89321 Medicaid reimbursement rates by state

Clinical lab tests. 27 state Medicaid programs publish a fee-for-service rate for 89321 at the physician psychologist level. Rates run from $6.87 in New York to $17.22 in Arkansas, with a median of $11.51.

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

States publishing: 27
Median rate: $11.51units vary by state
Highest: $17.22Arkansas
Medicare (non-facility): —not on the physician fee schedule

89321 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.

State	Medicaid rate	Unit	Per hour	Managed-care plans	% of Medicare	Source
ArkansasAny qualified provider (rate does not vary by provider) · Arkansas Medicaid (fee-for-service)	$17.22since 2025-03-26	—	—	Not classified	—	Arkansas Medicaid Independent Laboratory
IowaPhysician or licensed psychologist (incl. BCBA-D) · Iowa Medicaid (fee-for-service schedules; the floor IA Health Link plans must pay)	$16.88since 2024-01-01	—	—	Plans must pay at least this	—	Iowa Medicaid fee schedule #02 PHYSICIAN
New MexicoAny qualified provider (rate does not vary by provider) · New Mexico Medicaid (fee-for-service, HCA Medical Assistance Division)	$14.46since 2023-07-01	—	—	Plans must pay at least this	—	New Mexico Medicaid Fee for Service CPT
WisconsinAny qualified provider (rate does not vary by provider) · Wisconsin Medicaid and BadgerCare Plus (fee-for-service, ForwardHealth maximum allowable fees)	$12.05since 2020-01-01	—	—	Plans negotiate; applies out of network	—	ForwardHealth max fee schedule: Medical-
IndianaAny qualified provider (rate does not vary by provider) · Indiana Medicaid (fee-for-service)	$12.05since 2024-01-01	unit	—	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)	$12.05since 2020-01-01	—	—	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)	$12.05since 2020-01-01	—	—	Plans negotiate; applies out of network	—	DMAS procedure fee file cptmedical4.csv
KentuckyAny qualified provider (rate does not vary by provider) · Kentucky Medicaid (fee-for-service, DMS fee schedules)	$12.05since 2025-01-01	—	—	Plans negotiate; applies out of network	—	KY Medicaid Clinical Lab fee schedule (2
MaineAny qualified provider (rate does not vary by provider) · MaineCare (fee-for-service)	$12.05since 2026-01-01	—	—	Not classified	—	MaineCare Fee Schedule (MaineCare UCR, H
HawaiiAny qualified provider (rate does not vary by provider) · Hawaii Medicaid (Med-QUEST) fee-for-service	$12.05since 2026-06-01	—	—	Plans negotiate; applies out of network	—	Medicaid Fee-For-Service (FFS) Fee Sched
MarylandAny qualified provider (rate does not vary by provider) · Maryland Medicaid (fee-for-service, MDH)	$11.83since 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)	$11.81since 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)	$11.75since 2025-01-01	—	—	Not classified	—	Vermont Medicaid Fee Schedule - CPT Code
ConnecticutAny qualified provider (rate does not vary by provider) · Connecticut Medicaid / HUSKY Health (fee-for-service, CMAP)	$11.51since 2015-01-01	—	—	Not classified	—	CMAP fee schedule: Lab October 2026
ArizonaClinical nurse specialist · Arizona AHCCCS fee-for-service (AIHP, Tribal ALTCS, TRBHA and other FFS members)	$10.85since 2026-07-01	—	—	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)	$10.85since 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)	$10.63since 2024-09-01	—	—	Plans negotiate; applies out of network	—	Rates for Clinical Laboratory Services (
IdahoAny qualified provider (rate does not vary by provider) · Idaho Medicaid (fee-for-service, Division of Medicaid / Gainwell)	$10.42since 2025-09-01	—	—	Not classified	—	Idaho Medicaid Numerical Fee Schedule Ju
New HampshireAny qualified provider (rate does not vary by provider) · New Hampshire Medicaid (fee-for-service, DHHS / NH MMIS)	$10.42since 2025-01-01	—	—	Plans negotiate; applies out of network	—	2026 Fee Schedule - Covered Procedures R
KansasAny qualified provider (rate does not vary by provider) · Kansas Medicaid QMB (Qualified Medicare Beneficiary) KMAP fee schedule	$10.24since 2023-07-01	—	—	Not classified	—	KMAP Fee Schedule QMB Medicaid (FeeSched
ColoradoAny qualified provider (rate does not vary by provider) · Health First Colorado (Colorado Medicaid, fee-for-service)	$10.04since 2026-07-01	—	—	Not classified	—	Clinical Diagnostic Laboratory Test (CDL
MichiganAny qualified provider (rate does not vary by provider) · Michigan Medicaid (fee-for-service)	$9.98since 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)	$9.64since 2025-01-01	—	—	Not classified	—	NJMMIS Procedure Master Listing CPTHCPCS
AlabamaAny qualified provider (rate does not vary by provider) · Alabama Medicaid (fee-for-service, Alabama Medicaid Agency fee schedules)	$8.43since 2026-04-10	—	—	Not classified	—	Laboratory and Radiology Fee Schedule (R
IllinoisAny qualified provider (rate does not vary by provider) · Illinois Medicaid (HFS fee-for-service)	$8.21since 2024-04-01	—	—	Plans negotiate; applies out of network	—	HFS Practitioner Fee Schedule (effective
GeorgiaAny qualified provider (rate does not vary by provider) · Georgia Medicaid (fee-for-service)	$7.25since 2017-01-01	—	—	Plans negotiate; applies out of network	—	Lab Max Allowable (in Zipped 2017 Fee Sc
New YorkAny qualified provider (rate does not vary by provider) · New York Medicaid (fee-for-service)	$6.87since 2020-05-29	—	—	Plans negotiate; applies out of network	—	eMedNY NYS Medicaid Laboratory Fee Sched

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 89321?

It depends on the state. Of the 27 states with a published fee-for-service rate, the median is $11.51. Arkansas pays the most ($17.22) and New York the least ($6.87).

Which state pays the highest Medicaid rate for 89321?

Arkansas, at $17.22, effective 2025-03-26.

Do managed-care plans pay the same rate for 89321?

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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