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59897 Medicaid reimbursement rates by state

Physician and practitioner services (fee schedule). 5 state Medicaid programs publish a fee-for-service rate for 59897 at the physician psychologist level. Rates run from $0.00 in Arkansas to $1,709.33 in Montana, with a median of $35.00.

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

States publishing
5
Median rate
$35.00units vary by state
Highest
$1,709.33Montana
Medicare (non-facility)
—not on the physician fee schedule

59897 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
MontanaAny qualified provider (rate does not vary by provider) · Montana Medicaid and HMK Plus (fee-for-service)$1,709.33since 2025-07-01——Not classified—Montana Healthcare Programs fee schedule
CaliforniaAny qualified provider (rate does not vary by provider) · California Medi-Cal (fee-for-service)$40.00since 2026-10-01——Plans negotiate; applies out of network—Medi-Cal UA and UB Modifier Maximum Allo
IndianaAny qualified provider (rate does not vary by provider) · Indiana Medicaid (fee-for-service)$35.00since 2010-01-01percent of billed charges—Plans must pay at least this—IHCP Professional Fee Schedule (Last Upd
New JerseyAny qualified provider (rate does not vary by provider) · New Jersey Medicaid / NJ FamilyCare (fee-for-service)$8.10since 2014-07-01base unit—Not classified—NJMMIS Procedure Master Listing CPTCodes
ArkansasAny qualified provider (rate does not vary by provider) · Arkansas Medicaid (fee-for-service)$0.00since 2025-06-13——Not classified—Arkansas Medicaid Physician / CRNA / Fam

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 59897?

It depends on the state. Of the 5 states with a published fee-for-service rate, the median is $35.00. Montana pays the most ($1,709.33) and Arkansas the least ($0.00).

Which state pays the highest Medicaid rate for 59897?

Montana, at $1,709.33, effective 2025-07-01.

Do managed-care plans pay the same rate for 59897?

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

Track 59897 in your statesYour codes on one rate card: every payer's rule, Medicare comparison, rank and rate changes.
Medicaid rates by state