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92273 Medicaid reimbursement rates by state

Physician and practitioner services (fee schedule). 29 state Medicaid programs publish a fee-for-service rate for 92273 at the physician psychologist level. Rates run from $27.47 in New York to $200.88 in Alabama, with a median of $76.34.

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

States publishing
29
Median rate
$76.34units vary by state
Highest
$200.88Alabama
Medicare (non-facility)
$109.44–$169.392026 physician fee schedule

92273 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)$200.88since 2026-09-24——Not classified—Teaching Facility Fee Schedule
NebraskaAny qualified provider (rate does not vary by provider) · Nebraska Medicaid (fee-for-service)$182.61since 2026-07-01——Plans negotiate; applies out of network—Nebraska Medicaid fee schedule 471-000-5
ArizonaAny qualified provider (rate does not vary by provider) · Arizona AHCCCS fee-for-service (AIHP, Tribal ALTCS, TRBHA and other FFS members)$127.12since 2026-10-01——Plans negotiate; applies out of network—AHCCCS Arizona Health Care Cost Containm
CaliforniaAny qualified provider (rate does not vary by provider) · California Medi-Cal (fee-for-service)$122.88since 2026-10-01——Plans negotiate; applies out of network—Medi-Cal Rates (Rates files zip: rates_d
ColoradoAny qualified provider (rate does not vary by provider) · Child Health Plan Plus (CHP+, Colorado's CHIP)$103.96since 2026-07-01——Plans negotiate; applies out of network—Child Health Plan Plus FY 2026-2027 Fee
KentuckyAny qualified provider (rate does not vary by provider) · Kentucky Medicaid (fee-for-service, DMS fee schedules)$101.11since 2023-01-01——Plans negotiate; applies out of network—KY Medicaid Physician fee schedule (2023
MinnesotaAny qualified provider (rate does not vary by provider) · Minnesota Health Care Programs: Medical Assistance (fee-for-service)$96.48since 2026-02-01——Plans negotiate; applies out of network—MHCP Fee Schedule - Current Fee Schedule
MissouriAny qualified provider (rate does not vary by provider) · Missouri MO HealthNet (fee-for-service)$94.85since 2022-07-01——Plans must pay at least this—MO HealthNet fee schedule: Podiatry
MarylandAny qualified provider (rate does not vary by provider) · Maryland Medicaid (fee-for-service, MDH)$84.83since 2026-01-01——Not classified—Maryland Medicaid Professional Services
GeorgiaAny qualified provider (rate does not vary by provider) · Georgia Medicaid (fee-for-service)$82.76since 2019-01-01——Plans negotiate; applies out of network—Schedule of Maximum Allw Pymt Physician
IndianaAny qualified provider (rate does not vary by provider) · Indiana Medicaid (fee-for-service)$78.75since 2026-01-01unit—Plans must pay at least this—IHCP Professional Fee Schedule (Last Upd
IllinoisAny qualified provider (rate does not vary by provider) · Illinois Medicaid (HFS fee-for-service)$78.55since 2024-04-01——Plans negotiate; applies out of network—HFS Practitioner Fee Schedule (effective
North CarolinaAny qualified provider (rate does not vary by provider) · North Carolina Medicaid Direct (fee-for-service)$78.41since 2025-10-01——Plans negotiate; applies out of network—NC Medicaid fee schedule 'Independent Di
VirginiaAny qualified provider (rate does not vary by provider) · Virginia Medicaid (fee-for-service, DMAS)$76.97since 2026-07-01——Plans negotiate; applies out of network—DMAS procedure fee file cptmedical4.csv
TexasPhysician or licensed psychologist (incl. BCBA-D) · Texas Medicaid (fee-for-service, TMHP)$76.34since 2019-01-01——Plans negotiate; applies out of network—TMHP Texas Medicaid Fee Schedule - Physi
WisconsinAny qualified provider (rate does not vary by provider) · Wisconsin Medicaid and BadgerCare Plus (fee-for-service, ForwardHealth maximum allowable fees)$74.87since 2019-01-01——Plans negotiate; applies out of network—ForwardHealth max fee schedule: Medical-
ConnecticutAny qualified provider (rate does not vary by provider) · Connecticut Medicaid / HUSKY Health (fee-for-service, CMAP)$73.00since 2026-01-01——Not classified—CMAP fee schedule: Physician Office and
MassachusettsAny qualified provider (rate does not vary by provider) · MassHealth (fee-for-service, EOHHS 101 CMR rate regulations)$72.45since 2026-10-01——Plans negotiate; applies out of network—Emergency Adoption (date filed: Septembe
OregonAny qualified provider (rate does not vary by provider) · Oregon Health Plan (fee-for-service, OHA)$72.38since 2026-02-01——Plans negotiate; applies out of network—OHP FFS medical-dental fee schedule (fee
FloridaAny qualified provider (rate does not vary by provider) · Florida Medicaid (fee-for-service)$69.10since 2026-01-01——Plans negotiate; applies out of network—Practitioner Fee Schedule (2026-01-01)
MichiganAny qualified provider (rate does not vary by provider) · Michigan Medicaid (fee-for-service)$56.66since 2026-01-01——Plans negotiate; applies out of network—MDHHS Vision Fee Schedule database, Janu
WashingtonAny qualified provider (rate does not vary by provider) · Washington Apple Health (Medicaid) fee-for-service$55.99since 2026-07-01——Plans negotiate; applies out of network—HCA Physician-related services fee sched
IowaPhysician or licensed psychologist (incl. BCBA-D) · Iowa Medicaid (fee-for-service schedules; the floor IA Health Link plans must pay)$52.36since 2019-01-01——Plans must pay at least this—Iowa Medicaid fee schedule #02 PHYSICIAN
OhioAny qualified provider (rate does not vary by provider) · Ohio Medicaid (fee-for-service)$50.57since 2024-01-01——Plans negotiate; applies out of network—Appendix DD to OAC 5160-1-60 (Non-Instit
South CarolinaAny qualified provider (rate does not vary by provider) · South Carolina Healthy Connections Medicaid (fee-for-service)$46.16since 2024-07-01——Plans negotiate; applies out of network—SCDHHS Nurse Midwives Fee Schedule (sche
New JerseyAny qualified provider (rate does not vary by provider) · New Jersey Medicaid / NJ FamilyCare (fee-for-service)$46.09since 2026-07-01——Not classified—NJMMIS Procedure Master Listing CPTHCPCS
LouisianaAny qualified provider (rate does not vary by provider) · Louisiana Medicaid (fee-for-service)$37.16since 2019-01-01——Plans must pay at least this—Louisiana Medicaid Professional Services
PennsylvaniaPhysician or licensed psychologist (incl. BCBA-D) · Pennsylvania Medical Assistance (fee-for-service)$34.38since 2019-08-19——Plans negotiate; applies out of network—PA DHS PROMISe Outpatient Fee Schedule (
New YorkPhysician or licensed psychologist (incl. BCBA-D) · New York Medicaid (fee-for-service)$27.47since 2023-01-01unit—Plans negotiate; applies out of network—eMedNY Physician Fee Schedule Sect 2 (Me

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 92273?

It depends on the state. Of the 29 states with a published fee-for-service rate, the median is $76.34. Alabama pays the most ($200.88) and New York the least ($27.47 per unit).

Which state pays the highest Medicaid rate for 92273?

Alabama, at $200.88, effective 2026-09-24.

Do managed-care plans pay the same rate for 92273?

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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