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55713 Medicaid reimbursement rates by state

Physician and practitioner services (fee schedule). 33 state Medicaid programs publish a fee-for-service rate for 55713 at the physician psychologist level. Rates run from $108.16 in Washington to $1,105.70 in Alabama, with a median of $502.88.

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

States publishing
33
Median rate
$502.88units vary by state
Highest
$1,105.70Alabama
Medicare (non-facility)
$669.55–$907.192026 physician fee schedule

55713 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)$1,105.70since 2026-09-24——Not classified—Teaching Facility Fee Schedule
MontanaPhysician or licensed psychologist (incl. BCBA-D) · Montana Medicaid and HMK Plus (fee-for-service)$1,074.17since 2026-07-01——Not classified—Montana Healthcare Programs fee schedule
IowaPhysician or licensed psychologist (incl. BCBA-D) · Iowa Medicaid (fee-for-service schedules; the floor IA Health Link plans must pay)$673.53since 2026-01-01——Plans must pay at least this—Iowa Medicaid fee schedule #02 PHYSICIAN
New YorkPhysician or licensed psychologist (incl. BCBA-D) · New York Medicaid (fee-for-service)$666.22since 2026-01-01unit—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)$650.54since 2026-07-01——Plans must pay at least this—SoonerCare Title XIX Fee Schedule
MarylandAny qualified provider (rate does not vary by provider) · Maryland Medicaid (fee-for-service, MDH)$648.59since 2026-01-01——Not classified—Maryland Medicaid Professional Services
ColoradoAny qualified provider (rate does not vary by provider) · Child Health Plan Plus (CHP+, Colorado's CHIP)$628.90since 2026-07-01——Plans negotiate; applies out of network—Child Health Plan Plus FY 2026-2027 Fee
OregonAny qualified provider (rate does not vary by provider) · Oregon Health Plan (fee-for-service, OHA)$619.07since 2026-02-01——Plans negotiate; applies out of network—OHP FFS medical-dental fee schedule (fee
KentuckyAny qualified provider (rate does not vary by provider) · Kentucky Medicaid (fee-for-service, DMS fee schedules)$617.58since 2026-01-01——Plans negotiate; applies out of network—KY Medicaid Physician fee schedule (2026
IdahoAny qualified provider (rate does not vary by provider) · Idaho Medicaid (fee-for-service, Division of Medicaid / Gainwell)$610.24since 2026-07-01——Not classified—Idaho Medicaid Numerical Fee Schedule Ju
MississippiAny qualified provider (rate does not vary by provider) · Mississippi Medicaid (fee-for-service)$607.59since 2026-01-01——Plans must pay at least this—DOM Comprehensive Fee Schedule, June 202
MinnesotaAny qualified provider (rate does not vary by provider) · Minnesota Health Care Programs: Medical Assistance (fee-for-service)$593.33since 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)$588.97since 2026-01-01——Plans must pay at least this—Louisiana Medicaid Professional Services
TexasPhysician or licensed psychologist (incl. BCBA-D) · Texas Medicaid (fee-for-service, TMHP)$563.16since 2026-01-01——Plans negotiate; applies out of network—TMHP Texas Medicaid Fee Schedule - Physi
WisconsinAny qualified provider (rate does not vary by provider) · Wisconsin Medicaid and BadgerCare Plus (fee-for-service, ForwardHealth maximum allowable fees)$525.96since 2026-01-01——Plans negotiate; applies out of network—ForwardHealth max fee schedule: Medical-
MaineAny qualified provider (rate does not vary by provider) · MaineCare (fee-for-service)$513.16since 2026-01-01——Not classified—MaineCare Fee Schedule (MaineCare UCR, H
West VirginiaAny qualified provider (rate does not vary by provider) · West Virginia Medicaid (fee-for-service, Bureau for Medical Services)$502.88since 2026-04-01——Plans negotiate; applies out of network—BMS RBRVS 2026 Effective 4/1/26 - 3/31/2
MichiganAny qualified provider (rate does not vary by provider) · Michigan Medicaid (fee-for-service)$487.34since 2026-01-01——Plans negotiate; applies out of network—MDHHS Practitioner and Medical Clinic Fe
