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90476 Medicaid reimbursement rates by state

Physician and practitioner services (fee schedule). 5 state Medicaid programs publish a fee-for-service rate for 90476 at the physician psychologist level. Rates run from $2.00 in Kansas to $49.68 in Texas, with a median of $22.01.

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

States publishing
5
Median rate
$22.01units vary by state
Highest
$49.68Texas
Medicare (non-facility)
—not on the physician fee schedule

90476 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)$49.68since 2023-10-01——Plans negotiate; applies out of network—TMHP Texas Medicaid Fee Schedule - Physi
ColoradoAny qualified provider (rate does not vary by provider) · Health First Colorado (Colorado Medicaid, fee-for-service)$38.48since 2026-07-01——Not classified—Immunization Rates (07/26)
ArizonaAny qualified provider (rate does not vary by provider) · Arizona AHCCCS fee-for-service (AIHP, Tribal ALTCS, TRBHA and other FFS members)$22.01since 2023-04-01——Plans negotiate; applies out of network—AHCCCS FFS Capped Fee Schedule: Physicia
HawaiiAny qualified provider (rate does not vary by provider) · Hawaii Medicaid (Med-QUEST) fee-for-service$4.00since 2024-03-04——Plans negotiate; applies out of network—Medicaid Fee-For-Service (FFS) Fee Sched
KansasAny qualified provider (rate does not vary by provider) · Kansas Medicaid QMB (Qualified Medicare Beneficiary) KMAP fee schedule$2.00since 1999-01-01——Not classified—KMAP Fee Schedule QMB Medicaid (FeeSched

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 90476?

It depends on the state. Of the 5 states with a published fee-for-service rate, the median is $22.01. Texas pays the most ($49.68) and Kansas the least ($2.00).

Which state pays the highest Medicaid rate for 90476?

Texas, at $49.68, effective 2023-10-01.

Do managed-care plans pay the same rate for 90476?

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

Track 90476 in your statesYour codes on one rate card: every payer's rule, Medicare comparison, rank and rate changes.
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