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64461 Medicaid reimbursement rates by state

Physician and practitioner services (fee schedule). 27 state Medicaid programs publish a fee-for-service rate for 64461 at the physician psychologist level. Rates run from $35.86 in New Jersey to $133.94 in Iowa, with a median of $82.85.

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

States publishing
27
Median rate
$82.85units vary by state
Highest
$133.94Iowa
Medicare (non-facility)
$136.42–$191.972026 physician fee schedule

64461 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
IowaPhysician or licensed psychologist (incl. BCBA-D) · Iowa Medicaid (fee-for-service schedules; the floor IA Health Link plans must pay)$133.94since 2016-01-01——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)$131.42since 2026-10-01——Plans negotiate; applies out of network—Medi-Cal Rates (Rates files zip: rates_d
New YorkPhysician or licensed psychologist (incl. BCBA-D) · New York Medicaid (fee-for-service)$122.97since 2023-10-01unit—Plans negotiate; applies out of network—eMedNY Physician Fee Schedule Sect 5 (Su
OregonAny qualified provider (rate does not vary by provider) · Oregon Health Plan (fee-for-service, OHA)$120.55since 2026-02-01——Plans negotiate; applies out of network—OHP FFS medical-dental fee schedule (fee
LouisianaAny qualified provider (rate does not vary by provider) · Louisiana Medicaid (fee-for-service)$120.49since 2026-01-01——Plans must pay at least this—Louisiana Medicaid Enhanced Professional
KentuckyAny qualified provider (rate does not vary by provider) · Kentucky Medicaid (fee-for-service, DMS fee schedules)$116.24since 2020-01-01——Plans negotiate; applies out of network—KY Medicaid Physician fee schedule (2020
MinnesotaAny qualified provider (rate does not vary by provider) · Minnesota Health Care Programs: Medical Assistance (fee-for-service)$114.24since 2026-02-01——Plans negotiate; applies out of network—MHCP Fee Schedule - Current Fee Schedule
AlabamaAny qualified provider (rate does not vary by provider) · Alabama Medicaid (fee-for-service, Alabama Medicaid Agency fee schedules)$112.38since 2026-08-25——Not classified—Physician Fee Schedule (REF-0129-Q)
ConnecticutAny qualified provider (rate does not vary by provider) · Connecticut Medicaid / HUSKY Health (fee-for-service, CMAP)$106.70since 2026-01-01——Not classified—CMAP fee schedule: Physician Surgical 04
NebraskaAny qualified provider (rate does not vary by provider) · Nebraska Medicaid (fee-for-service)$106.70since 2026-07-01——Plans negotiate; applies out of network—Nebraska Medicaid fee schedule 471-000-5
WisconsinAny qualified provider (rate does not vary by provider) · Wisconsin Medicaid and BadgerCare Plus (fee-for-service, ForwardHealth maximum allowable fees)$105.13since 2016-01-01——Plans negotiate; applies out of network—ForwardHealth max fee schedule: Medical-
MichiganAny qualified provider (rate does not vary by provider) · Michigan Medicaid (fee-for-service)$95.42since 2026-01-01——Plans negotiate; applies out of network—MDHHS Practitioner and Medical Clinic Fe
South CarolinaAny qualified provider (rate does not vary by provider) · South Carolina Healthy Connections Medicaid (fee-for-service)$88.52since 2024-07-01——Not classified—SCDHHS Base Physician Fee Schedule (sche
MissouriAny qualified provider (rate does not vary by provider) · Missouri MO HealthNet (fee-for-service)$82.85since 2022-07-01——Plans must pay at least this—MO HealthNet fee schedule: Practitioner
ColoradoAny qualified provider (rate does not vary by provider) · Child Health Plan Plus (CHP+, Colorado's CHIP)$79.33since 2026-07-01——Plans negotiate; applies out of network—Child Health Plan Plus FY 2026-2027 Fee
GeorgiaAny qualified provider (rate does not vary by provider) · Georgia Medicaid (fee-for-service)$75.27since 2017-01-01——Plans negotiate; applies out of network—OutPatient Max Allowed Site of Service F
ArizonaAny qualified provider (rate does not vary by provider) · Arizona AHCCCS fee-for-service (AIHP, Tribal ALTCS, TRBHA and other FFS members)$75.07since 2026-10-01——Plans negotiate; applies out of network—AHCCCS Arizona Health Care Cost Containm
MarylandAny qualified provider (rate does not vary by provider) · Maryland Medicaid (fee-for-service, MDH)$74.67since 2026-01-01——Not classified—Maryland Medicaid Professional Services
IndianaAny qualified provider (rate does not vary by provider) · Indiana Medicaid (fee-for-service)$71.05since 2026-01-01unit—Plans must pay at least this—IHCP Professional Fee Schedule (Last Upd
OhioAny qualified provider (rate does not vary by provider) · Ohio Medicaid (fee-for-service)$70.24since 2016-01-01——Plans negotiate; applies out of network—Appendix DD to OAC 5160-1-60 (Non-Instit
PennsylvaniaPhysician or licensed psychologist (incl. BCBA-D) · Pennsylvania Medical Assistance (fee-for-service)$70.08since 2016-07-01——Plans negotiate; applies out of network—PA DHS PROMISe Outpatient Fee Schedule (
VirginiaAny qualified provider (rate does not vary by provider) · Virginia Medicaid (fee-for-service, DMAS)$62.21since 2026-07-01——Plans negotiate; applies out of network—DMAS procedure fee file cptmedical3.csv
TexasPhysician or licensed psychologist (incl. BCBA-D) · Texas Medicaid (fee-for-service, TMHP)$61.75since 2025-03-01——Plans negotiate; applies out of network—TMHP Texas Medicaid Fee Schedule - Physi
MassachusettsAny qualified provider (rate does not vary by provider) · MassHealth (fee-for-service, EOHHS 101 CMR rate regulations)$56.69since 2026-10-01——Plans negotiate; applies out of network—Emergency Adoption (date filed: Septembe
FloridaAny qualified provider (rate does not vary by provider) · Florida Medicaid (fee-for-service)$55.85since 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)$52.09since 2024-04-01——Plans negotiate; applies out of network—HFS Practitioner Fee Schedule (effective
New JerseyAny qualified provider (rate does not vary by provider) · New Jersey Medicaid / NJ FamilyCare (fee-for-service)$35.86since 2026-07-01——Not classified—NJMMIS Procedure Master Listing CPTHCPCS

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 64461?

It depends on the state. Of the 27 states with a published fee-for-service rate, the median is $82.85. Iowa pays the most ($133.94) and New Jersey the least ($35.86).

Which state pays the highest Medicaid rate for 64461?

Iowa, at $133.94, effective 2016-01-01.

Do managed-care plans pay the same rate for 64461?

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.

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Medicaid rates by state
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