90833 Medicaid reimbursement rates by state
Outpatient psychotherapy and diagnostic evaluation. 33 state Medicaid programs publish a fee-for-service rate for 90833 at the physician psychologist level. Rates run from $24.29 in North Carolina to $536.78 in California, with a median of $62.65.
Data as of 2026-10-05. Every rate links to the official document it came from.
- States publishing
- 33
- Median rate
- $62.65units vary by state
- Highest
- $536.78California
- Medicare (non-facility)
- $77.26–$96.442026 physician fee schedule
90833 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 |
|---|---|---|---|---|---|---|
| CaliforniaPhysician or licensed psychologist (incl. BCBA-D) · California Medi-Cal Specialty Mental Health Services (DHCS fee schedule for county Mental Health Plans) | $536.78⚠ over 3× mediansince 2026-07-01 | 30 min | $1,073.56 | Paid by the state, outside plans | — | Medi-Cal Behavioral Health Fee Schedules |
| New MexicoAny qualified provider (rate does not vary by provider) · New Mexico Medicaid (fee-for-service, HCA Medical Assistance Division) | $125.20since 2025-01-01 | 30 min | $250.40 | Plans must pay at least this | — | Fee Schedule for Behavioral Health Provi |
| AlabamaPhysician or licensed psychologist (incl. BCBA-D) · Alabama Medicaid (fee-for-service, Alabama Medicaid Agency fee schedules) | $103.80since 2026-09-24 | 30 min | $207.60 | Not classified | 134% | Teaching Facility Fee Schedule |
| NebraskaPhysician or licensed psychologist (incl. BCBA-D) · Nebraska Medicaid (fee-for-service) | $92.81since 2026-07-01 | 30 min | $185.62 | Plans negotiate; applies out of network | 118% | Nebraska Medicaid Mental Health and Subs |
| OregonAny qualified provider (rate does not vary by provider) · Oregon Health Plan (fee-for-service, OHA) | $85.08since 2024-07-01 | 30 min | $170.16 | Plans negotiate; applies out of network | 101–105% | OHP FFS behavioral health fee schedule ( |
| WisconsinAny qualified provider (rate does not vary by provider) · Wisconsin Medicaid and BadgerCare Plus (fee-for-service, ForwardHealth maximum allowable fees) | $78.40since 2022-01-01 | 30 min | $156.80 | Plans negotiate; applies out of network | 99% | ForwardHealth max fee schedule: Mntl Hlt |
| MarylandPhysician or licensed psychologist (incl. BCBA-D) · Maryland Public Behavioral Health System (specialty mental health, SUD and ABA, paid fee-for-service through the Carelon ASO) | $77.77since 2025-07-01 | 30 min | $155.54 | Paid by the state, outside plans | 92–95% | FY2026 PBHS Fee Schedule – Individual Pr |
| New YorkPhysician or licensed psychologist (incl. BCBA-D) · New York Medicaid (fee-for-service) | $76.65since 2025-10-01 | 30 min | $153.30 | Plans negotiate; applies out of network | 84–96% | eMedNY Physician Fee Schedule Sect 2 (Me |
| South CarolinaPhysician or licensed psychologist (incl. BCBA-D) · South Carolina Healthy Connections Medicaid (fee-for-service) | $74.00since 2025-12-01 | 30 min | $148.00 | Not classified | — | SCDHHS RBHS Substance Use Services Fee S |
| OklahomaAny qualified provider (rate does not vary by provider) · Oklahoma SoonerCare (fee-for-service, OHCA) | $73.61since 2026-07-01 | 30 min | $147.22 | Plans must pay at least this | 94% | SoonerCare Title XIX Fee Schedule |
| ConnecticutAny qualified provider (rate does not vary by provider) · Connecticut Medicaid / HUSKY Health (fee-for-service, CMAP) | $71.01since 2024-07-01 | 30 min | $142.02 | Not classified | 84% | CMAP fee schedule: Clinic and Outpatient |
