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64491 Medicaid reimbursement rates by state

Physician and practitioner services (fee schedule). 37 state Medicaid programs publish a fee-for-service rate for 64491 at the physician psychologist level. Rates run from $13.54 in Wisconsin to $143.20 in Montana, with a median of $59.33.

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

States publishing
37
Median rate
$59.33units vary by state
Highest
$143.20Montana
Medicare (non-facility)
$91.57–$131.042026 physician fee schedule

64491 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
MontanaPhysician or licensed psychologist (incl. BCBA-D) · Montana Medicaid and HMK Plus (fee-for-service)$143.20since 2026-07-01——Not classified—Montana Healthcare Programs fee schedule
New MexicoAny qualified provider (rate does not vary by provider) · New Mexico Medicaid (fee-for-service, HCA Medical Assistance Division)$137.02since 2025-01-01——Plans must pay at least this—New Mexico Medicaid Fee for Service CPT
MarylandAny qualified provider (rate does not vary by provider) · Maryland Medicaid (fee-for-service, MDH)$95.09since 2026-01-01——Not classified—Maryland Medicaid Professional Services
OklahomaAny qualified provider (rate does not vary by provider) · Oklahoma SoonerCare (fee-for-service, OHCA)$88.56since 2026-07-01——Plans must pay at least this—SoonerCare Title XIX Fee Schedule
New YorkPhysician or licensed psychologist (incl. BCBA-D) · New York Medicaid (fee-for-service)$86.94since 2023-10-01unit—Plans negotiate; applies out of network—eMedNY Physician Fee Schedule Sect 5 (Su
MississippiAny qualified provider (rate does not vary by provider) · Mississippi Medicaid (fee-for-service)$83.26since 2026-07-01——Plans must pay at least this—DOM Comprehensive Fee Schedule, Septembe
IdahoAny qualified provider (rate does not vary by provider) · Idaho Medicaid (fee-for-service, Division of Medicaid / Gainwell)$82.17since 2026-07-01——Not classified—Idaho Medicaid Numerical Fee Schedule Ju
CaliforniaAny qualified provider (rate does not vary by provider) · California Medi-Cal (fee-for-service)$79.67since 2026-10-01——Plans negotiate; applies out of network—Medi-Cal Rates (Rates files zip: rates_d
IowaPhysician or licensed psychologist (incl. BCBA-D) · Iowa Medicaid (fee-for-service schedules; the floor IA Health Link plans must pay)$78.97since 2013-07-01——Plans must pay at least this—Iowa Medicaid fee schedule #02 PHYSICIAN
MinnesotaAny qualified provider (rate does not vary by provider) · Minnesota Health Care Programs: Medical Assistance (fee-for-service)$77.70since 2026-02-01——Plans negotiate; applies out of network—MHCP Fee Schedule - Current Fee Schedule
LouisianaAny qualified provider (rate does not vary by provider) · Louisiana Medicaid (fee-for-service)$77.04since 2025-07-01——Plans must pay at least this—Louisiana Medicaid Professional Services
West VirginiaAny qualified provider (rate does not vary by provider) · West Virginia Medicaid (fee-for-service, Bureau for Medical Services)$69.30since 2026-04-01——Plans negotiate; applies out of network—BMS RBRVS 2026 Effective 4/1/26 - 3/31/2
MaineAny qualified provider (rate does not vary by provider) · MaineCare (fee-for-service)$69.25since 2026-01-01——Not classified—MaineCare Fee Schedule (MaineCare UCR, H
KentuckyAny qualified provider (rate does not vary by provider) · Kentucky Medicaid (fee-for-service, DMS fee schedules)$68.01since 2020-01-01——Plans negotiate; applies out of network—KY Medicaid Physician fee schedule (2020
MichiganAny qualified provider (rate does not vary by provider) · Michigan Medicaid (fee-for-service)$64.97since 2026-01-01——Plans negotiate; applies out of network—MDHHS Practitioner and Medical Clinic Fe
NevadaPhysician or licensed psychologist (incl. BCBA-D) · Nevada Medicaid (fee-for-service provider-type reimbursement schedules)$64.31since 2024-01-01——Plans must pay at least this—Provider Type 20 Physician, MD., Osteopa
South CarolinaAny qualified provider (rate does not vary by provider) · South Carolina Healthy Connections Medicaid (fee-for-service)$64.06since 2024-07-01——Not classified—SCDHHS Base Physician Fee Schedule (sche
ConnecticutAny qualified provider (rate does not vary by provider) · Connecticut Medicaid / HUSKY Health (fee-for-service, CMAP)$60.78since 2026-01-01——Not classified—CMAP fee schedule: Physician Surgical 04
