90480 Medicaid reimbursement rates by state
Physician and practitioner services (fee schedule). 43 state Medicaid programs publish a fee-for-service rate for 90480 at the physician psychologist level. Rates run from $5.09 in Iowa to $58.21 in Alaska, with a median of $34.88.
Data as of 2026-10-05. Every rate links to the official document it came from.
- States publishing
- 43
- Median rate
- $34.88units vary by state
- Highest
- $58.21Alaska
- Medicare (non-facility)
- —not on the physician fee schedule
90480 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 |
|---|---|---|---|---|---|---|
| AlaskaPhysician or licensed psychologist (incl. BCBA-D) · Alaska Medicaid (fee-for-service, Department of Health) | $58.21since 2026-07-01 | — | — | Not classified | — | Alaska Medicaid Physician Fee Schedule S |
| New MexicoAny qualified provider (rate does not vary by provider) · New Mexico Medicaid (fee-for-service, HCA Medical Assistance Division) | $46.83since 2025-01-01 | — | — | Plans must pay at least this | — | New Mexico Medicaid Fee for Service CPT |
| OregonAny qualified provider (rate does not vary by provider) · Oregon Health Plan (fee-for-service, OHA) | $45.15since 2025-01-01 | — | — | Plans negotiate; applies out of network | — | OHP FFS medical-dental fee schedule (fee |
| GeorgiaAny qualified provider (rate does not vary by provider) · Georgia Medicaid (fee-for-service) | $44.95since 2025-04-01 | — | — | Plans negotiate; applies out of network | — | PADL-Appendix A April 2025 COVID-19 & Mo |
| MichiganAny qualified provider (rate does not vary by provider) · Michigan Medicaid (fee-for-service) | $44.54since 2026-01-01 | — | — | 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) | $44.47since 2024-01-01 | — | — | Plans negotiate; applies out of network | — | RI Medicaid Interactive Fee For Service |
| WisconsinAny qualified provider (rate does not vary by provider) · Wisconsin Medicaid and BadgerCare Plus (fee-for-service, ForwardHealth maximum allowable fees) | $43.99since 2026-08-01 | — | — | Plans negotiate; applies out of network | — | ForwardHealth max fee schedule: Transpor |
| VermontAny qualified provider (rate does not vary by provider) · Vermont Medicaid (fee-for-service, DVHA) | $42.70since 2026-01-01 | — | — | Not classified | — | Vermont Medicaid Fee Schedule - CPT Code |
| TexasPhysician or licensed psychologist (incl. BCBA-D) · Texas Medicaid (fee-for-service, TMHP) | $42.35since 2026-03-01 | — | — | Plans negotiate; applies out of network | — | TMHP Texas Medicaid Fee Schedule - Physi |
| NevadaAny qualified provider (rate does not vary by provider) · Nevada Medicaid (fee-for-service provider-type reimbursement schedules) | $41.69since 2023-09-11 | — | — | Plans must pay at least this | — | Provider Type 17, Specialty 166, Special |
| ArizonaAny qualified provider (rate does not vary by provider) · Arizona AHCCCS fee-for-service (AIHP, Tribal ALTCS, TRBHA and other FFS members) | $40.57since 2026-08-01 | — | — | Plans negotiate; applies out of network | — | AHCCCS FFS Capped Fee Schedule: Physicia |
| WyomingAny qualified provider (rate does not vary by provider) · Wyoming Medicaid (fee-for-service, Department of Health) | $40.00since 2023-09-11 | — | — | Not classified | — | Wyoming Medicaid Downloadable Fee Schedu |
| MontanaIndependent (non-agency) provider · Montana Medicaid and HMK Plus (fee-for-service) | $40.00since 2023-09-11 | — | — | Not classified | — | Montana Healthcare Programs fee schedule |
| ConnecticutAny qualified provider (rate does not vary by provider) · Connecticut Medicaid / HUSKY Health (fee-for-service, CMAP) | $40.00since 2026-07-04 | — | — | Not classified | — | CMAP fee schedule: Clinic - Family Plann |
