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57335 Medicaid reimbursement rates by state

Physician and practitioner services (fee schedule). 35 state Medicaid programs publish a fee-for-service rate for 57335 at the physician psychologist level. Rates run from $9.30 in New Jersey to $1,716.30 in New Mexico, with a median of $824.39.

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

States publishing
35
Median rate
$824.39units vary by state
Highest
$1,716.30New Mexico
Medicare (non-facility)
—not on the physician fee schedule

57335 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
New MexicoAny qualified provider (rate does not vary by provider) · New Mexico Medicaid (fee-for-service, HCA Medical Assistance Division)$1,716.30since 2025-01-01——Plans must pay at least this—New Mexico Medicaid Fee for Service CPT
MontanaAny qualified provider (rate does not vary by provider) · Montana Medicaid and HMK Plus (fee-for-service)$1,456.06since 2026-07-01——Not classified—Montana Healthcare Programs fee schedule
NevadaPhysician or licensed psychologist (incl. BCBA-D) · Nevada Medicaid (fee-for-service provider-type reimbursement schedules)$1,196.36since 2024-01-01——Plans must pay at least this—Provider Type 20 Physician, MD., Osteopa
MarylandAny qualified provider (rate does not vary by provider) · Maryland Medicaid (fee-for-service, MDH)$1,091.61since 2026-01-01——Not classified—Maryland Medicaid Professional Services
New YorkPhysician or licensed psychologist (incl. BCBA-D) · New York Medicaid (fee-for-service)$1,079.98since 2023-10-01unit—Plans negotiate; applies out of network—eMedNY Physician Fee Schedule Sect 5 (Su
ArizonaAny qualified provider (rate does not vary by provider) · Arizona AHCCCS fee-for-service (AIHP, Tribal ALTCS, TRBHA and other FFS members)$1,072.17since 2026-10-01——Plans negotiate; applies out of network—AHCCCS Arizona Health Care Cost Containm
IndianaAny qualified provider (rate does not vary by provider) · Indiana Medicaid (fee-for-service)$1,057.72since 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)$1,051.95since 2026-07-01——Plans negotiate; applies out of network—DMAS procedure fee file cptmedical3.csv
IowaPhysician or licensed psychologist (incl. BCBA-D) · Iowa Medicaid (fee-for-service schedules; the floor IA Health Link plans must pay)$948.77since 2024-09-01——Plans must pay at least this—Iowa Medicaid fee schedule #02 PHYSICIAN
ColoradoAny qualified provider (rate does not vary by provider) · Child Health Plan Plus (CHP+, Colorado's CHIP)$940.02since 2026-07-01——Plans negotiate; applies out of network—Child Health Plan Plus FY 2026-2027 Fee
OklahomaAny qualified provider (rate does not vary by provider) · Oklahoma SoonerCare (fee-for-service, OHCA)$919.18since 2026-07-01——Plans must pay at least this—SoonerCare Title XIX Fee Schedule
KentuckyAny qualified provider (rate does not vary by provider) · Kentucky Medicaid (fee-for-service, DMS fee schedules)$900.98since 2020-01-01——Plans negotiate; applies out of network—KY Medicaid Physician fee schedule (2020
CaliforniaAny qualified provider (rate does not vary by provider) · California Medi-Cal (fee-for-service)$887.74since 2026-10-01——Plans negotiate; applies out of network—Medi-Cal Rates (Rates files zip: rates_d
North CarolinaAny qualified provider (rate does not vary by provider) · North Carolina Medicaid Direct (fee-for-service)$886.18since 2025-10-01——Plans must pay at least this—NC Medicaid fee schedule 'Nurse Practiti
GeorgiaAny qualified provider (rate does not vary by provider) · Georgia Medicaid (fee-for-service)$884.23since 2017-01-01——Plans negotiate; applies out of network—Physician Maximum Allowed Fee Schedule -
MassachusettsAny qualified provider (rate does not vary by provider) · MassHealth (fee-for-service, EOHHS 101 CMR rate regulations)$878.37since 2026-10-01——Plans negotiate; applies out of network—Emergency Adoption (date filed: Septembe
VermontAny qualified provider (rate does not vary by provider) · Vermont Medicaid (fee-for-service, DVHA)$829.56since 2026-01-01——Not classified—Vermont Medicaid Fee Schedule - CPT Code
IdahoAny qualified provider (rate does not vary by provider) · Idaho Medicaid (fee-for-service, Division of Medicaid / Gainwell)$824.39since 2026-07-01——Not classified—Idaho Medicaid Numerical Fee Schedule Ju
