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69950 Medicaid reimbursement rates by state

Physician and practitioner services (fee schedule). 22 state Medicaid programs publish a fee-for-service rate for 69950 at the physician psychologist level. Rates run from $9.30 in New Jersey to $1,611.69 in Louisiana, with a median of $1,160.72.

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

States publishing
22
Median rate
$1,160.72units vary by state
Highest
$1,611.69Louisiana
Medicare (non-facility)
—not on the physician fee schedule

69950 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
LouisianaAny qualified provider (rate does not vary by provider) · Louisiana Medicaid (fee-for-service)$1,611.69since 2026-01-01——Plans must pay at least this—Louisiana Medicaid Enhanced Professional
MarylandAny qualified provider (rate does not vary by provider) · Maryland Medicaid (fee-for-service, MDH)$1,591.60since 2026-01-01——Not classified—Maryland Medicaid Professional Services
IndianaAny qualified provider (rate does not vary by provider) · Indiana Medicaid (fee-for-service)$1,575.17since 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)$1,566.12since 2026-10-01——Plans negotiate; applies out of network—AHCCCS Arizona Health Care Cost Containm
GeorgiaAny qualified provider (rate does not vary by provider) · Georgia Medicaid (fee-for-service)$1,441.01since 2017-01-01——Plans negotiate; applies out of network—Physician Maximum Allowed Fee Schedule -
ColoradoAny qualified provider (rate does not vary by provider) · Child Health Plan Plus (CHP+, Colorado's CHIP)$1,428.08since 2026-07-01——Plans negotiate; applies out of network—Child Health Plan Plus FY 2026-2027 Fee
North CarolinaAny qualified provider (rate does not vary by provider) · North Carolina Medicaid Direct (fee-for-service)$1,357.80since 2025-10-01——Plans must pay at least this—NC Medicaid fee schedule 'Nurse Practiti
MassachusettsAny qualified provider (rate does not vary by provider) · MassHealth (fee-for-service, EOHHS 101 CMR rate regulations)$1,312.39since 2026-10-01——Plans negotiate; applies out of network—Emergency Adoption (date filed: Septembe
VirginiaAny qualified provider (rate does not vary by provider) · Virginia Medicaid (fee-for-service, DMAS)$1,309.03since 2026-07-01——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)$1,203.42since 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)$1,162.17since 2024-04-01——Plans negotiate; applies out of network—HFS Practitioner Fee Schedule (effective
KentuckyAny qualified provider (rate does not vary by provider) · Kentucky Medicaid (fee-for-service, DMS fee schedules)$1,159.27since 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)$1,103.55since 2026-02-01——Plans negotiate; applies out of network—MHCP Fee Schedule - Current Fee Schedule
MichiganAny qualified provider (rate does not vary by provider) · Michigan Medicaid (fee-for-service)$963.61since 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$888.81since 2026-07-01——Plans negotiate; applies out of network—HCA Physician-related services fee sched
MissouriAny qualified provider (rate does not vary by provider) · Missouri MO HealthNet (fee-for-service)$825.34since 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)$787.78since 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
WisconsinAny qualified provider (rate does not vary by provider) · Wisconsin Medicaid and BadgerCare Plus (fee-for-service, ForwardHealth maximum allowable fees)$444.71since 2008-07-01——Plans negotiate; applies out of network—ForwardHealth max fee schedule: Medical-
TexasPhysician or licensed psychologist (incl. BCBA-D) · Texas Medicaid (fee-for-service, TMHP)$216.37since 2024-03-01——Plans negotiate; applies out of network—TMHP Texas Medicaid Fee Schedule - Physi
CaliforniaAny qualified provider (rate does not vary by provider) · California Medi-Cal (fee-for-service)$75.00since 2026-10-01——Plans negotiate; applies out of network—Medi-Cal UA and UB Modifier Maximum Allo
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 69950?

It depends on the state. Of the 22 states with a published fee-for-service rate, the median is $1,160.72. Louisiana pays the most ($1,611.69) and New Jersey the least ($9.30 per base unit).

Which state pays the highest Medicaid rate for 69950?

Louisiana, at $1,611.69, effective 2026-01-01.

Do managed-care plans pay the same rate for 69950?

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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