90481 Medicaid reimbursement rates by state
Physician and practitioner services (fee schedule). 5 state Medicaid programs publish a fee-for-service rate for 90481 at the physician psychologist level. Rates run from $10.47 in New Hampshire to $40.00 in Arkansas, with a median of $33.20.
Data as of 2026-10-05. Every rate links to the official document it came from.
- States publishing
- 5
- Median rate
- $33.20units vary by state
- Highest
- $40.00Arkansas
- Medicare (non-facility)
- —not on the physician fee schedule
90481 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) | $40.00since 2026-03-27 | — | — | Not classified | — | Arkansas Medicaid Certified Nurse-Midwif |
| OhioAny qualified provider (rate does not vary by provider) · Ohio Medicaid (fee-for-service) | $33.71since 2026-01-01 | — | — | Plans negotiate; applies out of network | — | ODM provider-administered pharmaceutical |
| MissouriAny qualified provider (rate does not vary by provider) · Missouri MO HealthNet (fee-for-service) | $33.20since 2026-01-01 | — | — | Plans must pay at least this | — | MO HealthNet fee schedule: Practitioner |
| NebraskaAny qualified provider (rate does not vary by provider) · Nebraska Medicaid (fee-for-service) | $15.00since 2026-07-01 | — | — | Plans negotiate; applies out of network | — | Nebraska Medicaid fee schedule 471-000-5 |
| New HampshireAny qualified provider (rate does not vary by provider) · New Hampshire Medicaid (fee-for-service, DHHS / NH MMIS) | $10.47since 2026-01-01 | — | — | Plans negotiate; applies out of network | — | 2026 Fee Schedule - Covered Procedures R |
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 90481?
It depends on the state. Of the 5 states with a published fee-for-service rate, the median is $33.20. Arkansas pays the most ($40.00) and New Hampshire the least ($10.47).
Which state pays the highest Medicaid rate for 90481?
Arkansas, at $40.00, effective 2026-03-27.
Do managed-care plans pay the same rate for 90481?
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.