| MassachusettsPhysician or licensed psychologist (incl. BCBA-D) · MassHealth (fee-for-service, EOHHS 101 CMR rate regulations) | $70.21since 2025-09-01 | 30 min | $140.42 | Plans must pay at least this | — | Rates for Mental Health Services Provide |
| VirginiaPhysician or licensed psychologist (incl. BCBA-D) · Virginia Medicaid behavioral health services (DMAS fee-for-service rates: community mental health, ARTS, ABA, BH redesign) | $70.14since 2024-01-01 | 30 min | $140.28 | Not classified | 87% | DMAS Medicaid bulletin: Behavioral Healt |
| MississippiAny qualified provider (rate does not vary by provider) · Mississippi Medicaid (fee-for-service) | $70.04since 2026-07-01 | 30 min | $140.08 | Plans must pay at least this | 90% | DOM Comprehensive Fee Schedule, Septembe |
| ArizonaAny qualified provider (rate does not vary by provider) · Arizona AHCCCS fee-for-service (AIHP, Tribal ALTCS, TRBHA and other FFS members) | $67.70since 2026-10-01 | 30 min | $135.40 | Plans negotiate; applies out of network | 84% | AHCCCS Arizona Health Care Cost Containm |
| MinnesotaPhysician or licensed psychologist (incl. BCBA-D) · Minnesota Health Care Programs: Medical Assistance (fee-for-service) | $66.53since 2026-05-21 | 30 min | $133.06 | Plans must pay at least this | — | MH Procedure CPT or HCPC Codes and Rates |
| OhioAny qualified provider (rate does not vary by provider) · Ohio Medicaid (fee-for-service) | $62.65since 2024-01-01 | encounter | — | Plans expected to pay at least this | — | ODM Behavioral Health Coding Workbook (1 |
| IndianaAny qualified provider (rate does not vary by provider) · Indiana Medicaid (fee-for-service) | $62.64since 2026-01-01 | unit | — | Plans must pay at least this | — | IHCP Professional Fee Schedule (Last Upd |
| New JerseyAny qualified provider (rate does not vary by provider) · New Jersey Medicaid / NJ FamilyCare (fee-for-service) | $62.48since 2025-01-01 | 30 min | $124.96 | Not classified | — | NJMMIS Procedure Master Listing CPTHCPCS |
| ColoradoAny qualified provider (rate does not vary by provider) · Colorado behavioral health services paid fee-for-service by HCPF (outside the RAE capitation) | $61.49since 2026-07-01 | 30 min | $122.98 | Paid by the state, outside plans | 74% | Behavioral Health Fee-for-Service Rates |
| WashingtonAny qualified provider (rate does not vary by provider) · Washington Apple Health (Medicaid) fee-for-service | $59.49since 2026-07-01 | 30 min | $118.98 | Plans negotiate; applies out of network | 67–72% | HCA Mental health and psychology service |
| KentuckyPhysician or licensed psychologist (incl. BCBA-D) · Kentucky Medicaid (fee-for-service, DMS fee schedules) | $58.40since 2020-01-01 | 30 min | — | Plans negotiate; applies out of network | — | DMS CMHC Mental Health Substance Abuse f |
| ArkansasPhysician or licensed psychologist (incl. BCBA-D) · Arkansas Medicaid (fee-for-service) | $58.20since 2025-06-13 | 30 min | $116.40 | Not classified | 75% | Arkansas Medicaid Physician / CRNA / Fam |
| NevadaPhysician or licensed psychologist (incl. BCBA-D) · Nevada Medicaid (fee-for-service provider-type reimbursement schedules) | $57.06since 2017-01-01 | 30 min | $114.12 | Plans must pay at least this | 70% | Provider Type 26 Psychologist Reimbursem |
| TexasPhysician or licensed psychologist (incl. BCBA-D) · Texas Medicaid (fee-for-service, TMHP) | $55.85since 2026-03-01 | 30 min | $111.70 | Plans negotiate; applies out of network | 68–70% | TMHP Texas Medicaid Fee Schedule - Physi |
| MichiganAny qualified provider (rate does not vary by provider) · Michigan Medicaid (fee-for-service) | $51.97since 2026-01-01 | 30 min | $103.94 | Plans negotiate; applies out of network | 63–65% | MDHHS Child and Adolescent Health Center |