FloridaAny qualified provider (rate does not vary by provider) · Florida Medicaid (fee-for-service)$812.55since 2026-01-01——Plans negotiate; applies out of network—Practitioner Fee Schedule (2026-01-01)
IllinoisAny qualified provider (rate does not vary by provider) · Illinois Medicaid (HFS fee-for-service)$796.20since 2024-04-01——Plans negotiate; applies out of network—HFS Practitioner Fee Schedule (effective
OhioAny qualified provider (rate does not vary by provider) · Ohio Medicaid (fee-for-service)$778.01since 2024-01-01——Plans negotiate; applies out of network—Appendix DD to OAC 5160-1-60 (Non-Instit
West VirginiaAny qualified provider (rate does not vary by provider) · West Virginia Medicaid (fee-for-service, Bureau for Medical Services)$757.62since 2026-04-01——Plans negotiate; applies out of network—BMS RBRVS 2026 Effective 4/1/26 - 3/31/2
MinnesotaAny qualified provider (rate does not vary by provider) · Minnesota Health Care Programs: Medical Assistance (fee-for-service)$741.79since 2026-02-01——Plans negotiate; applies out of network—MHCP Fee Schedule - Current Fee Schedule
New HampshireAny qualified provider (rate does not vary by provider) · New Hampshire Medicaid (fee-for-service, DHHS / NH MMIS)$731.87since 2023-07-01——Plans negotiate; applies out of network—2026 Fee Schedule - Covered Procedures R
ConnecticutAny qualified provider (rate does not vary by provider) · Connecticut Medicaid / HUSKY Health (fee-for-service, CMAP)$729.44since 2026-01-01——Not classified—CMAP fee schedule: Physician Surgical 04
MaineAny qualified provider (rate does not vary by provider) · MaineCare (fee-for-service)$703.17since 2026-01-01——Not classified—MaineCare Fee Schedule (MaineCare UCR, H
MichiganAny qualified provider (rate does not vary by provider) · Michigan Medicaid (fee-for-service)$660.73since 2026-01-01——Plans negotiate; applies out of network—MDHHS Practitioner and Medical Clinic Fe
WashingtonAny qualified provider (rate does not vary by provider) · Washington Apple Health (Medicaid) fee-for-service$603.30since 2026-07-01——Plans negotiate; applies out of network—HCA Transhealth fee schedule (transhealt
MissouriAny qualified provider (rate does not vary by provider) · Missouri MO HealthNet (fee-for-service)$559.04since 2022-07-01——Plans must pay at least this—MO HealthNet fee schedule: Practitioner
South CarolinaAny qualified provider (rate does not vary by provider) · South Carolina Healthy Connections Medicaid (fee-for-service)$528.69since 2024-07-01——Plans negotiate; applies out of network—SCDHHS Nurse Midwives Fee Schedule (sche
ArkansasAny qualified provider (rate does not vary by provider) · Arkansas Medicaid (fee-for-service)$212.36since 2025-06-13——Not classified—Arkansas Medicaid Physician / CRNA / Fam
WisconsinAny qualified provider (rate does not vary by provider) · Wisconsin Medicaid and BadgerCare Plus (fee-for-service, ForwardHealth maximum allowable fees)$177.78since 2019-04-01——Plans negotiate; applies out of network—ForwardHealth max fee schedule: Medical-
TexasPhysician or licensed psychologist (incl. BCBA-D) · Texas Medicaid (fee-for-service, TMHP)$146.09since 2026-03-01——Plans negotiate; applies out of network—TMHP Texas Medicaid Fee Schedule - Physi
OregonAny qualified provider (rate does not vary by provider) · Oregon Health Plan (fee-for-service, OHA)$129.76since 2026-02-01——Plans negotiate; applies out of network—OHP FFS medical-dental fee schedule (fee
New JerseyAny qualified provider (rate does not vary by provider) · New Jersey Medicaid / NJ FamilyCare (fee-for-service)$9.30since 2014-07-01base unit—Not classified—NJMMIS Procedure Master Listing CPTCodes

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 57335?

It depends on the state. Of the 35 states with a published fee-for-service rate, the median is $824.39. New Mexico pays the most ($1,716.30) and New Jersey the least ($9.30 per base unit).

Which state pays the highest Medicaid rate for 57335?

New Mexico, at $1,716.30, effective 2025-01-01.

Do managed-care plans pay the same rate for 57335?

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.

Related Physician & professional codes

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