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55862 Medicaid reimbursement rate by state (2026)

Physician and practitioner services (fee schedule). Medicaid pays a median of $817.14 for 55862 across 48 states, from $9.30 in New Jersey to $1,743.63 in Alabama.

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

States publishing
48
National median
$817.14units vary by state
Lowest
$9.30New Jersey
Highest
$1,743.63Alabama

What does Medicaid pay for 55862?

48 state Medicaid programs publish a fee-for-service rate for 55862 at the physician psychologist level. The national median is $817.14 (units differ between states). Alabama pays the most, $1,743.63, and New Jersey the least, $9.30 per base unit, a 187.5x spread.

55862 rate by state: highest, middle and lowest

One like-for-like fee-for-service rate per state, ranked. The workspace lists all 48 states with every variant, modifier and effective date.

#StateMedicaid rateUnitPer hourManaged-care plans% of Medicare
1Alabama Source · since 2026-09-24$1,743.63——Not classified—
2New Mexico Source · since 2025-01-01$1,575.63——Plans must pay at least this—
3Montana Source · since 2026-07-01$1,379.16——Not classified—
24Mississippi Source · since 2026-07-01$832.87——Plans must pay at least this—
25Massachusetts Source · since 2026-10-01$801.41——Plans negotiate; applies out of network—
26Vermont Source · since 2026-01-01$796.00——Not classified—
47Oregon Source · since 2026-02-01$123.84——Plans negotiate; applies out of network—
48New Jersey Source · since 2014-07-01$9.30base unit—Not classified—
See all 48 states for 55862 — start free

40 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 55862 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 55862?

It depends on the state. Of the 48 states with a published fee-for-service rate, the median is $817.14. Alabama pays the most ($1,743.63) and New Jersey the least ($9.30 per base unit).

Which state pays the highest Medicaid rate for 55862?

Alabama, at $1,743.63, effective 2026-09-24.

Do managed-care plans pay the same rate for 55862?

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.