MedicaidRateStart free trial

63051 Medicaid reimbursement rates by state

Physician and practitioner services (fee schedule). 45 state Medicaid programs publish a fee-for-service rate for 63051 at the physician psychologist level. Rates run from $9.30 in New Jersey to $2,621.01 in Alabama, with a median of $1,224.82.

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

States publishing
45
Median rate
$1,224.82units vary by state
Highest
$2,621.01Alabama
Medicare (non-facility)
—not on the physician fee schedule

63051 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
AlabamaPhysician or licensed psychologist (incl. BCBA-D) · Alabama Medicaid (fee-for-service, Alabama Medicaid Agency fee schedules)$2,621.01since 2026-09-24——Not classified—Teaching Facility Fee Schedule
New MexicoAny qualified provider (rate does not vary by provider) · New Mexico Medicaid (fee-for-service, HCA Medical Assistance Division)$2,495.56since 2025-01-01——Plans must pay at least this—New Mexico Medicaid Fee for Service CPT
MontanaPhysician or licensed psychologist (incl. BCBA-D) · Montana Medicaid and HMK Plus (fee-for-service)$2,212.99since 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)$1,817.64since 2024-01-01——Plans must pay at least this—Provider Type 20 Physician, MD., Osteopa
HawaiiAny qualified provider (rate does not vary by provider) · Hawaii Medicaid (Med-QUEST) fee-for-service$1,646.26since 2026-06-01——Plans must pay at least this—Medicaid Fee-For-Service (FFS) Fee Sched
ArizonaAny qualified provider (rate does not vary by provider) · Arizona AHCCCS fee-for-service (AIHP, Tribal ALTCS, TRBHA and other FFS members)$1,614.98since 2026-10-01——Plans negotiate; applies out of network—AHCCCS Arizona Health Care Cost Containm
New YorkPhysician or licensed psychologist (incl. BCBA-D) · New York Medicaid (fee-for-service)$1,594.55since 2023-10-01unit—Plans negotiate; applies out of network—eMedNY Physician Fee Schedule Sect 5 (Su
MarylandAny qualified provider (rate does not vary by provider) · Maryland Medicaid (fee-for-service, MDH)$1,581.80since 2026-01-01——Not classified—Maryland Medicaid Professional Services
DelawareAny qualified provider (rate does not vary by provider) · Delaware Medicaid (fee-for-service, DMMA / DMAP)$1,516.71since 2026-01-01——Plans negotiate; applies out of network—DMAP 2026 Physician Fee Schedule
IndianaAny qualified provider (rate does not vary by provider) · Indiana Medicaid (fee-for-service)$1,492.42since 2026-01-01unit—Plans must pay at least this—IHCP Professional Fee Schedule (Last Upd
IowaPhysician or licensed psychologist (incl. BCBA-D) · Iowa Medicaid (fee-for-service schedules; the floor IA Health Link plans must pay)$1,463.71since 2013-07-01——Plans must pay at least this—Iowa Medicaid fee schedule #02 PHYSICIAN
GeorgiaAny qualified provider (rate does not vary by provider) · Georgia Medicaid (fee-for-service)$1,391.98since 2017-01-01——Plans negotiate; applies out of network—Physician Maximum Allowed Fee Schedule -
LouisianaAny qualified provider (rate does not vary by provider) · Louisiana Medicaid (fee-for-service)$1,382.92since 2025-07-01——Plans must pay at least this—Louisiana Medicaid Professional Services
OklahomaAny qualified provider (rate does not vary by provider) · Oklahoma SoonerCare (fee-for-service, OHCA)$1,372.60since 2026-07-01——Plans must pay at least this—SoonerCare Title XIX Fee Schedule
VirginiaAny qualified provider (rate does not vary by provider) · Virginia Medicaid (fee-for-service, DMAS)$1,364.29since 2026-07-01——Plans negotiate; applies out of network—DMAS procedure fee file cptmedical3.csv
ColoradoAny qualified provider (rate does not vary by provider) · Child Health Plan Plus (CHP+, Colorado's CHIP)$1,337.97since 2026-07-01——Plans negotiate; applies out of network—Child Health Plan Plus FY 2026-2027 Fee
UtahPhysician or licensed psychologist (incl. BCBA-D) · Utah Medicaid (fee-for-service, Traditional plan)$1,336.03since 2026-07-01——Plans negotiate; applies out of network—Utah Medicaid Coverage and Reimbursement
TexasPhysician or licensed psychologist (incl. BCBA-D) · Texas Medicaid (fee-for-service, TMHP)$1,321.05since 2025-03-01——Plans negotiate; applies out of network—TMHP Texas Medicaid Fee Schedule - Physi
MississippiAny qualified provider (rate does not vary by provider) · Mississippi Medicaid (fee-for-service)$1,296.62since 2026-07-01——Plans must pay at least this—DOM Comprehensive Fee Schedule, Septembe
MassachusettsAny qualified provider (rate does not vary by provider) · MassHealth (fee-for-service, EOHHS 101 CMR rate regulations)$1,252.75since 2026-10-01——Plans negotiate; applies out of network—Emergency Adoption (date filed: Septembe
OhioAny qualified provider (rate does not vary by provider) · Ohio Medicaid (fee-for-service)$1,235.85since 2024-01-01——Plans negotiate; applies out of network—Appendix DD to OAC 5160-1-60 (Non-Instit
