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51721 Medicaid reimbursement rate by state (2026)

Physician and practitioner services (fee schedule). Medicaid pays a median of $359.97 for 51721 across 27 states, from $35.00 in California to $793.41 in Montana.

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

States publishing
27
National median
$359.97units vary by state
Lowest
$35.00California
Highest
$793.41Montana

What does Medicaid pay for 51721?

27 state Medicaid programs publish a fee-for-service rate for 51721 at the physician psychologist level. The national median is $359.97 (units differ between states). Montana pays the most, $793.41, and California the least, $35.00, a 22.7x spread.

Medicare (non-facility, 2026 physician fee schedule): $497.86–$755.34 depending on the state's Medicare locality.

51721 rate by state: highest, middle and lowest

One like-for-like fee-for-service rate per state, ranked. The workspace lists all 27 states with every variant, modifier and effective date.

#StateMedicaid rateUnitPer hourManaged-care plans% of Medicare
1Montana Source · since 2026-07-01$793.41——Not classified—
2North Dakota Source · since 2026-07-01$623.69——Not classified—
3Delaware Source · since 2026-01-01$547.64——Plans negotiate; applies out of network—
13Missouri Source · since 2025-01-01$403.41——Plans must pay at least this—
14Michigan Source · since 2026-01-01$359.97——Plans negotiate; applies out of network—
15Connecticut Source · since 2026-01-01$339.78——Not classified—
26New Jersey Source · since 2026-01-01$105.68——Not classified—
27California Source · since 2026-10-01$35.00——Plans negotiate; applies out of network—
See all 27 states for 51721 — start free

19 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 51721 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 51721?

It depends on the state. Of the 27 states with a published fee-for-service rate, the median is $359.97. Montana pays the most ($793.41) and California the least ($35.00).

Which state pays the highest Medicaid rate for 51721?

Montana, at $793.41, effective 2026-07-01.

Do managed-care plans pay the same rate for 51721?

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.