ColoradoAny qualified provider (rate does not vary by provider) · Child Health Plan Plus (CHP+, Colorado's CHIP)$59.33since 2026-07-01——Plans negotiate; applies out of network—Child Health Plan Plus FY 2026-2027 Fee
KansasAny qualified provider (rate does not vary by provider) · MediKan (Kansas state-funded medical program, KMAP fee schedule)$57.69since 2024-08-01——Paid by the state, outside plans—KMAP Fee Schedule MKN Medicaid (FeeSched
AlabamaAny qualified provider (rate does not vary by provider) · Alabama Medicaid (fee-for-service, Alabama Medicaid Agency fee schedules)$57.69since 2026-08-25——Not classified—Physician Fee Schedule (REF-0129-Q)
IndianaAny qualified provider (rate does not vary by provider) · Indiana Medicaid (fee-for-service)$54.17since 2026-01-01unit—Plans must pay at least this—IHCP Professional Fee Schedule (Last Upd
ArizonaAny qualified provider (rate does not vary by provider) · Arizona AHCCCS fee-for-service (AIHP, Tribal ALTCS, TRBHA and other FFS members)$53.11since 2026-10-01——Plans negotiate; applies out of network—AHCCCS Arizona Health Care Cost Containm
NebraskaAny qualified provider (rate does not vary by provider) · Nebraska Medicaid (fee-for-service)$49.78since 2026-07-01——Plans negotiate; applies out of network—Nebraska Medicaid fee schedule 471-000-5
TexasPhysician or licensed psychologist (incl. BCBA-D) · Texas Medicaid (fee-for-service, TMHP)$49.40since 2025-03-01——Plans negotiate; applies out of network—TMHP Texas Medicaid Fee Schedule - Physi
VirginiaAny qualified provider (rate does not vary by provider) · Virginia Medicaid (fee-for-service, DMAS)$43.98since 2026-07-01——Plans negotiate; applies out of network—DMAS procedure fee file cptmedical3.csv
MassachusettsAny qualified provider (rate does not vary by provider) · MassHealth (fee-for-service, EOHHS 101 CMR rate regulations)$43.39since 2026-10-01——Plans negotiate; applies out of network—Emergency Adoption (date filed: Septembe
GeorgiaAny qualified provider (rate does not vary by provider) · Georgia Medicaid (fee-for-service)$41.15since 2017-01-01——Plans negotiate; applies out of network—OutPatient Max Allowed Site of Service F
FloridaAny qualified provider (rate does not vary by provider) · Florida Medicaid (fee-for-service)$40.91since 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)$39.33since 2024-04-01——Plans negotiate; applies out of network—HFS Practitioner Fee Schedule (effective
North CarolinaAny qualified provider (rate does not vary by provider) · North Carolina Medicaid Direct (fee-for-service)$38.13since 2025-10-01——Plans must pay at least this—NC Medicaid fee schedule 'Nurse Practiti
OhioAny qualified provider (rate does not vary by provider) · Ohio Medicaid (fee-for-service)$30.11since 2024-01-01——Plans negotiate; applies out of network—Appendix DD to OAC 5160-1-60 (Non-Instit
WashingtonAny qualified provider (rate does not vary by provider) · Washington Apple Health (Medicaid) fee-for-service$29.62since 2026-07-01——Plans negotiate; applies out of network—HCA Physician-related services fee sched
New JerseyAny qualified provider (rate does not vary by provider) · New Jersey Medicaid / NJ FamilyCare (fee-for-service)$25.42since 2026-07-01——Not classified—NJMMIS Procedure Master Listing CPTHCPCS
ArkansasAny qualified provider (rate does not vary by provider) · Arkansas Medicaid (fee-for-service)$18.13since 2025-06-13——Not classified—Arkansas Medicaid Physician / CRNA / Fam
MissouriAny qualified provider (rate does not vary by provider) · Missouri MO HealthNet (fee-for-service)$17.57since 2022-07-01——Plans must pay at least this—MO HealthNet fee schedule: Practitioner
WisconsinAny qualified provider (rate does not vary by provider) · Wisconsin Medicaid and BadgerCare Plus (fee-for-service, ForwardHealth maximum allowable fees)$13.54since 2022-02-12——Plans negotiate; applies out of network—ForwardHealth max fee schedule: Medical-

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 64491?

It depends on the state. Of the 37 states with a published fee-for-service rate, the median is $59.33. Montana pays the most ($143.20) and Wisconsin the least ($13.54).

Which state pays the highest Medicaid rate for 64491?

Montana, at $143.20, effective 2026-07-01.

Do managed-care plans pay the same rate for 64491?

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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