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88142 Medicaid reimbursement rates by state

Clinical lab tests. 45 state Medicaid programs publish a fee-for-service rate for 88142 at the physician psychologist level. Rates run from $9.73 in Florida to $36.47 in New Jersey, with a median of $18.23.

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

States publishing
45
Median rate
$18.23units vary by state
Highest
$36.47New Jersey
Medicare (non-facility)
—not on the physician fee schedule

88142 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
New JerseyAny qualified provider (rate does not vary by provider) · New Jersey Medicaid / NJ FamilyCare (fee-for-service)$36.47since 2025-01-01——Not classified—NJMMIS Procedure Master Listing CPTHCPCS
IowaPhysician or licensed psychologist (incl. BCBA-D) · Iowa Medicaid (fee-for-service schedules; the floor IA Health Link plans must pay)$26.05since 2013-07-01——Plans must pay at least this—Iowa Medicaid fee schedule #02 PHYSICIAN
GeorgiaAny qualified provider (rate does not vary by provider) · Georgia Medicaid (fee-for-service)$25.48since 2018-10-01——Plans negotiate; applies out of network—Lab Max Allowable (in Zipped 2018 Fee Sc
North CarolinaAny qualified provider (rate does not vary by provider) · North Carolina Medicaid Direct (fee-for-service)$24.99since 2025-10-01——Plans must pay at least this—NC Medicaid fee schedule 'Nurse Practiti
New MexicoAny qualified provider (rate does not vary by provider) · New Mexico Medicaid (fee-for-service, HCA Medical Assistance Division)$24.31since 2023-07-01——Plans must pay at least this—New Mexico Medicaid Fee for Service CPT
TexasPhysician or licensed psychologist (incl. BCBA-D) · Texas Medicaid (fee-for-service, TMHP)$21.88since 2021-11-17——Plans negotiate; applies out of network—TMHP Texas Medicaid Fee Schedule - Physi
MontanaIndependent (non-agency) provider · Montana Medicaid and HMK Plus (fee-for-service)$20.26since 2020-01-01——Not classified—Montana Healthcare Programs fee schedule
KentuckyAny qualified provider (rate does not vary by provider) · Kentucky Medicaid (fee-for-service, DMS fee schedules)$20.26since 2020-01-01——Plans negotiate; applies out of network—KY Medicaid Clinical Lab fee schedule (2
WisconsinAny qualified provider (rate does not vary by provider) · Wisconsin Medicaid and BadgerCare Plus (fee-for-service, ForwardHealth maximum allowable fees)$20.26since 2020-01-01——Plans negotiate; applies out of network—ForwardHealth max fee schedule: Medical-
NebraskaAny qualified provider (rate does not vary by provider) · Nebraska Medicaid (fee-for-service)$20.26since 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)$20.26since 2024-01-01unit—Plans must pay at least this—IHCP Professional Fee Schedule (Last Upd
New YorkAny qualified provider (rate does not vary by provider) · New York Medicaid (fee-for-service)$20.26since 2020-05-29——Plans negotiate; applies out of network—eMedNY NYS Medicaid Laboratory Fee Sched
MinnesotaAny qualified provider (rate does not vary by provider) · Minnesota Health Care Programs: Medical Assistance (fee-for-service)$20.26since 2019-01-01——Plans negotiate; applies out of network—MHCP Fee Schedule - Current Fee Schedule
VirginiaAny qualified provider (rate does not vary by provider) · Virginia Medicaid (fee-for-service, DMAS)$20.26since 2020-01-01——Plans negotiate; applies out of network—DMAS procedure fee file cptmedical4.csv
MaineAny qualified provider (rate does not vary by provider) · MaineCare (fee-for-service)$20.26since 2020-01-01——Not classified—MaineCare Fee Schedule (MaineCare UCR, H
HawaiiAny qualified provider (rate does not vary by provider) · Hawaii Medicaid (Med-QUEST) fee-for-service$20.26since 2026-06-01——Plans negotiate; applies out of network—Medicaid Fee-For-Service (FFS) Fee Sched
UtahAny qualified provider (rate does not vary by provider) · Utah Medicaid (fee-for-service, Traditional plan)$20.20since 2026-07-01——Plans negotiate; applies out of network—Utah Medicaid Coverage and Reimbursement
MarylandAny qualified provider (rate does not vary by provider) · Maryland Medicaid (fee-for-service, MDH)$19.88since 2026-02-01——Not classified—Maryland Medicaid Medical Laboratory Fee
DelawareAny qualified provider (rate does not vary by provider) · Delaware Medicaid (fee-for-service, DMMA / DMAP)$19.85since 2024-01-01——Plans negotiate; applies out of network—DMAP 2024 Physician Fee Schedule
VermontAny qualified provider (rate does not vary by provider) · Vermont Medicaid (fee-for-service, DVHA)$19.75since 2025-01-01——Not classified—Vermont Medicaid Fee Schedule - CPT Code
ArkansasAny qualified provider (rate does not vary by provider) · Arkansas Medicaid (fee-for-service)$19.00since 2025-03-26——Not classified—Arkansas Medicaid Independent Laboratory
AlabamaAny qualified provider (rate does not vary by provider) · Alabama Medicaid (fee-for-service, Alabama Medicaid Agency fee schedules)$18.54since 2026-04-10——Not classified—Laboratory and Radiology Fee Schedule (R
ArizonaClinical nurse specialist · Arizona AHCCCS fee-for-service (AIHP, Tribal ALTCS, TRBHA and other FFS members)$18.23since 2026-10-01——Plans negotiate; applies out of network—AHCCCS FFS Capped Fee Schedule: Clinical
