90686 Medicaid reimbursement rates by state
Physician and practitioner services (fee schedule). 19 state Medicaid programs publish a fee-for-service rate for 90686 at the physician psychologist level. Rates run from $2.67 in Washington to $26.81 in California, with a median of $19.93.
Data as of 2026-10-05. Every rate links to the official document it came from.
- States publishing
- 19
- Median rate
- $19.93units vary by state
- Highest
- $26.81California
- Medicare (non-facility)
- —not on the physician fee schedule
90686 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 |
|---|---|---|---|---|---|---|
| CaliforniaAny qualified provider (rate does not vary by provider) · California Medi-Cal (fee-for-service) | $26.81since 2026-10-01 | — | — | Plans negotiate; applies out of network | — | Medi-Cal Rates (Rates files zip: rates_d |
| MarylandAny qualified provider (rate does not vary by provider) · Maryland Medicaid (fee-for-service, MDH) | $22.35since 2026-01-01 | — | — | Plans must pay at least this | — | Maryland Medicaid Professional Services |
| OhioAny qualified provider (rate does not vary by provider) · Ohio Medicaid (fee-for-service) | $22.35since 2023-10-01 | — | — | Plans negotiate; applies out of network | — | ODM provider-administered pharmaceutical |
| MichiganAny qualified provider (rate does not vary by provider) · Michigan Medicaid (fee-for-service) | $22.35since 2023-08-01 | — | — | Plans negotiate; applies out of network | — | MDHHS Child and Adolescent Health Center |
| VirginiaAny qualified provider (rate does not vary by provider) · Virginia Medicaid (fee-for-service, DMAS) | $22.35since 2023-08-01 | — | — | 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) | $22.35since 2024-01-01 | — | — | Plans negotiate; applies out of network | — | KY Medicaid Physician fee schedule (2024 |
| TexasPhysician or licensed psychologist (incl. BCBA-D) · Texas Medicaid (fee-for-service, TMHP) | $22.20since 2026-03-01 | — | — | 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) | $21.90since 2026-07-01 | — | — | Not classified | — | Immunization Rates (07/26) |
| LouisianaAny qualified provider (rate does not vary by provider) · Louisiana Medicaid (fee-for-service) | $20.04since 2025-01-01 | — | — | Plans must pay at least this | — | Louisiana Medicaid Immunization Fee Sche |
| IndianaAny qualified provider (rate does not vary by provider) · Indiana Medicaid (fee-for-service) | $19.93since 2023-10-01 | unit | — | Plans must pay at least this | — | IHCP Professional Fee Schedule (Last Upd |
| ArizonaAny qualified provider (rate does not vary by provider) · Arizona AHCCCS fee-for-service (AIHP, Tribal ALTCS, TRBHA and other FFS members) | $19.73since 2026-08-01 | — | — | Plans negotiate; applies out of network | — | AHCCCS FFS Capped Fee Schedule: Physicia |
| North CarolinaAny qualified provider (rate does not vary by provider) · North Carolina Medicaid Direct (fee-for-service) | $19.55since 2024-05-01 | — | — | Plans must pay at least this | — | NC Medicaid fee schedule 'Local Health D |
| South CarolinaAny qualified provider (rate does not vary by provider) · South Carolina Healthy Connections Medicaid (fee-for-service) | $19.29since 2024-04-01 | — | — | Plans negotiate; applies out of network | — | SCDHHS Nurse Midwives Fee Schedule (sche |
| GeorgiaAny qualified provider (rate does not vary by provider) · Georgia Medicaid (fee-for-service) | $19.03since 2019-01-01 | — | — | Plans negotiate; applies out of network | — | Schedule of Maximum Allw Pymt Physician |
| New JerseyAny qualified provider (rate does not vary by provider) · New Jersey Medicaid / NJ FamilyCare (fee-for-service) | $18.79since 2025-01-01 | — | — | Not classified | — | NJMMIS Procedure Master Listing CPTHCPCS |
| NebraskaAny qualified provider (rate does not vary by provider) · Nebraska Medicaid (fee-for-service) | $10.92since 2026-07-01 | — | — | Plans negotiate; applies out of network | — | Nebraska Medicaid fee schedule IMMUNIZAT |
| PennsylvaniaRegistered nurse (RN) · Pennsylvania Medical Assistance (fee-for-service) | $10.00since 2013-06-24 | — | — | Plans negotiate; applies out of network | — | PA DHS PROMISe Outpatient Fee Schedule ( |
| MissouriAny qualified provider (rate does not vary by provider) · Missouri MO HealthNet (fee-for-service) | $8.07since 2022-07-01 | — | — | Plans must pay at least this | — | MO HealthNet fee schedule: Nurse Midwife |
| WashingtonAny qualified provider (rate does not vary by provider) · Washington Apple Health (Medicaid) fee-for-service | $2.67since 2025-01-01 | — | — | Plans must pay at least this | — | HCA Enhanced pediatric fee schedule (enh |
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 90686?
It depends on the state. Of the 19 states with a published fee-for-service rate, the median is $19.93. California pays the most ($26.81) and Washington the least ($2.67).
Which state pays the highest Medicaid rate for 90686?
California, at $26.81, effective 2026-10-01.
Do managed-care plans pay the same rate for 90686?
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
10004Physician and practitioner services (fee schedule) · 25 states10005Physician and practitioner services (fee schedule) · 25 states10006Physician and practitioner services (fee schedule) · 25 states10007Physician and practitioner services (fee schedule) · 25 states10008Physician and practitioner services (fee schedule) · 25 states10009Physician and practitioner services (fee schedule) · 25 states10010Physician and practitioner services (fee schedule) · 25 states10021Physician and practitioner services (fee schedule) · 25 states10030Physician and practitioner services (fee schedule) · 25 states10035Physician and practitioner services (fee schedule) · 25 states10036Physician and practitioner services (fee schedule) · 25 states10060Physician and practitioner services (fee schedule) · 25 states
Track 90686 in your statesYour codes on one rate card: every payer's rule, Medicare comparison, rank and rate changes.