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59610 Medicaid reimbursement rates by state

Physician and practitioner services (fee schedule). 23 state Medicaid programs publish a fee-for-service rate for 59610 at the physician psychologist level. Rates run from $282.81 in Washington to $3,989.59 in Arizona, with a median of $2,003.80.

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

States publishing
23
Median rate
$2,003.80units vary by state
Highest
$3,989.59Arizona
Medicare (non-facility)
—not on the physician fee schedule

59610 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
ArizonaAny qualified provider (rate does not vary by provider) · Arizona AHCCCS fee-for-service (AIHP, Tribal ALTCS, TRBHA and other FFS members)$3,989.59since 2026-10-01——Plans negotiate; applies out of network—AHCCCS Arizona Health Care Cost Containm
OregonAny qualified provider (rate does not vary by provider) · Oregon Health Plan (fee-for-service, OHA)$2,690.65since 2026-02-01——Plans negotiate; applies out of network—OHP FFS medical-dental fee schedule (fee
GeorgiaPhysician or licensed psychologist (incl. BCBA-D) · Georgia Medicaid (fee-for-service)$2,595.61since 2024-07-01——Plans negotiate; applies out of network—Max Allow Pymt Physician Enhanced Rate C
ColoradoAny qualified provider (rate does not vary by provider) · Child Health Plan Plus (CHP+, Colorado's CHIP)$2,530.12since 2024-07-01——Plans negotiate; applies out of network—Child Health Plan Plus FY 2024-2025 Rate
VirginiaAny qualified provider (rate does not vary by provider) · Virginia Medicaid (fee-for-service, DMAS)$2,366.37since 2026-07-01——Plans negotiate; applies out of network—DMAS procedure fee file cptmedical3.csv
New JerseyAny qualified provider (rate does not vary by provider) · New Jersey Medicaid / NJ FamilyCare (fee-for-service)$2,355.98since 2026-07-01——Not classified—NJMMIS Procedure Master Listing CPTHCPCS
MassachusettsAny qualified provider (rate does not vary by provider) · MassHealth (fee-for-service, EOHHS 101 CMR rate regulations)$2,281.10since 2026-10-01——Plans negotiate; applies out of network—Emergency Adoption (date filed: Septembe
MichiganAny qualified provider (rate does not vary by provider) · Michigan Medicaid (fee-for-service)$2,213.67since 2026-01-01——Plans negotiate; applies out of network—MDHHS Certified Nurse Midwife Fee Schedu
IndianaAny qualified provider (rate does not vary by provider) · Indiana Medicaid (fee-for-service)$2,206.65since 2026-01-01unit—Plans must pay at least this—IHCP Professional Fee Schedule (Last Upd
AlabamaPhysician or licensed psychologist (incl. BCBA-D) · Alabama Medicaid (fee-for-service, Alabama Medicaid Agency fee schedules)$2,090.00since 2022-10-01——Not classified—Rural Physician Fee Schedule
PennsylvaniaAny qualified provider (rate does not vary by provider) · Pennsylvania Medical Assistance (fee-for-service)$2,076.00since 2005-10-01——Plans must pay at least this—PA DHS PROMISe Outpatient Fee Schedule (
North CarolinaAny qualified provider (rate does not vary by provider) · North Carolina Medicaid Direct (fee-for-service)$2,003.80since 2025-10-01——Plans must pay at least this—NC Medicaid fee schedule 'Nurse Practiti
IllinoisAny qualified provider (rate does not vary by provider) · Illinois Medicaid (HFS fee-for-service)$1,885.84since 2023-10-01——Plans negotiate; applies out of network—HFS Practitioner Fee Schedule (effective
MissouriAny qualified provider (rate does not vary by provider) · Missouri MO HealthNet (fee-for-service)$1,882.18since 2022-07-01——Plans must pay at least this—MO HealthNet fee schedule: Practitioner
New YorkPhysician or licensed psychologist (incl. BCBA-D) · New York Medicaid (fee-for-service)$1,829.32since 2023-01-01unit—Plans negotiate; applies out of network—eMedNY Physician Fee Schedule Sect 5 (Su
LouisianaAny qualified provider (rate does not vary by provider) · Louisiana Medicaid (fee-for-service)$1,706.13since 2025-07-01——Plans must pay at least this—Louisiana Medicaid Professional Services
ConnecticutAny qualified provider (rate does not vary by provider) · Connecticut Medicaid / HUSKY Health (fee-for-service, CMAP)$1,589.75since 2026-01-01——Not classified—CMAP fee schedule: Physician Surgical 04
IowaPhysician or licensed psychologist (incl. BCBA-D) · Iowa Medicaid (fee-for-service schedules; the floor IA Health Link plans must pay)$1,485.07since 2013-07-01——Plans must pay at least this—Iowa Medicaid fee schedule #02 PHYSICIAN
CaliforniaAny qualified provider (rate does not vary by provider) · California Medi-Cal (fee-for-service)$1,390.14since 2026-10-01——Plans negotiate; applies out of network—Medi-Cal Rates (Rates files zip: rates_d
MinnesotaAny qualified provider (rate does not vary by provider) · Minnesota Health Care Programs: Medical Assistance (fee-for-service)$1,387.89since 2012-01-01——Plans negotiate; applies out of network—MHCP Fee Schedule - Current Fee Schedule
WisconsinAny qualified provider (rate does not vary by provider) · Wisconsin Medicaid and BadgerCare Plus (fee-for-service, ForwardHealth maximum allowable fees)$1,222.55since 2024-01-01——Plans negotiate; applies out of network—ForwardHealth max fee schedule: Medical-
NebraskaAny qualified provider (rate does not vary by provider) · Nebraska Medicaid (fee-for-service)$576.10since 2026-07-01——Plans negotiate; applies out of network—Nebraska Medicaid fee schedule 471-000-5
WashingtonAny qualified provider (rate does not vary by provider) · Washington Apple Health (Medicaid) fee-for-service$282.81since 2021-01-01——Plans must pay at least this—HCA Physician-related services fee sched

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 59610?

It depends on the state. Of the 23 states with a published fee-for-service rate, the median is $2,003.80. Arizona pays the most ($3,989.59) and Washington the least ($282.81).

Which state pays the highest Medicaid rate for 59610?

Arizona, at $3,989.59, effective 2026-10-01.

Do managed-care plans pay the same rate for 59610?

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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