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68371 Medicaid reimbursement rates by state

Physician and practitioner services (fee schedule). 21 state Medicaid programs publish a fee-for-service rate for 68371 at the physician psychologist level. Rates run from $9.30 in New Jersey to $628.36 in Alabama, with a median of $272.99.

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

States publishing
21
Median rate
$272.99units vary by state
Highest
$628.36Alabama
Medicare (non-facility)
—not on the physician fee schedule

68371 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)$628.36since 2026-09-24——Not classified—Teaching Facility Fee Schedule
IndianaAny qualified provider (rate does not vary by provider) · Indiana Medicaid (fee-for-service)$372.67since 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)$372.50since 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)$325.45since 2026-01-01——Not classified—Maryland Medicaid Professional Services
LouisianaAny qualified provider (rate does not vary by provider) · Louisiana Medicaid (fee-for-service)$324.14since 2025-07-01——Plans must pay at least this—Louisiana Medicaid Professional Services
IowaPhysician or licensed psychologist (incl. BCBA-D) · Iowa Medicaid (fee-for-service schedules; the floor IA Health Link plans must pay)$320.44since 2013-07-01——Plans must pay at least this—Iowa Medicaid fee schedule #02 PHYSICIAN
WisconsinAny qualified provider (rate does not vary by provider) · Wisconsin Medicaid and BadgerCare Plus (fee-for-service, ForwardHealth maximum allowable fees)$317.80since 2008-07-01——Plans negotiate; applies out of network—ForwardHealth max fee schedule: Medical-
GeorgiaAny qualified provider (rate does not vary by provider) · Georgia Medicaid (fee-for-service)$316.41since 2017-01-01——Plans negotiate; applies out of network—Physician Maximum Allowed Fee Schedule -
MassachusettsAny qualified provider (rate does not vary by provider) · MassHealth (fee-for-service, EOHHS 101 CMR rate regulations)$310.07since 2026-10-01——Plans negotiate; applies out of network—Emergency Adoption (date filed: Septembe
OregonAny qualified provider (rate does not vary by provider) · Oregon Health Plan (fee-for-service, OHA)$287.91since 2026-02-01——Plans negotiate; applies out of network—OHP FFS medical-dental fee schedule (fee
MinnesotaAny qualified provider (rate does not vary by provider) · Minnesota Health Care Programs: Medical Assistance (fee-for-service)$272.99since 2026-02-01——Plans negotiate; applies out of network—MHCP Fee Schedule - Current Fee Schedule
KentuckyAny qualified provider (rate does not vary by provider) · Kentucky Medicaid (fee-for-service, DMS fee schedules)$265.09since 2020-01-01——Plans negotiate; applies out of network—KY Medicaid Physician fee schedule (2020
IllinoisAny qualified provider (rate does not vary by provider) · Illinois Medicaid (HFS fee-for-service)$263.74since 2024-04-01——Plans negotiate; applies out of network—HFS Practitioner Fee Schedule (effective
ConnecticutAny qualified provider (rate does not vary by provider) · Connecticut Medicaid / HUSKY Health (fee-for-service, CMAP)$253.45since 2026-01-01——Not classified—CMAP fee schedule: Physician Surgical 04
OhioAny qualified provider (rate does not vary by provider) · Ohio Medicaid (fee-for-service)$247.69since 2004-01-01——Plans negotiate; applies out of network—Appendix DD to OAC 5160-1-60 (Non-Instit
MichiganAny qualified provider (rate does not vary by provider) · Michigan Medicaid (fee-for-service)$228.76since 2026-01-01——Plans negotiate; applies out of network—MDHHS Practitioner and Medical Clinic Fe
WashingtonAny qualified provider (rate does not vary by provider) · Washington Apple Health (Medicaid) fee-for-service$216.52since 2026-07-01——Plans negotiate; applies out of network—HCA Physician-related services fee sched
KansasAny qualified provider (rate does not vary by provider) · Kansas Medicaid QMB (Qualified Medicare Beneficiary) KMAP fee schedule$81.18since 2009-12-18——Not classified—KMAP Fee Schedule QMB Medicaid (FeeSched
ArkansasAny qualified provider (rate does not vary by provider) · Arkansas Medicaid (fee-for-service)$80.20since 2025-06-13——Not classified—Arkansas Medicaid Physician / CRNA / Fam
CaliforniaAny qualified provider (rate does not vary by provider) · California Medi-Cal (fee-for-service)$38.03since 2026-10-01——Plans negotiate; applies out of network—Medi-Cal Rates (Rates files zip: rates_d
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 68371?

It depends on the state. Of the 21 states with a published fee-for-service rate, the median is $272.99. Alabama pays the most ($628.36) and New Jersey the least ($9.30 per base unit).

Which state pays the highest Medicaid rate for 68371?

Alabama, at $628.36, effective 2026-09-24.

Do managed-care plans pay the same rate for 68371?

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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