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55881 Medicaid reimbursement rate by state (2026)

Physician and practitioner services (fee schedule). Medicaid pays a median of $5,559.34 for 55881 across 23 states, from $201.55 in New Jersey to $13,030.88 in Montana.

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

States publishing
23
National median
$5,559.34units vary by state
Lowest
$201.55New Jersey
Highest
$13,030.88Montana

What does Medicaid pay for 55881?

23 state Medicaid programs publish a fee-for-service rate for 55881 at the physician psychologist level. The national median is $5,559.34 (units differ between states). Montana pays the most, $13,030.88, and New Jersey the least, $201.55, a 64.7x spread.

Medicare (non-facility, 2026 physician fee schedule): $8,039.81–$11,007.44 depending on the state's Medicare locality.

55881 rate by state: highest, middle and lowest

One like-for-like fee-for-service rate per state, ranked. The workspace lists all 23 states with every variant, modifier and effective date.

#StateMedicaid rateUnitPer hourManaged-care plans% of Medicare
1Montana Source · since 2026-07-01$13,030.88——Not classified—
2North Dakota Source · since 2026-07-01$10,393.99——Not classified—
3Delaware Source · since 2026-01-01$8,984.82——Plans negotiate; applies out of network—
11Michigan Source · since 2026-01-01$5,911.82——Plans negotiate; applies out of network—
12Connecticut Source · since 2026-01-01$5,559.34——Not classified—
13Kansas Source · since 2025-01-01$5,013.96——Not classified—
22Illinois Source · since 2025-01-01$323.64——Plans negotiate; applies out of network—
23New Jersey Source · since 2026-01-01$201.55——Not classified—
See all 23 states for 55881 — start free

15 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.

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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.

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Frequently asked questions

What does Medicaid pay for 55881?

It depends on the state. Of the 23 states with a published fee-for-service rate, the median is $5,559.34. Montana pays the most ($13,030.88) and New Jersey the least ($201.55).

Which state pays the highest Medicaid rate for 55881?

Montana, at $13,030.88, effective 2026-07-01.

Do managed-care plans pay the same rate for 55881?

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.

Related codes

Codes next to 55881

55875Physician and practitioner services (fee schedule) · 48 states55876Physician and practitioner services (fee schedule) · 49 states55877Physician and practitioner services (fee schedule) · 25 states55880Physician and practitioner services (fee schedule) · 34 states55882Physician and practitioner services (fee schedule) · 24 states55899Physician and practitioner services (fee schedule) · 7 states55920Physician and practitioner services (fee schedule) · 46 states56405Physician and practitioner services (fee schedule) · 49 states

Most-published Physician & professional codes

10005Physician and practitioner services (fee schedule) · 50 states10006Physician and practitioner services (fee schedule) · 50 states10007Physician and practitioner services (fee schedule) · 50 states10008Physician and practitioner services (fee schedule) · 50 states10009Physician and practitioner services (fee schedule) · 50 states10010Physician and practitioner services (fee schedule) · 50 states10021Physician and practitioner services (fee schedule) · 50 states10030Physician and practitioner services (fee schedule) · 50 states

Highest-paying states

Montana Medicaid fee scheduleNorth Dakota Medicaid fee scheduleDelaware Medicaid fee schedule