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92100 Medicaid reimbursement rates by state

Physician and practitioner services (fee schedule). 43 state Medicaid programs publish a fee-for-service rate for 92100 at the physician psychologist level. Rates run from $6.00 in Rhode Island to $119.99 in Alabama, with a median of $53.10.

Data as of 2026-10-05. Every rate links to the official document it came from.

States publishing
43
Median rate
$53.10units vary by state
Highest
$119.99Alabama
Medicare (non-facility)
$75.14–$114.712026 physician fee schedule

92100 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.

StateMedicaid rateUnitPer hourManaged-care plans% of MedicareSource
AlabamaPhysician or licensed psychologist (incl. BCBA-D) · Alabama Medicaid (fee-for-service, Alabama Medicaid Agency fee schedules)$119.99since 2026-09-24——Not classified—Teaching Facility Fee Schedule
MontanaAny qualified provider (rate does not vary by provider) · Montana Medicaid and HMK Plus (fee-for-service)$118.78since 2026-07-01——Not classified—Montana Healthcare Programs fee schedule
New MexicoAny qualified provider (rate does not vary by provider) · New Mexico Medicaid (fee-for-service, HCA Medical Assistance Division)$116.74since 2025-01-01——Plans must pay at least this—New Mexico Medicaid Fee for Service CPT
DelawareAny qualified provider (rate does not vary by provider) · Delaware Medicaid (fee-for-service, DMMA / DMAP)$82.09since 2026-01-01——Plans negotiate; applies out of network—DMAP 2026 Physician Fee Schedule
New YorkPhysician or licensed psychologist (incl. BCBA-D) · New York Medicaid (fee-for-service)$75.46since 2023-10-01unit—Plans negotiate; applies out of network—eMedNY Physician Fee Schedule Sect 2 (Me
KansasAny qualified provider (rate does not vary by provider) · MediKan (Kansas state-funded medical program, KMAP fee schedule)$74.90since 2024-08-01——Paid by the state, outside plans—KMAP Fee Schedule MKN Medicaid (FeeSched
OklahomaAny qualified provider (rate does not vary by provider) · Oklahoma SoonerCare (fee-for-service, OHCA)$72.56since 2026-07-01——Plans must pay at least this—SoonerCare Title XIX Fee Schedule
VermontAny qualified provider (rate does not vary by provider) · Vermont Medicaid (fee-for-service, DVHA)$71.32since 2026-01-01——Not classified—Vermont Medicaid Fee Schedule - CPT Code
ColoradoAny qualified provider (rate does not vary by provider) · Child Health Plan Plus (CHP+, Colorado's CHIP)$71.21since 2026-07-01——Plans negotiate; applies out of network—Child Health Plan Plus FY 2026-2027 Fee
UtahAny qualified provider (rate does not vary by provider) · Utah Medicaid (fee-for-service, Traditional plan)$70.85since 2026-07-01——Plans negotiate; applies out of network—Utah Medicaid Coverage and Reimbursement
OregonAny qualified provider (rate does not vary by provider) · Oregon Health Plan (fee-for-service, OHA)$68.63since 2026-02-01——Plans negotiate; applies out of network—OHP FFS medical-dental fee schedule (fee
MississippiAny qualified provider (rate does not vary by provider) · Mississippi Medicaid (fee-for-service)$68.38since 2023-07-01——Plans must pay at least this—DOM Comprehensive Fee Schedule, May 2026
IdahoAny qualified provider (rate does not vary by provider) · Idaho Medicaid (fee-for-service, Division of Medicaid / Gainwell)$68.28since 2026-07-01——Not classified—Idaho Medicaid Numerical Fee Schedule Ju
MinnesotaAny qualified provider (rate does not vary by provider) · Minnesota Health Care Programs: Medical Assistance (fee-for-service)$66.12since 2026-02-01——Plans negotiate; applies out of network—MHCP Fee Schedule - Current Fee Schedule
LouisianaAny qualified provider (rate does not vary by provider) · Louisiana Medicaid (fee-for-service)$65.68since 2025-07-01——Plans must pay at least this—Louisiana Medicaid Professional Services
MissouriAny qualified provider (rate does not vary by provider) · Missouri MO HealthNet (fee-for-service)$63.67since 2022-07-01——Plans must pay at least this—MO HealthNet fee schedule: Practitioner
MarylandAny qualified provider (rate does not vary by provider) · Maryland Medicaid (fee-for-service, MDH)$63.33since 2026-01-01——Not classified—Maryland Medicaid Professional Services
MaineAny qualified provider (rate does not vary by provider) · MaineCare (fee-for-service)$57.28since 2026-01-01——Not classified—MaineCare Fee Schedule (MaineCare UCR, H
West VirginiaAny qualified provider (rate does not vary by provider) · West Virginia Medicaid (fee-for-service, Bureau for Medical Services)$55.63since 2026-04-01——Plans negotiate; applies out of network—BMS RBRVS 2026 Effective 4/1/26 - 3/31/2
South CarolinaAny qualified provider (rate does not vary by provider) · South Carolina Healthy Connections Medicaid (fee-for-service)$55.32since 2024-07-01——Not classified—SCDHHS Base Physician Fee Schedule (sche
MichiganAny qualified provider (rate does not vary by provider) · Michigan Medicaid (fee-for-service)$53.89since 2026-01-01——Plans negotiate; applies out of network—MDHHS Vision Fee Schedule database, Janu
