90875 Medicaid reimbursement rates by state
Outpatient psychotherapy and diagnostic evaluation. 12 state Medicaid programs publish a fee-for-service rate for 90875 at the physician psychologist level. Rates run from $27.93 in Illinois to $71.02 in Connecticut, with a median of $51.94.
Data as of 2026-10-05. Every rate links to the official document it came from.
- States publishing
- 12
- Median rate
- $51.94units vary by state
- Highest
- $71.02Connecticut
- Medicare (non-facility)
- —not on the physician fee schedule
90875 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 |
|---|---|---|---|---|---|---|
| ConnecticutAny qualified provider (rate does not vary by provider) · Connecticut Medicaid / HUSKY Health (fee-for-service, CMAP) | $71.02since 2026-01-01 | — | — | Not classified | — | CMAP fee schedule: Physician Office and |
| IowaPhysician or licensed psychologist (incl. BCBA-D) · Iowa Medicaid (fee-for-service schedules; the floor IA Health Link plans must pay) | $68.78since 2018-09-01 | — | — | Plans must pay at least this | — | Iowa Medicaid fee schedule #02 PHYSICIAN |
| MarylandPhysician or licensed psychologist (incl. BCBA-D) · Maryland Problem Gambling Fund (state-funded gambling treatment, claims through the Carelon ASO) | $63.28since 2021-11-01 | — | — | Not classified | — | FY2022 PBHS Fee Schedule – Mental Health |
| WisconsinPhysician or licensed psychologist (incl. BCBA-D) · Wisconsin Medicaid and BadgerCare Plus (fee-for-service, ForwardHealth maximum allowable fees) | $56.27since 2004-01-01 | — | — | Plans negotiate; applies out of network | — | ForwardHealth max fee schedule: Mntl Hlt |
| NevadaPhysician or licensed psychologist (incl. BCBA-D) · Nevada Medicaid (fee-for-service provider-type reimbursement schedules) | $54.37since 2017-01-01 | — | — | Plans must pay at least this | — | Provider Type 26 Psychologist Reimbursem |
| ArizonaAny qualified provider (rate does not vary by provider) · Arizona AHCCCS fee-for-service (AIHP, Tribal ALTCS, TRBHA and other FFS members) | $53.82since 2026-10-01 | — | — | Plans negotiate; applies out of network | — | AHCCCS Arizona Health Care Cost Containm |
| LouisianaPhysician or licensed psychologist (incl. BCBA-D) · Louisiana Medicaid (fee-for-service) | $50.05since 2024-08-01 | — | — | Plans must pay at least this | — | Specialized Behavioral Health Services f |
| MinnesotaAny qualified provider (rate does not vary by provider) · Minnesota Health Care Programs: Medical Assistance (fee-for-service) | $49.07since 2026-02-01 | — | — | Plans must pay at least this | — | MHCP Fee Schedule - Current Fee Schedule |
| OregonAny qualified provider (rate does not vary by provider) · Oregon Health Plan (fee-for-service, OHA) | $48.37since 2026-02-01 | — | — | Plans negotiate; applies out of network | — | OHP FFS medical-dental fee schedule (fee |
| PennsylvaniaPhysician or licensed psychologist (incl. BCBA-D) · Pennsylvania Medical Assistance (fee-for-service) | $44.57since 2009-07-13 | — | — | Plans negotiate; applies out of network | — | PA DHS PROMISe Outpatient Fee Schedule ( |
| KentuckyAny qualified provider (rate does not vary by provider) · Kentucky Medicaid (fee-for-service, DMS fee schedules) | $31.67since 2020-01-01 | 30 min | — | Plans negotiate; applies out of network | — | DMS CMHC Mental Health Substance Abuse f |
| IllinoisAny qualified provider (rate does not vary by provider) · Illinois Medicaid (HFS fee-for-service) | $27.93since 2013-01-01 | — | — | Plans negotiate; applies out of network | — | HFS Practitioner Fee Schedule (effective |
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 90875?
It depends on the state. Of the 12 states with a published fee-for-service rate, the median is $51.94. Connecticut pays the most ($71.02) and Illinois the least ($27.93).
Which state pays the highest Medicaid rate for 90875?
Connecticut, at $71.02, effective 2026-01-01.
Do managed-care plans pay the same rate for 90875?
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.