MissouriAny qualified provider (rate does not vary by provider) · Missouri MO HealthNet (fee-for-service)$18.23since 2026-07-01——Plans negotiate; applies out of network—MO HealthNet fee schedule: Independent L
MississippiAny qualified provider (rate does not vary by provider) · Mississippi Medicaid (fee-for-service)$18.23since 2022-07-01——Plans must pay at least this—DOM Comprehensive Fee Schedule, May 2023
West VirginiaAny qualified provider (rate does not vary by provider) · West Virginia Medicaid (fee-for-service, Bureau for Medical Services)$18.23since 2023-04-01——Plans negotiate; applies out of network—BMS CY 2023 Clinical Lab Fee Schedule (a
OklahomaAny qualified provider (rate does not vary by provider) · Oklahoma SoonerCare (fee-for-service, OHCA)$18.02since 2024-01-01——Plans must pay at least this—SoonerCare Title XIX Fee Schedule
CaliforniaAny qualified provider (rate does not vary by provider) · California Medi-Cal (fee-for-service)$18.00since 2026-10-01——Plans negotiate; applies out of network—Medi-Cal Rates (Rates files zip: rates_d
MassachusettsAny qualified provider (rate does not vary by provider) · MassHealth (fee-for-service, EOHHS 101 CMR rate regulations)$17.87since 2024-09-01——Plans negotiate; applies out of network—Rates for Clinical Laboratory Services (
KansasAny qualified provider (rate does not vary by provider) · MediKan (Kansas state-funded medical program, KMAP fee schedule)$17.85since 2001-02-01——Paid by the state, outside plans—KMAP Fee Schedule MKN Medicaid (FeeSched
New HampshireAny qualified provider (rate does not vary by provider) · New Hampshire Medicaid (fee-for-service, DHHS / NH MMIS)$17.52since 2025-01-01——Plans negotiate; applies out of network—2026 Fee Schedule - Covered Procedures R
IdahoAny qualified provider (rate does not vary by provider) · Idaho Medicaid (fee-for-service, Division of Medicaid / Gainwell)$17.50since 2025-09-01——Not classified—Idaho Medicaid Numerical Fee Schedule Ju
MichiganAny qualified provider (rate does not vary by provider) · Michigan Medicaid (fee-for-service)$16.77since 2023-01-01——Plans negotiate; applies out of network—MDHHS Child and Adolescent Health Center
Rhode IslandAny qualified provider (rate does not vary by provider) · Rhode Island Medicaid (fee-for-service)$16.60since 2003-01-01——Plans negotiate; applies out of network—RI Medicaid Interactive Fee For Service
WashingtonAny qualified provider (rate does not vary by provider) · Washington Apple Health (Medicaid) fee-for-service$16.21since 2026-01-01——Plans negotiate; applies out of network—HCA Family planning fee schedule (family
OregonAny qualified provider (rate does not vary by provider) · Oregon Health Plan (fee-for-service, OHA)$16.21since 2024-10-01——Plans negotiate; applies out of network—OHP FFS medical-dental fee schedule (fee
PennsylvaniaAny qualified provider (rate does not vary by provider) · Pennsylvania Medical Assistance (fee-for-service)$16.00since 2008-12-22——Plans negotiate; applies out of network—PA DHS PROMISe Outpatient Fee Schedule (
South CarolinaAny qualified provider (rate does not vary by provider) · South Carolina Healthy Connections Medicaid (fee-for-service)$15.80since 2024-07-01——Not classified—SCDHHS Independent Lab and Radiology Fee
OhioAny qualified provider (rate does not vary by provider) · Ohio Medicaid (fee-for-service)$15.20since 2021-04-01——Plans negotiate; applies out of network—ODM laboratory services payment schedule
LouisianaAny qualified provider (rate does not vary by provider) · Louisiana Medicaid (fee-for-service)$15.03since 2014-07-01——Paid by the state, outside plans—Louisiana Medicaid Take Charge Plus (fam
ColoradoAny qualified provider (rate does not vary by provider) · Health First Colorado (Colorado Medicaid, fee-for-service)$14.66since 2026-07-01——Not classified—Clinical Diagnostic Laboratory Test (CDL
ConnecticutAny qualified provider (rate does not vary by provider) · Connecticut Medicaid / HUSKY Health (fee-for-service, CMAP)$14.39since 2016-01-01——Not classified—CMAP fee schedule: Lab October 2026
NevadaAny qualified provider (rate does not vary by provider) · Nevada Medicaid (fee-for-service provider-type reimbursement schedules)$13.82since 2017-01-01——Plans negotiate; applies out of network—Provider Type 43, Laboratory, Pathology
IllinoisAny qualified provider (rate does not vary by provider) · Illinois Medicaid (HFS fee-for-service)$13.80since 2024-04-01——Plans negotiate; applies out of network—HFS Practitioner Fee Schedule (effective
FloridaAny qualified provider (rate does not vary by provider) · Florida Medicaid (fee-for-service)$9.73since 2026-01-01——Plans negotiate; applies out of network—Practitioner Laboratory Fee Schedule (20

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 88142?

It depends on the state. Of the 45 states with a published fee-for-service rate, the median is $18.23. New Jersey pays the most ($36.47) and Florida the least ($9.73).

Which state pays the highest Medicaid rate for 88142?

New Jersey, at $36.47, effective 2025-01-01.

Do managed-care plans pay the same rate for 88142?

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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