NevadaPhysician or licensed psychologist (incl. BCBA-D) · Nevada Medicaid (fee-for-service provider-type reimbursement schedules)$53.10since 2015-07-01——Plans must pay at least this—Provider Type 77 Physician's Assistant R
ConnecticutAny qualified provider (rate does not vary by provider) · Connecticut Medicaid / HUSKY Health (fee-for-service, CMAP)$53.01since 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)$49.63since 2018-09-01——Plans must pay at least this—Iowa Medicaid fee schedule #02 PHYSICIAN
NebraskaAny qualified provider (rate does not vary by provider) · Nebraska Medicaid (fee-for-service)$47.07since 2026-07-01——Plans negotiate; applies out of network—Nebraska Medicaid fee schedule 471-000-5
ArkansasPhysician or licensed psychologist (incl. BCBA-D) · Arkansas Medicaid (fee-for-service)$38.55since 2025-06-13——Not classified—Arkansas Medicaid Physician / CRNA / Fam
GeorgiaAny qualified provider (rate does not vary by provider) · Georgia Medicaid (fee-for-service)$37.89since 2017-01-01——Plans negotiate; applies out of network—OutPatient Max Allowed Site of Service F
New JerseyAny qualified provider (rate does not vary by provider) · New Jersey Medicaid / NJ FamilyCare (fee-for-service)$36.85since 2026-07-01——Not classified—NJMMIS Procedure Master Listing CPTHCPCS
KentuckyAny qualified provider (rate does not vary by provider) · Kentucky Medicaid (fee-for-service, DMS fee schedules)$33.94since 2020-01-01——Plans negotiate; applies out of network—KY Medicaid Physician fee schedule (2020
MassachusettsAny qualified provider (rate does not vary by provider) · MassHealth (fee-for-service, EOHHS 101 CMR rate regulations)$33.06since 2025-02-14——Plans negotiate; applies out of network—Rates for Vision Care Services and Ophth
HawaiiAny qualified provider (rate does not vary by provider) · Hawaii Medicaid (Med-QUEST) fee-for-service$31.99since 2026-06-01——Plans must pay at least this—Medicaid Fee-For-Service (FFS) Fee Sched
IndianaAny qualified provider (rate does not vary by provider) · Indiana Medicaid (fee-for-service)$29.59since 2026-01-01unit—Plans must pay at least this—IHCP Professional Fee Schedule (Last Upd
CaliforniaAny qualified provider (rate does not vary by provider) · California Medi-Cal (fee-for-service)$28.93since 2026-10-01——Plans negotiate; applies out of network—Medi-Cal Rates (Rates files zip: rates_d
TexasPhysician or licensed psychologist (incl. BCBA-D) · Texas Medicaid (fee-for-service, TMHP)$27.79since 2016-04-01——Plans negotiate; applies out of network—TMHP Texas Medicaid Fee Schedule - Physi
ArizonaAny qualified provider (rate does not vary by provider) · Arizona AHCCCS fee-for-service (AIHP, Tribal ALTCS, TRBHA and other FFS members)$27.26since 2026-10-01——Plans negotiate; applies out of network—AHCCCS Arizona Health Care Cost Containm
New HampshireAny qualified provider (rate does not vary by provider) · New Hampshire Medicaid (fee-for-service, DHHS / NH MMIS)$25.18since 2023-07-01——Plans negotiate; applies out of network—2026 Fee Schedule - Covered Procedures R
IllinoisAny qualified provider (rate does not vary by provider) · Illinois Medicaid (HFS fee-for-service)$23.16since 2013-01-01——Plans negotiate; applies out of network—HFS Practitioner Fee Schedule (effective
VirginiaAny qualified provider (rate does not vary by provider) · Virginia Medicaid (fee-for-service, DMAS)$22.57since 2026-07-01——Plans negotiate; applies out of network—DMAS procedure fee file cptmedical4.csv
FloridaAny qualified provider (rate does not vary by provider) · Florida Medicaid (fee-for-service)$21.83since 2026-01-01——Plans negotiate; applies out of network—Practitioner Fee Schedule (2026-01-01)
WashingtonAny qualified provider (rate does not vary by provider) · Washington Apple Health (Medicaid) fee-for-service$15.48since 2026-07-01——Plans negotiate; applies out of network—HCA Physician-related services fee sched
OhioAny qualified provider (rate does not vary by provider) · Ohio Medicaid (fee-for-service)$13.31since 2024-01-01——Plans negotiate; applies out of network—Appendix DD to OAC 5160-1-60 (Non-Instit
WisconsinAny qualified provider (rate does not vary by provider) · Wisconsin Medicaid and BadgerCare Plus (fee-for-service, ForwardHealth maximum allowable fees)$8.08since 2008-07-01——Plans negotiate; applies out of network—ForwardHealth max fee schedule: Medical-
Rhode IslandAny qualified provider (rate does not vary by provider) · Rhode Island Medicaid (fee-for-service)$6.00since 1996-01-01——Plans negotiate; applies out of network—RI Medicaid Interactive Fee For 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 92100?

It depends on the state. Of the 43 states with a published fee-for-service rate, the median is $53.10. Alabama pays the most ($119.99) and Rhode Island the least ($6.00).

Which state pays the highest Medicaid rate for 92100?

Alabama, at $119.99, effective 2026-09-24.

Do managed-care plans pay the same rate for 92100?

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

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Medicaid rates by state
AlabamaArizonaArkansasCaliforniaColoradoConnecticutDelawareFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsin