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56805 Medicaid reimbursement rate by state (2026)

Physician and practitioner services (fee schedule). Medicaid pays a median of $873.26 for 56805 across 45 states, from $9.30 in New Jersey to $1,829.86 in Alaska.

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

States publishing
45
National median
$873.26units vary by state
Lowest
$9.30New Jersey
Highest
$1,829.86Alaska

What does Medicaid pay for 56805?

45 state Medicaid programs publish a fee-for-service rate for 56805 at the physician psychologist level. The national median is $873.26 (units differ between states). Alaska pays the most, $1,829.86, and New Jersey the least, $9.30 per base unit, a 196.8x spread.

56805 rate by state: highest, middle and lowest

One like-for-like fee-for-service rate per state, ranked. The workspace lists all 45 states with every variant, modifier and effective date.

#StateMedicaid rateUnitPer hourManaged-care plans% of Medicare
1Alaska Source · since 2026-07-01$1,829.86——Not classified—
2Alabama Source · since 2026-09-24$1,763.45——Not classified—
3New Mexico Source · since 2025-01-01$1,699.35——Plans must pay at least this—
22Utah Source · since 2026-07-01$876.30——Plans negotiate; applies out of network—
23North Carolina Source · since 2025-10-01$873.26——Plans must pay at least this—
24Massachusetts Source · since 2026-10-01$869.45——Plans negotiate; applies out of network—
44Rhode Island Source · since 1993-04-01$117.87——Plans negotiate; applies out of network—
45New Jersey Source · since 2014-07-01$9.30base unit—Not classified—
See all 45 states for 56805 — start free

37 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 56805 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 56805?

It depends on the state. Of the 45 states with a published fee-for-service rate, the median is $873.26. Alaska pays the most ($1,829.86) and New Jersey the least ($9.30 per base unit).

Which state pays the highest Medicaid rate for 56805?

Alaska, at $1,829.86, effective 2026-07-01.

Do managed-care plans pay the same rate for 56805?

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.