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83006 Medicaid reimbursement rates by state

Clinical lab tests. 19 state Medicaid programs publish a fee-for-service rate for 83006 at the physician psychologist level. Rates run from $18.25 in Georgia to $81.64 in Texas, with a median of $60.48.

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

States publishing
19
Median rate
$60.48units vary by state
Highest
$81.64Texas
Medicare (non-facility)
—not on the physician fee schedule

83006 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
TexasPhysician or licensed psychologist (incl. BCBA-D) · Texas Medicaid (fee-for-service, TMHP)$81.64since 2019-07-04——Plans negotiate; applies out of network—TMHP Texas Medicaid Fee Schedule - Physi
ArizonaAny qualified provider (rate does not vary by provider) · Arizona AHCCCS fee-for-service (AIHP, Tribal ALTCS, TRBHA and other FFS members)$75.60since 2026-10-01——Plans negotiate; applies out of network—AHCCCS FFS Capped Fee Schedule: Clinical
NebraskaAny qualified provider (rate does not vary by provider) · Nebraska Medicaid (fee-for-service)$75.60since 2026-07-01——Plans negotiate; applies out of network—Nebraska Medicaid fee schedule 471-000-5
IndianaAny qualified provider (rate does not vary by provider) · Indiana Medicaid (fee-for-service)$75.60since 2024-01-01unit—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)$75.60since 2018-01-01——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)$75.60since 2020-01-01——Plans negotiate; applies out of network—KY Medicaid Clinical Lab fee schedule (2
MissouriAny qualified provider (rate does not vary by provider) · Missouri MO HealthNet (fee-for-service)$68.04since 2026-07-01——Plans negotiate; applies out of network—MO HealthNet fee schedule: Independent L
MassachusettsAny qualified provider (rate does not vary by provider) · MassHealth (fee-for-service, EOHHS 101 CMR rate regulations)$66.67since 2024-09-01——Plans negotiate; applies out of network—Rates for Clinical Laboratory Services (
MichiganAny qualified provider (rate does not vary by provider) · Michigan Medicaid (fee-for-service)$62.60since 2023-01-01——Plans negotiate; applies out of network—MDHHS Clinical Laboratory Fee Schedule,
New JerseyAny qualified provider (rate does not vary by provider) · New Jersey Medicaid / NJ FamilyCare (fee-for-service)$60.48since 2021-12-01——Not classified—NJMMIS Procedure Master Listing Outpatie
WashingtonAny qualified provider (rate does not vary by provider) · Washington Apple Health (Medicaid) fee-for-service$60.48since 2026-01-01——Plans may pay no more—HCA Physician-related services fee sched
MarylandAny qualified provider (rate does not vary by provider) · Maryland Medicaid (fee-for-service, MDH)$60.10since 2026-02-01——Not classified—Maryland Medicaid Medical Laboratory Fee
OhioAny qualified provider (rate does not vary by provider) · Ohio Medicaid (fee-for-service)$56.70since 2019-04-01——Plans negotiate; applies out of network—ODM laboratory services payment schedule
IllinoisAny qualified provider (rate does not vary by provider) · Illinois Medicaid (HFS fee-for-service)$51.49since 2024-04-01——Plans negotiate; applies out of network—HFS Practitioner Fee Schedule (effective
VirginiaAny qualified provider (rate does not vary by provider) · Virginia Medicaid (fee-for-service, DMAS)$29.93since 2015-01-01——Plans negotiate; applies out of network—DMAS procedure fee file cptmedical4.csv
WisconsinAny qualified provider (rate does not vary by provider) · Wisconsin Medicaid and BadgerCare Plus (fee-for-service, ForwardHealth maximum allowable fees)$24.00since 2015-01-01——Plans negotiate; applies out of network—ForwardHealth max fee schedule: Medical-
PennsylvaniaAny qualified provider (rate does not vary by provider) · Pennsylvania Medical Assistance (fee-for-service)$23.94since 2015-09-01——Plans negotiate; applies out of network—PA DHS PROMISe Outpatient Fee Schedule (
ConnecticutAny qualified provider (rate does not vary by provider) · Connecticut Medicaid / HUSKY Health (fee-for-service, CMAP)$21.01since 2015-01-01——Not classified—CMAP fee schedule: Lab October 2026
GeorgiaAny qualified provider (rate does not vary by provider) · Georgia Medicaid (fee-for-service)$18.25since 2017-01-01——Plans negotiate; applies out of network—Lab Max Allowable (in Zipped 2017 Fee Sc

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 83006?

It depends on the state. Of the 19 states with a published fee-for-service rate, the median is $60.48. Texas pays the most ($81.64) and Georgia the least ($18.25).

Which state pays the highest Medicaid rate for 83006?

Texas, at $81.64, effective 2019-07-04.

Do managed-care plans pay the same rate for 83006?

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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