| FloridaAny qualified provider (rate does not vary by provider) · Florida Medicaid (fee-for-service) | $51.17since 2026-01-01 | 30 min | $102.34 | Plans negotiate; applies out of network | 60–63% | Practitioner Fee Schedule (2026-01-01) |
| LouisianaAny qualified provider (rate does not vary by provider) · Louisiana Medicaid (fee-for-service) | $47.46since 2025-07-01 | 30 min | $94.92 | Plans must pay at least this | — | Specialized Behavioral Health Services f |
| KansasAny qualified provider (rate does not vary by provider) · MediKan (Kansas state-funded medical program, KMAP fee schedule) | $44.25since 2024-08-01 | 30 min | $88.50 | Paid by the state, outside plans | 57% | KMAP Fee Schedule MKN Medicaid (FeeSched |
| IllinoisAny qualified provider (rate does not vary by provider) · Illinois Medicaid (HFS fee-for-service) | $44.06since 2024-04-01 | 30 min | $88.12 | Plans negotiate; applies out of network | 52–54% | HFS Practitioner Fee Schedule (effective |
| GeorgiaAny qualified provider (rate does not vary by provider) · Georgia Medicaid (fee-for-service) | $34.92since 2017-07-01 | 30 min | $69.84 | Plans negotiate; applies out of network | 42–44% | Maximum Allowable Payments OutPatient Fe |
| IowaPhysician or licensed psychologist (incl. BCBA-D) · Iowa Medicaid (fee-for-service schedules; the floor IA Health Link plans must pay) | $28.64since 2024-01-01 | 30 min | $57.28 | Plans must pay at least this | 37% | Iowa Medicaid fee schedule #02 PHYSICIAN |
| North CarolinaPhysician or licensed psychologist (incl. BCBA-D) · North Carolina Medicaid Direct (fee-for-service) | $24.29since 2025-10-01 | 30 min | $48.58 | Plans must pay at least this | 31% | NC Medicaid fee schedule 'Physician Assi |
Rates marked ⚠ are more than three times the median for the same unit; they are published as shown but often reflect an office (non-facility) fee or a different scope of service. 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 90833?
It depends on the state. Of the 33 states with a published fee-for-service rate, the median is $62.65. California pays the most ($536.78 per 30 min) and North Carolina the least ($24.29 per 30 min).
Which state pays the highest Medicaid rate for 90833?
California, at $536.78 per 30 min ($1,073.56 per hour), effective 2026-07-01.
How do Medicaid rates for 90833 compare with Medicare?
Where the billing units match, Medicaid pays between 31% and 134% of the 2026 Medicare physician fee schedule amount for the state (non-facility).
Do managed-care plans pay the same rate for 90833?
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 Behavioral health codes
90791Mental health assessment (non-physician) · 35 states90832Outpatient psychotherapy and diagnostic evaluation · 35 states90834Outpatient psychotherapy and diagnostic evaluation · 35 states90837Outpatient psychotherapy and diagnostic evaluation · 35 states90847Outpatient psychotherapy and diagnostic evaluation · 35 states90853Outpatient psychotherapy and diagnostic evaluation · 35 states96110Mental health assessment (non-physician) · 35 states96112Mental health assessment (non-physician) · 35 states96130Mental health assessment (non-physician) · 35 states96131Mental health assessment (non-physician) · 35 states96136Mental health assessment (non-physician) · 35 states96137Mental health assessment (non-physician) · 35 states
Track 90833 in your statesYour codes on one rate card: every payer's rule, Medicare comparison, rank and rate changes.