90876 Medicaid reimbursement rates by state
Outpatient psychotherapy and diagnostic evaluation. 11 state Medicaid programs publish a fee-for-service rate for 90876 at the physician psychologist level. Rates run from $46.22 in Illinois to $114.99 in Maryland, with a median of $85.35.
Data as of 2026-10-05. Every rate links to the official document it came from.
- States publishing
- 11
- Median rate
- $85.35units vary by state
- Highest
- $114.99Maryland
- Medicare (non-facility)
- —not on the physician fee schedule
90876 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 |
|---|---|---|---|---|---|---|
| MarylandPhysician or licensed psychologist (incl. BCBA-D) · Maryland Problem Gambling Fund (state-funded gambling treatment, claims through the Carelon ASO) | $114.99since 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) | $112.53since 2004-01-01 | — | — | Plans negotiate; applies out of network | — | ForwardHealth max fee schedule: Mntl Hlt |
| ConnecticutAny qualified provider (rate does not vary by provider) · Connecticut Medicaid / HUSKY Health (fee-for-service, CMAP) | $102.75since 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) | $102.43since 2018-09-01 | — | — | Plans must pay at least this | — | Iowa Medicaid fee schedule #02 PHYSICIAN |
| MinnesotaAny qualified provider (rate does not vary by provider) · Minnesota Health Care Programs: Medical Assistance (fee-for-service) | $86.77since 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) | $85.35since 2026-02-01 | — | — | Plans negotiate; applies out of network | — | OHP FFS medical-dental fee schedule (fee |
| ArizonaAny qualified provider (rate does not vary by provider) · Arizona AHCCCS fee-for-service (AIHP, Tribal ALTCS, TRBHA and other FFS members) | $84.98since 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) | $74.34since 2024-08-01 | — | — | Plans must pay at least this | — | Specialized Behavioral Health Services f |
| MassachusettsAny qualified provider (rate does not vary by provider) · MassHealth (fee-for-service, EOHHS 101 CMR rate regulations) | $68.54since 2026-10-01 | — | — | Plans negotiate; applies out of network | — | Emergency Adoption (date filed: Septembe |
| KentuckyAny qualified provider (rate does not vary by provider) · Kentucky Medicaid (fee-for-service, DMS fee schedules) | $49.28since 2020-01-01 | 45 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) | $46.22since 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 90876?
It depends on the state. Of the 11 states with a published fee-for-service rate, the median is $85.35. Maryland pays the most ($114.99) and Illinois the least ($46.22).
Which state pays the highest Medicaid rate for 90876?
Maryland, at $114.99, effective 2021-11-01.
Do managed-care plans pay the same rate for 90876?
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.