| CaliforniaAny qualified provider (rate does not vary by provider) · California Medi-Cal Targeted Rate Increase fee schedule (fee-for-service; plans pay at least this under the TRI directed payment) | $40.00since 2026-10-01 | — | — | State-directed payment | — | Medi-Cal Rates (Rates files zip: rates_d |
| ArkansasAny qualified provider (rate does not vary by provider) · Arkansas Medicaid (fee-for-service) | $40.00since 2025-06-04 | — | — | Not classified | — | Arkansas Medicaid Certified Nurse-Midwif |
| OhioAny qualified provider (rate does not vary by provider) · Ohio Medicaid (fee-for-service) | $39.94since 2023-09-11 | — | — | Plans expected to pay at least this | — | ODM Outpatient Hospital Behavioral Healt |
| IndianaAny qualified provider (rate does not vary by provider) · Indiana Community Integration and Habilitation (CIH) Waiver for people with IDD | $38.95since 2023-09-11 | unit | — | Paid by the state, outside plans | — | IHCP Professional Fee Schedule (Last Upd |
| IdahoAny qualified provider (rate does not vary by provider) · Idaho Medicaid (fee-for-service, Division of Medicaid / Gainwell) | $38.40since 2025-09-01 | — | — | Not classified | — | Idaho Medicaid Numerical Fee Schedule Ju |
| OklahomaAny qualified provider (rate does not vary by provider) · Oklahoma SoonerCare (fee-for-service, OHCA) | $37.45since 2024-10-01 | — | — | Plans must pay at least this | — | SoonerCare Title XIX Fee Schedule |
| New JerseyAny qualified provider (rate does not vary by provider) · New Jersey Medicaid / NJ FamilyCare (fee-for-service) | $35.96since 2025-01-01 | — | — | Plans must pay at least this | — | NJMMIS Procedure Master Listing CPTHCPCS |
| LouisianaAny qualified provider (rate does not vary by provider) · Louisiana Medicaid (fee-for-service) | $34.88since 2025-07-01 | — | — | Plans must pay at least this | — | Louisiana Medicaid Immunization Fee Sche |
| MississippiAny qualified provider (rate does not vary by provider) · Mississippi Medicaid (fee-for-service) | $34.34since 2023-09-11 | — | — | Plans must pay at least this | — | DOM Comprehensive Fee Schedule, Septembe |
| MissouriAny qualified provider (rate does not vary by provider) · Missouri MO HealthNet (fee-for-service) | $33.20since 2023-09-11 | — | — | Plans must pay at least this | — | MO HealthNet fee schedule: Practitioner |
| North CarolinaAny qualified provider (rate does not vary by provider) · North Carolina Medicaid Direct (fee-for-service) | $28.39since 2025-10-01 | — | — | Plans must pay at least this | — | NC Medicaid fee schedule 'Clinical Pharm |
| MarylandAny qualified provider (rate does not vary by provider) · Maryland Medicaid (fee-for-service, MDH) | $25.00since 2026-01-01 | — | — | Plans must pay at least this | — | Maryland Medicaid Professional Services |
| South CarolinaAny qualified provider (rate does not vary by provider) · South Carolina Healthy Connections Medicaid (fee-for-service) | $24.96since 2024-10-01 | — | — | Plans negotiate; applies out of network | — | SCDHHS Nurse Midwives Fee Schedule (sche |
| MaineAny qualified provider (rate does not vary by provider) · MaineCare (fee-for-service) | $22.26since 2026-01-01 | — | — | Not classified | — | MaineCare Fee Schedule (MaineCare UCR, H |
| ColoradoAny qualified provider (rate does not vary by provider) · Health First Colorado (Colorado Medicaid, fee-for-service) | $20.75since 2026-07-01 | — | — | Not classified | — | Immunization Rates (07/26) |
| NebraskaAny qualified provider (rate does not vary by provider) · Nebraska Medicaid (fee-for-service) | $20.00since 2026-07-01 | — | — | Plans negotiate; applies out of network | — | Nebraska Medicaid fee schedule 471-000-5 |
