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58260 Medicaid reimbursement rate by state (2026)

Physician and practitioner services (fee schedule). Medicaid pays a median of $635.41 for 58260 across 48 states, from $9.30 in New Jersey to $1,555.72 in Nebraska.

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

States publishing
48
National median
$635.41units vary by state
Lowest
$9.30New Jersey
Highest
$1,555.72Nebraska

What does Medicaid pay for 58260?

48 state Medicaid programs publish a fee-for-service rate for 58260 at the physician psychologist level. The national median is $635.41 (units differ between states). Nebraska pays the most, $1,555.72, and New Jersey the least, $9.30 per base unit, a 167.3x spread.

58260 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
1Nebraska Source · since 2026-07-01$1,555.72——Plans negotiate; applies out of network—
2Alaska Source · since 2026-07-01$1,322.04——Not classified—
3Alabama Source · since 2026-09-24$1,273.49——Not classified—
24Kentucky Source · since 2020-01-01$636.38——Plans negotiate; applies out of network—
25Utah Source · since 2026-07-01$634.44——Plans negotiate; applies out of network—
26North Carolina Source · since 2025-10-01$627.58——Plans must pay at least this—
47Oregon Source · since 2026-02-01$93.01——Plans negotiate; applies out of network—
48New Jersey Source · since 2014-07-01$9.30base unit—Not classified—
See all 48 states for 58260 — 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 58260 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 58260?

It depends on the state. Of the 48 states with a published fee-for-service rate, the median is $635.41. Nebraska pays the most ($1,555.72) and New Jersey the least ($9.30 per base unit).

Which state pays the highest Medicaid rate for 58260?

Nebraska, at $1,555.72, effective 2026-07-01.

Do managed-care plans pay the same rate for 58260?

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.