2026-07-01——Plans negotiate; applies out of network—DMAS procedure fee file cptmedical3.csv
MassachusettsAny qualified provider (rate does not vary by provider) · MassHealth (fee-for-service, EOHHS 101 CMR rate regulations)$111.56since 2026-10-01——Plans negotiate; applies out of network—Emergency Adoption (date filed: Septembe
TexasPhysician or licensed psychologist (incl. BCBA-D) · Texas Medicaid (fee-for-service, TMHP)$108.53since 2026-09-01——Plans negotiate; applies out of network—TMHP Texas Medicaid Fee Schedule - Physi
FloridaAny qualified provider (rate does not vary by provider) · Florida Medicaid (fee-for-service)$105.47since 2026-01-01——Plans negotiate; applies out of network—Practitioner Fee Schedule (2026-01-01)
ArkansasAny qualified provider (rate does not vary by provider) · Arkansas Medicaid (fee-for-service)$100.91since 2025-06-13——Not classified—Arkansas Medicaid Physician / CRNA / Fam
IllinoisAny qualified provider (rate does not vary by provider) · Illinois Medicaid (HFS fee-for-service)$100.46since 2024-04-01——Plans negotiate; applies out of network—HFS Practitioner Fee Schedule (effective
WashingtonAny qualified provider (rate does not vary by provider) · Washington Apple Health (Medicaid) fee-for-service$79.31since 2026-07-01——Plans negotiate; applies out of network—HCA Physician-related services fee sched
New JerseyAny qualified provider (rate does not vary by provider) · New Jersey Medicaid / NJ FamilyCare (fee-for-service)$68.04since 2026-07-01——Not classified—NJMMIS Procedure Master Listing CPTHCPCS

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 50430?

It depends on the state. Of the 34 states with a published fee-for-service rate, the median is $261.89. New Mexico pays the most ($852.44) and New Jersey the least ($68.04).

Which state pays the highest Medicaid rate for 50430?

New Mexico, at $852.44, effective 2025-01-01.

Do managed-care plans pay the same rate for 50430?

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

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