| KentuckyAny qualified provider (rate does not vary by provider) · Kentucky Medicaid (fee-for-service, DMS fee schedules) | $19.93since 2025-01-01 | — | — | Plans negotiate; applies out of network | — | KY Medicaid Physician fee schedule (2025 |
| South DakotaAny qualified provider (rate does not vary by provider) · South Dakota Medicaid (fee-for-service, DSS Division of Medical Services) | $19.64since 2026-07-01 | — | — | Not classified | — | South Dakota Medicaid Physician fee sche |
| MinnesotaAny qualified provider (rate does not vary by provider) · Minnesota Health Care Programs: Medical Assistance (fee-for-service) | $18.36since 2026-02-01 | — | — | Plans negotiate; applies out of network | — | MHCP Fee Schedule - Current Fee Schedule |
| UtahAny qualified provider (rate does not vary by provider) · Utah Medicaid (fee-for-service, Traditional plan) | $17.85since 2026-07-01 | — | — | Plans negotiate; applies out of network | — | Utah Medicaid Coverage and Reimbursement |
| West VirginiaAny qualified provider (rate does not vary by provider) · West Virginia Medicaid (fee-for-service, Bureau for Medical Services) | $16.10since 2026-04-01 | — | — | Plans negotiate; applies out of network | — | BMS RBRVS 2026 Effective 4/1/26 - 3/31/2 |
| New YorkPhysician or licensed psychologist (incl. BCBA-D) · New York Medicaid (fee-for-service) | $14.78since 2026-01-01 | unit | — | Plans negotiate; applies out of network | — | eMedNY Physician Fee Schedule Sect 2 (Me |
| KansasAny qualified provider (rate does not vary by provider) · MediKan (Kansas state-funded medical program, KMAP fee schedule) | $14.15since 2023-09-11 | — | — | 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) | $10.47since 2024-10-01 | — | — | Plans negotiate; applies out of network | — | 2026 Fee Schedule - Covered Procedures R |
| FloridaAny qualified provider (rate does not vary by provider) · Florida Medicaid (fee-for-service) | $10.00since 2026-01-01 | — | — | Plans negotiate; applies out of network | — | Prescribed Drugs Immunization Fee Schedu |
| WashingtonAny qualified provider (rate does not vary by provider) · Washington Apple Health (Medicaid) fee-for-service | $8.27since 2026-07-01 | — | — | Plans must pay at least this | — | HCA Enhanced pediatric fee schedule (enh |
| AlabamaAny qualified provider (rate does not vary by provider) · Alabama Medicaid (fee-for-service, Alabama Medicaid Agency fee schedules) | $8.00since 2026-08-25 | — | — | Not classified | — | Physician Fee Schedule (REF-0129-Q) |
| MassachusettsAny qualified provider (rate does not vary by provider) · MassHealth (fee-for-service, EOHHS 101 CMR rate regulations) | $7.58since 2026-01-01 | — | — | Plans negotiate; applies out of network | — | Administrative Bulletin 26-09: 101 CMR 3 |
| IowaPhysician or licensed psychologist (incl. BCBA-D) · Iowa Medicaid (fee-for-service schedules; the floor IA Health Link plans must pay) | $5.09since 2024-10-01 | — | — | Plans must pay at least this | — | Iowa Medicaid fee schedule #02 PHYSICIAN |
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 90480?
It depends on the state. Of the 43 states with a published fee-for-service rate, the median is $34.88. Alaska pays the most ($58.21) and Iowa the least ($5.09).
Which state pays the highest Medicaid rate for 90480?
Alaska, at $58.21, effective 2026-07-01.
Do managed-care plans pay the same rate for 90480?
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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Track 90480 in your statesYour codes on one rate card: every payer's rule, Medicare comparison, rank and rate changes.