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69710 Medicaid reimbursement rates by state

Physician and practitioner services (fee schedule). 19 state Medicaid programs publish a fee-for-service rate for 69710 at the physician psychologist level. Rates run from $5.00 in Minnesota to $2,895.97 in Nevada, with a median of $681.87.

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

States publishing
19
Median rate
$681.87units vary by state
Highest
$2,895.97Nevada
Medicare (non-facility)
—not on the physician fee schedule

69710 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
NevadaPhysician or licensed psychologist (incl. BCBA-D) · Nevada Medicaid (fee-for-service provider-type reimbursement schedules)$2,895.97⚠ over 3× mediansince 2024-01-01——Plans must pay at least this—Provider Type 20 Physician, MD., Osteopa
New MexicoAny qualified provider (rate does not vary by provider) · New Mexico Medicaid (fee-for-service, HCA Medical Assistance Division)$1,721.29since 2025-01-01——Plans must pay at least this—New Mexico Medicaid Fee for Service CPT
IowaPhysician or licensed psychologist (incl. BCBA-D) · Iowa Medicaid (fee-for-service schedules; the floor IA Health Link plans must pay)$1,159.66since 2018-09-01——Plans must pay at least this—Iowa Medicaid fee schedule #02 PHYSICIAN
IllinoisAny qualified provider (rate does not vary by provider) · Illinois Medicaid (HFS fee-for-service)$893.36since 2013-01-01——Plans negotiate; applies out of network—HFS Practitioner Fee Schedule (effective
ColoradoAny qualified provider (rate does not vary by provider) · Health First Colorado (Colorado Medicaid, fee-for-service)$860.51since 2026-07-01——Not classified—Health First Colorado Physician Fee Sche
MarylandAny qualified provider (rate does not vary by provider) · Maryland Medicaid (fee-for-service, MDH)$814.54since 2026-01-01——Not classified—Maryland Medicaid Professional Services
South CarolinaAny qualified provider (rate does not vary by provider) · South Carolina Healthy Connections Medicaid (fee-for-service)$796.85since 2011-04-08——Not classified—SCDHHS Pediatric Subspecialty and Neonat
KentuckyAny qualified provider (rate does not vary by provider) · Kentucky Medicaid (fee-for-service, DMS fee schedules)$775.35since 2020-01-01——Plans negotiate; applies out of network—KY Medicaid Physician fee schedule (2020
AlabamaAny qualified provider (rate does not vary by provider) · Alabama Medicaid (fee-for-service, Alabama Medicaid Agency fee schedules)$700.00since 2026-08-25——Not classified—Physician Fee Schedule (REF-0129-Q)
KansasAny qualified provider (rate does not vary by provider) · MediKan (Kansas state-funded medical program, KMAP fee schedule)$681.87since 2009-03-01——Paid by the state, outside plans—KMAP Fee Schedule MKN Medicaid (FeeSched
VirginiaAny qualified provider (rate does not vary by provider) · Virginia Medicaid (fee-for-service, DMAS)$661.02since 2009-07-01——Plans negotiate; applies out of network—DMAS procedure fee file cptmedical3.csv
FloridaAny qualified provider (rate does not vary by provider) · Florida Medicaid (fee-for-service)$643.85since 2026-01-01——Plans negotiate; applies out of network—Practitioner Fee Schedule (2026-01-01)
OklahomaAny qualified provider (rate does not vary by provider) · Oklahoma SoonerCare (fee-for-service, OHCA)$549.14since 2024-01-01——Plans must pay at least this—SoonerCare Title XIX Fee Schedule
NebraskaAny qualified provider (rate does not vary by provider) · Nebraska Medicaid (fee-for-service)$518.70since 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)$492.23since 2008-07-01——Plans negotiate; applies out of network—ForwardHealth max fee schedule: Medical-
MaineAny qualified provider (rate does not vary by provider) · MaineCare (fee-for-service)$421.78since 2026-01-01——Not classified—MaineCare Fee Schedule (MaineCare UCR, H
New YorkPhysician or licensed psychologist (incl. BCBA-D) · New York Medicaid (fee-for-service)$383.80since 2023-01-01unit—Plans negotiate; applies out of network—eMedNY Physician Fee Schedule Sect 5 (Su
IndianaAny qualified provider (rate does not vary by provider) · Indiana Medicaid (fee-for-service)$20.00since 2010-01-01percent of billed charges—Plans must pay at least this—IHCP Professional Fee Schedule (Last Upd
MinnesotaAny qualified provider (rate does not vary by provider) · Minnesota Health Care Programs: Medical Assistance (fee-for-service)$5.00since 1988-04-01base unit—Plans negotiate; applies out of network—MHCP Fee Schedule - Current Fee Schedule

Rates marked ⚠ are more than three times the median for the same unit; they are published as shown but often reflect an office (non-facility) fee or a different scope of service. 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 69710?

It depends on the state. Of the 19 states with a published fee-for-service rate, the median is $681.87. Nevada pays the most ($2,895.97) and Minnesota the least ($5.00 per base unit).

Which state pays the highest Medicaid rate for 69710?

Nevada, at $2,895.97, effective 2024-01-01.

Do managed-care plans pay the same rate for 69710?

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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