ConnecticutAny qualified provider (rate does not vary by provider) · Connecticut Medicaid / HUSKY Health (fee-for-service, CMAP)$470.57since 2026-01-01——Not classified—CMAP fee schedule: Physician Surgical 04
NevadaPhysician or licensed psychologist (incl. BCBA-D) · Nevada Medicaid (fee-for-service provider-type reimbursement schedules)$195.73since 2026-01-01——Plans must pay at least this—Provider Type 20 Physician, MD., Osteopa
ArizonaAny qualified provider (rate does not vary by provider) · Arizona AHCCCS fee-for-service (AIHP, Tribal ALTCS, TRBHA and other FFS members)$193.33since 2026-10-01——Plans negotiate; applies out of network—AHCCCS Arizona Health Care Cost Containm
KansasAny qualified provider (rate does not vary by provider) · Kansas Medicaid QMB (Qualified Medicare Beneficiary) KMAP fee schedule$174.25since 2026-01-01——Not classified—KMAP Fee Schedule QMB Medicaid (FeeSched
IndianaAny qualified provider (rate does not vary by provider) · Indiana Medicaid (fee-for-service)$168.84since 2026-01-01unit—Plans must pay at least this—IHCP Professional Fee Schedule (Last Upd
VirginiaAny qualified provider (rate does not vary by provider) · Virginia Medicaid (fee-for-service, DMAS)$163.26since 2026-01-01——Plans negotiate; applies out of network—DMAS procedure fee file cptmedical3.csv
ArkansasAny qualified provider (rate does not vary by provider) · Arkansas Medicaid (fee-for-service)$161.63since 2026-03-25——Not classified—Arkansas Medicaid Physician / CRNA / Fam
GeorgiaAny qualified provider (rate does not vary by provider) · Georgia Medicaid (fee-for-service)$160.85since 2026-01-01——Plans negotiate; applies out of network—Max Allow Payment_OutP Site of Service -
North CarolinaAny qualified provider (rate does not vary by provider) · North Carolina Medicaid Direct (fee-for-service)$151.45since 2026-01-01——Plans must pay at least this—NC Medicaid fee schedule 'Nurse Practiti
OhioAny qualified provider (rate does not vary by provider) · Ohio Medicaid (fee-for-service)$146.21since 2026-01-01——Plans negotiate; applies out of network—ODM CPT/HCPCS procedure code changes for
FloridaAny qualified provider (rate does not vary by provider) · Florida Medicaid (fee-for-service)$144.43since 2026-01-01——Plans negotiate; applies out of network—Practitioner Fee Schedule (2026-01-01)
MassachusettsAny qualified provider (rate does not vary by provider) · MassHealth (fee-for-service, EOHHS 101 CMR rate regulations)$135.68since 2026-01-01——Plans negotiate; applies out of network—Administrative Bulletin 26-09: 101 CMR 3
IllinoisAny qualified provider (rate does not vary by provider) · Illinois Medicaid (HFS fee-for-service)$130.79since 2026-01-01——Plans negotiate; applies out of network—HFS Practitioner Fee Schedule (effective
MissouriAny qualified provider (rate does not vary by provider) · Missouri MO HealthNet (fee-for-service)$110.31since 2026-01-01——Plans must pay at least this—MO HealthNet fee schedule: Practitioner
WashingtonAny qualified provider (rate does not vary by provider) · Washington Apple Health (Medicaid) fee-for-service$108.16since 2026-07-01——Plans negotiate; applies out of network—HCA Physician-related services fee sched

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 55713?

It depends on the state. Of the 33 states with a published fee-for-service rate, the median is $502.88. Alabama pays the most ($1,105.70) and Washington the least ($108.16).

Which state pays the highest Medicaid rate for 55713?

Alabama, at $1,105.70, effective 2026-09-24.

Do managed-care plans pay the same rate for 55713?

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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Medicaid rates by state
AlabamaArizonaArkansasCaliforniaColoradoConnecticutFloridaGeorgiaIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew JerseyNew MexicoNew YorkNorth CarolinaOhioOklahomaOregonPennsylvaniaSouth CarolinaTennesseeTexasVirginiaWashingtonWest VirginiaWisconsin