VermontAny qualified provider (rate does not vary by provider) · Vermont Medicaid (fee-for-service, DVHA)$1,229.21since 2026-01-01——Not classified—Vermont Medicaid Fee Schedule - CPT Code
FloridaAny qualified provider (rate does not vary by provider) · Florida Medicaid (fee-for-service)$1,224.82since 2026-01-01——Plans negotiate; applies out of network—Practitioner Fee Schedule (2026-01-01)
IdahoAny qualified provider (rate does not vary by provider) · Idaho Medicaid (fee-for-service, Division of Medicaid / Gainwell)$1,211.85since 2026-07-01——Not classified—Idaho Medicaid Numerical Fee Schedule Ju
KentuckyAny qualified provider (rate does not vary by provider) · Kentucky Medicaid (fee-for-service, DMS fee schedules)$1,183.39since 2020-01-01——Plans negotiate; applies out of network—KY Medicaid Physician fee schedule (2020
West VirginiaAny qualified provider (rate does not vary by provider) · West Virginia Medicaid (fee-for-service, Bureau for Medical Services)$1,170.47since 2026-04-01——Plans negotiate; applies out of network—BMS RBRVS 2026 Effective 4/1/26 - 3/31/2
IllinoisAny qualified provider (rate does not vary by provider) · Illinois Medicaid (HFS fee-for-service)$1,170.24since 2024-04-01——Plans negotiate; applies out of network—HFS Practitioner Fee Schedule (effective
MinnesotaAny qualified provider (rate does not vary by provider) · Minnesota Health Care Programs: Medical Assistance (fee-for-service)$1,087.34since 2026-02-01——Plans negotiate; applies out of network—MHCP Fee Schedule - Current Fee Schedule
ConnecticutAny qualified provider (rate does not vary by provider) · Connecticut Medicaid / HUSKY Health (fee-for-service, CMAP)$1,071.14since 2026-01-01——Not classified—CMAP fee schedule: Physician Surgical 04
New HampshireAny qualified provider (rate does not vary by provider) · New Hampshire Medicaid (fee-for-service, DHHS / NH MMIS)$1,057.57since 2023-07-01——Plans negotiate; applies out of network—2026 Fee Schedule - Covered Procedures R
MaineAny qualified provider (rate does not vary by provider) · MaineCare (fee-for-service)$1,042.68since 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)$1,004.30since 2026-01-01——Plans negotiate; applies out of network—MDHHS Practitioner and Medical Clinic Fe
North CarolinaAny qualified provider (rate does not vary by provider) · North Carolina Medicaid Direct (fee-for-service)$954.85since 2025-10-01——Plans must pay at least this—NC Medicaid fee schedule 'Nurse Practiti
WashingtonAny qualified provider (rate does not vary by provider) · Washington Apple Health (Medicaid) fee-for-service$909.64since 2026-07-01——Plans negotiate; applies out of network—HCA Physician-related services fee sched
KansasAny qualified provider (rate does not vary by provider) · MediKan (Kansas state-funded medical program, KMAP fee schedule)$871.73since 2024-08-01——Paid by the state, outside plans—KMAP Fee Schedule MKN Medicaid (FeeSched
MissouriAny qualified provider (rate does not vary by provider) · Missouri MO HealthNet (fee-for-service)$796.79since 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)$765.56since 2024-07-01——Plans negotiate; applies out of network—SCDHHS Nurse Midwives Fee Schedule (sche
NebraskaAny qualified provider (rate does not vary by provider) · Nebraska Medicaid (fee-for-service)$562.24since 2026-07-01——Plans negotiate; applies out of network—Nebraska Medicaid fee schedule 471-000-5
ArkansasAny qualified provider (rate does not vary by provider) · Arkansas Medicaid (fee-for-service)$395.00since 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)$278.08since 2008-07-01——Plans negotiate; applies out of network—ForwardHealth max fee schedule: Medical-
PennsylvaniaPhysician or licensed psychologist (incl. BCBA-D) · Pennsylvania Medical Assistance (fee-for-service)$244.53since 2020-01-01——Plans negotiate; applies out of network—PA DHS PROMISe Outpatient Fee Schedule (
CaliforniaAny qualified provider (rate does not vary by provider) · California Medi-Cal (fee-for-service)$220.67since 2026-10-01——Plans negotiate; applies out of network—Medi-Cal Rates (Rates files zip: rates_d
Rhode IslandAny qualified provider (rate does not vary by provider) · Rhode Island Medicaid (fee-for-service)$218.58since 2005-01-01——Plans negotiate; applies out of network—RI Medicaid Interactive Fee For Service
OregonAny qualified provider (rate does not vary by provider) · Oregon Health Plan (fee-for-service, OHA)$194.53since 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 63051?

It depends on the state. Of the 45 states with a published fee-for-service rate, the median is $1,224.82. Alabama pays the most ($2,621.01) and New Jersey the least ($9.30 per base unit).

Which state pays the highest Medicaid rate for 63051?

Alabama, at $2,621.01, effective 2026-09-24.

Do managed-care plans pay the same rate for 63051?

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 63051 in your statesYour codes on one rate card: every payer's rule, Medicare comparison, rank and rate changes.
Medicaid rates by state