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90381 Medicaid reimbursement rate by state (2026)

Physician and practitioner services (fee schedule). Medicaid pays a median of $498.17 for 90381 across 30 states, from $2.67 in Washington to $617.83 in New Mexico.

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

States publishing
30
National median
$498.17units vary by state
Lowest
$2.67Washington
Highest
$617.83New Mexico

What does Medicaid pay for 90381?

30 state Medicaid programs publish a fee-for-service rate for 90381 at the physician psychologist level. The national median is $498.17 (units differ between states). New Mexico pays the most, $617.83, and Washington the least, $2.67, a 231.4x spread.

90381 rate by state: highest, middle and lowest

One like-for-like fee-for-service rate per state, ranked. The workspace lists all 30 states with every variant, modifier and effective date.

#StateMedicaid rateUnitPer hourManaged-care plans% of Medicare
1New Mexico Source · since 2025-01-01$617.83——Plans must pay at least this—
2North Carolina Source · since 2026-01-01$612.91——Plans must pay at least this—
3South Dakota Source · since 2026-07-01$603.39——Not classified—
15Iowa Source · since 2024-05-01$501.34——Plans must pay at least this—
16New Hampshire Source · since 2023-07-17$495.00——Plans negotiate; applies out of network—
17Wyoming Source · since 2026-07-01$495.00——Not classified—
29Missouri Source · since 2023-09-01$8.07——Plans must pay at least this—
30Washington Source · since 2025-01-01$2.67——Plans must pay at least this—
See all 30 states for 90381 — start free

22 more states, with every modifier and provider-type variant, rate history and the plan rule in each state. 14-day free trial, no credit card.

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; states with several Medicare localities show a range. Confirm rates with the payer before billing.

Track 90381 in your states. Get an alert when any state changes it, with every variant and the managed-care rule.

Frequently asked questions

What does Medicaid pay for 90381?

It depends on the state. Of the 30 states with a published fee-for-service rate, the median is $498.17. New Mexico pays the most ($617.83) and Washington the least ($2.67).

Which state pays the highest Medicaid rate for 90381?

New Mexico, at $617.83, effective 2025-01-01.

Do managed-care plans pay the same rate for 90381?

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 workspace shows the rule for each state, cited to the contract or statute.